Our facility was told years ago by JCAHO (and we still use this process) that ICU discovers could not recover post-op patients unless they were deemed...
Hello All, How do you communicate with the off-shift supervisors? What is their role in your hospital? If you have any concerns or issues with the off-shift...
Hi Holly, We meet once a month with the supervisors to discuss generic issues. If there is a specific unit issues we usually communicate via email and try to...
Our ER is exploring the possibility of having the "hand off" of ICU admits occur in the ER- the ICU nurse would go to the ER and get report and then bring the...
Do you have an acuity tool that you use? I would be interested in looking at any that are available. Joyce Chambers, RN, CCRN Clinical Director, Critical Care...
If a patient is on the vent they are recovered in Critical Care. Only non-vented Critical Care patients are recovered in PACU. Tina R Eckard, RN,MSN,CCRN ...
Generally either face to face or through email, depending on the situation. I'm usually still around for a while after the Administrative Supervisor comes on...
I am an administrative nursing supervisor and I work mostly weekends. I do everything from staffing to codes to service recovery, to bed management. You...
I'm glad this came up. At our institution, the ICU has to recover PACU patients (ALL PACU patients) in the off hours (after 9 p.m.). Does anyone else do ...
I am wondering if anyone is using the Cook Blue Rhino percutanious trach kit in your hospitals. If so, what is your experience with it? Our infection control...
In our institution, the ER nurse transports the patient to the ICU. The ICU nurse is usually responsible for another critically ill pt. and can't be off the...
Joyce, If you go to the NIHMBL site there is an acutiy tool that is available. I did submit it so if you need further information or explanation please...
I was wondering how many of you utilize NPs, CNSs, or CV coordinators for your cardiac surgery programs? What responsibilities are included with these roles?...
In the three institutions that I have been in lately, that is not what is happening. Usually there is a phone report first with the ER bringing the patient to...
In every institution that I have worked in, the surgical patients, unless needing to go directly to ICU, were recovered in the PACU by that staff. The staff...
I have never heard of this and could not support this. ICU nurses are off the unit enough transporting to procedures, tests, etc. This seems risky to the...
How many of you are utilizing continuous IV insulin drips post CABG? How do you transition of the IV? Are you using basal coverage? Do you have pre printed...
Our ED would love it, but at present, the patient is brought up to the ICU. Report at times, is given via phone, but also at bedside. It gets tricky when it's...
Yes, we have done this but the practice may cease. We just started doing angioplasty and we have a neuroscience program that requires an empty bed to be...
We get report from the ED nurse via phone. We go to the ED, and the transport occurs with RN from ICU and ED together. Occasionally when ED is not busy, they...
How many of you are preloading your patients with amiodarone prior to heart surgery? What dosing are you using? Iv or PO? Does anyone have pre printed orders...
Our` facility is looking to standardise crash carts on each area, we have looked at many and have provisionaly selected one, can anyone tell me their...
... to ... We have been using the Cook Blue Rhino for 3-4 years for bedside placements. We have had lower complications with the percutanious Blue Rhino than...
In our hospital, the ED calls report to the ICU and then the ED transports the patient to the unit. Our policy states that the ED is not to transfer the...
At my facility the ED nurse gives a verbal report via phone about the incoming ICU patient so the ICU nurse knows what to prepare before the patient is...
We have been using it for about 6 months. One of our surgeons came using the system in another hospital and suggested we use it as well. The nurses love it...
At my facility, when PACU closes around 10-11 PM, all recovery will be done by an ICU nurse which happens to have a regular load of ICU patients. To try to...
Our facility standardized all crash carts except the ones in ED. This has made it much easier for the code team since all supplies are found in the same...
AACN is trying to get a sense of the demand/need for a Community of Practice or Listserv for the bedside Acute and Critical Care Nurse. Would you please take...