Our STICU was designed with the universal bed concept, then our units merged and the patient population became a mixed population. The universal bed concept...
What is the agenda for interdepartmental Charge Nurse meetings? How often would you reccommend holding one? What is the feedback from the staff involved?...
In our NICU, PICU and peds CTICU our HPPD range from 16 - 21 hours of care. ECMO patients are 24 hours of care because the RNs run the pump. Nancy Blake RN...
We were recently cited by our local board of health for not following the physician's order for continuous tube feeding volumes. The physician writes an order...
In our facility it depends on patient and the physician. On the Medical unit Routine is Q 8 hours. On the Surgical unit Routine is Q 4 hours for the first 48...
How does your institution compute productivity and what are your unit goals? Carol Ludlow, RN, BS | Night Nursing Supervisor | Nursing Administration ...
We always order a Chest X-ray after NG tube placement even if it is placed for decompression. This way if we need to give meds at a later time we are able to...
In our hospital we have a standing order for adding Lidocaine to the KCL rider. We may Lidocaine 100 mg to 40 mEq KCL/250 ml NS if needed. Hope this helps. ...
Hello all, We are in the process of forming a team to review our MRSA/VRE rate due to an increase in our hospital acquired rates. Has anyone had the same...
We hold our charge nurse meetings once a month. The first meeting was a get to know you and open forum to discuss issues. It was moderated by the CNO. We...
Yes Our 20 bed ICU unit has 10 pvt beds, and with 5 semipvt rooms we use for IMC type pts . We will close that side if needed. Our nurses staff either side as ...
In our general ICU we have a budget of 16 and in our IMC we use 12.24 for the HPPD. This includes the RN's, Unit Sec. , and Director. It can be a little ...
We have an optional checkbox on our enteral feeding orders that allows nurses to make up missed feeding volume. If TF is interrupted for test/procedures,...
During the day our case manager assists with the faxes and bed placement/calls and copying of the chart. Medical records can also assist with the copying if ...
Our PCU is an extension of our ICU, same location but divided by a door. The nurse patient ratio is 1-to-4 and is core staffed with 1 RN and 1Critical Care...
Hello, I have Charge Nurse mtings once a month. I review staffing, clinical issues, PI data collection that we are responsible for, new policies, MD issues,...
At our institution we are trying to establish a policy for chest tube dressing changes. Our occlusive dressing usually consists of guaze and cloth tape. What's...
I recommend that you have unit based charge nurse meetings at least once a month going over issues in your units. I also recommend quarterly housewide charge...
I'm glad to see this question here as the hospital I work at has been researching this for a few months. The Clinical Practice Council has been unable to...
My facility is 850 beds and wants to develop a central staffing office. Currently each service has a 'staffing secretary', but the job responsibilites etc...
We(1394 Lic. beds) have done this. It has NOT been a positive experience for Nurse Managers or nurses. Due to consultants making this recommendation it is...
AMEN!!! Historically staffing offices are filled with non-clinical personnel with the idea that a nurse is a nurse and the goal is to fill the gap anyway you...
Hello, Our hospital system tests all admissions system wide for MRSA via nasal swab, and we treat positives with hibiclens and bactroban while hospitalized....
At our institution we do moderate sedation procedures in our ICU's, telemetry units, and ambulatory care (mostly GI- endoscopy & cardiac- TEE areas). The ICU's...
We have had a centralized staffing and scheduling office for more than 30 years, so obviously part of our culture. It works very well for us. All of the...
We are engaging once again in the discussion of how to deal with staffing and bed shortages. The emergency department has much literature that supports...
Yes, that is the same for us,,,we are 1394 beds. ... At our institution we do moderate sedation procedures in our ICU's, telemetry units, and ambulatory care...
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