We participate in the VHA TICU program (Transformation of the ICU).  We
use their survey and hand it out at the time of transfer from ICU.  Our
response rate varies from 15-30%.  There is a letter from myself and the
medical director inviting completion of the survey.  An envelope is also
included which can be mailed with prepaid postage.  Our biggest
challenge is remembering to give it to patients.

Roberta Basol

St. Cloud Hospital

St. Cloud, MN

320-251-2700, ext. 54110

basolr@...





-----Original Message-----
From: NIHMBL@yahoogroups.com [mailto:NIHMBL@yahoogroups.com] On Behalf
Of Dori Rogers
Sent: Saturday, May 05, 2007 6:36 PM
To: NIHMBL@yahoogroups.com
Subject: [NIHMBL] Patient Satisfaction Survey



We have a "home-grown" ICU satisfaction survey. It is given to all
pts, or in many cases the family, with a cover letter from our MICU
team requesting a response. Traditionally, the "N" has been low. We
did spend 3 months handing them to pts/families requesting the
information, with no increase. The completed survey is dropped off in
a locked box outside the unit & collected by our hospital pt
satisfaction team. Does anyone have experience with a unit specific
survey and how do you approach the pts/families to get their
cooperation with completing the form?

Thanks in advance,
Dori Rogers, RN, MSN, CCRN
Nurse Manager
Bridgeport Hospital





[Non-text portions of this message have been removed]

It is individualized to the nurse, but here is the general rule at my
facility:'
We orient brand new grad nurses for about 12 weeks on the floor.  That
does not include classroom time.

Experienced nurses get about 4 weeks orientation.

Travelers get about 3 shifts.

But then it all has to do with how the nurse is doing near the end of
the planned orientation.

Deborah

--- In NIHMBL@yahoogroups.com, Jennifer Pillay <veejenn@...> wrote:
>
> Hi,
>   A 5 day 'induction period' --orientation is given by the Ed Dept...
>   When staff arrive to ICU there are precepted   for a further 3-4
weeks
>   as the area of their orientation is not so much the work,
>    but rather the guidelines, protocols and location of items used
in ICU.
>   Both preceptor and preceptee  receove  competency checklists and
each fill it out independantly and is compared prior to meeting with me.
>    Progress is monitored through infomal means and limitations
highlighted are  addressed
>    At end of the 4 week an evaluation is completed and objectives
not met becomes goals and objectives for the next 6/12.
>   Hope this helps ?
>    Regards, Jennifer
>
>
>
> Jynae Foulk <jbird@...> wrote:
>           The orientation for our nurses totally depends on the
individual nurse.
> The preceptor, new nurse and manager have periodic meetings to discuss
> orientation and plans. Our facility has not given any definitive time
> frame for orientation. However, if orientation is extended past 12
> weeks for anyone we are already aware throughout the process that there
> may be a potential problem.
>
> ~Jynae
>
> tmmendez wrote:
>
> > How much time do your new hires spend in Clinical Orientation after
> > the standard new hire hospital orientation? How do you determine how
> > much time your new nurse spends with the preceptor? Who makes that
> > call at your facility?
> >
> > I appreciate any information that you can give me on this subject!
> > Therese
> >
> >
>
>
>
>
>
>
> ---------------------------------
> Ahhh...imagining that irresistible "new car" smell?
>  Check outnew cars at Yahoo! Autos.
>
> [Non-text portions of this message have been removed]
>

--- In NIHMBL@yahoogroups.com, "shannernurse" <shannon.carefoot@...>
wrote:
>
> Currently, the cath lab staff which consists of 3 nurses have been
> asked to be called in to place PICC lines on the weekend or evening.
> The point of the nurses is that they signed up for emergency cases
not
> to be an IV team.   What are practices elsewhere?   I'd love ANY help.
>
Our cath lab staff were initially the only ones trained to do PICCsand
would do them after hours or during the day if their caseload was
light. We recently trained several additional RNs to do PICCS. They
usually do these after hours or if they want, can come in on a day off.
They are paid a bonus pay for each PICC placed after hours. If during
their regular shift, the time is charged out to the department the
patient is in. This has decreased the wait time for the patient and
decreased the extra hours the cath lab staff has to do.

hello,
In our facility, the intial EKG is read by the resident or attending
that is taking care of the patient.  If there is any question, they
get a stat cardiology consult.

--- In NIHMBL@yahoogroups.com, "feredaa" <feredaa@...> wrote:
>
> Hello,
> For critical vaules for EKG, who does the initial interpretation to
> validate that there is a critical value.  We are reviewing our policy
> and our affiliate hospitals have identified what the critical values
> are and that the findings need to be reported within 15 minutes.
> However, it does not specify who does the initial evaluation.  Any help
> is appreciated.
> Thanks,
> Anne
>

We have a "home-grown" ICU satisfaction survey. It is given to all
pts, or in many cases the family, with a cover letter from our MICU
team requesting a response. Traditionally, the "N" has been low. We
did spend 3 months handing them to pts/families requesting the
information, with no increase. The completed survey is dropped off in
a locked box outside the unit & collected by our hospital pt
satisfaction team. Does anyone have experience with a unit specific
survey and how do you approach the pts/families to get their
cooperation with completing the form?

Thanks in advance,
Dori Rogers, RN, MSN, CCRN
Nurse Manager
Bridgeport Hospital

Dear Lynn,
   Thanks so much for posting your hospitals vasoactive policy on the site, but
for some reason I was unable to open the file. If you don't mind, could you
please forward me a copy to my email address. Thanks so much for sharing!
Brandi Miller RN,BSN
Children's Healthcare of Atlanta
Atlanta,Ga

"Mazur, Lynn" <lmazur@...> wrote:                                  Our
hospital vasoactive drip protocols have been uploaded to the "Files"
  section of the NIHMBL group if you would like to view them.
  I hope that they help you.
  Lynn Mazur, RN
  SWGHC
  Middleburg Heights, OH

  [Non-text portions of this message have been removed]






---------------------------------
Ahhh...imagining that irresistible "new car" smell?
  Check outnew cars at Yahoo! Autos.

[Non-text portions of this message have been removed]

Our hospital vasoactive drip protocols have been uploaded to the "Files"
section of the NIHMBL group if you would like to view them.
I hope that they help you.
Lynn Mazur, RN
SWGHC
Middleburg Heights, OH


[Non-text portions of this message have been removed]

I am an educator on a neuroscience unit.  we take care of many patients
with lumbar drains.  My staff and I have been looking for educational
material about lumbar drains for staff.  Do any of you have something I
could use?

thank you,
Deborah Minke RN, BSN UBE

Hello,
For critical vaules for EKG, who does the initial interpretation to
validate that there is a critical value.  We are reviewing our policy
and our affiliate hospitals have identified what the critical values
are and that the findings need to be reported within 15 minutes.
However, it does not specify who does the initial evaluation.  Any help
is appreciated.
Thanks,
Anne

Our hospital has "multispecialists" which is a team of ICU nurses that insert
piccs, respond to fast teams, codes, insert difficult IV's as well as transport
critical patients.  they are on 24/7

"Belott, Heather" <hbelott@...> wrote:          The radiologist place PICC
lines between the hours of 0700 and 1500
here. If a patient needs one after hours or weekends, the attending
physician is called and a cardiologist may place a central line.

________________________________

From: NIHMBL@yahoogroups.com [mailto:NIHMBL@yahoogroups.com] On Behalf
Of shannernurse
Sent: Tuesday, May 01, 2007 4:59 PM
To: NIHMBL@yahoogroups.com
Subject: [NIHMBL] PICC line placement after hours

Currently, the cath lab staff which consists of 3 nurses have been
asked to be called in to place PICC lines on the weekend or evening.
The point of the nurses is that they signed up for emergency cases not
to be an IV team. What are practices elsewhere? I'd love ANY help.

[Non-text portions of this message have been removed]






---------------------------------
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  Check outnew cars at Yahoo! Autos.

[Non-text portions of this message have been removed]

We have an IVT team 24-7 coverage and does IV, skin testing, IV access for
mediport,  catheter repairs and PICC insertion at bedside for adults/pediatrics.
2 staff is always available for day/evening shift and only 1 staff for night.
The staff covers 2 hospitals adult and children which are adjacent to each other
and the third hospital is about 3 blocks away from the 2 buildings. The main
office is located in the 2 adjacent buidlings.
Cris
   Texas
jonidarby <jdarby@...> wrote:
           --- In NIHMBL@yahoogroups.com, "shannernurse" <shannon.carefoot@...>
wrote:
>
> Currently, the cath lab staff which consists of 3 nurses have been
> asked to be called in to place PICC lines on the weekend or
evening.
> The point of the nurses is that they signed up for emergency cases
not
> to be an IV team. What are practices elsewhere? I'd love ANY
help.
>
We have contracted with an agency who does PICC lines. It is working
well.






---------------------------------
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  Check outnew cars at Yahoo! Autos.

[Non-text portions of this message have been removed]

Thanks Lisa.
   My email is feredaa@....
   The protocol is for patients in the ED.
   Anne

"Koser, Lisa " <lisa.koser@...> wrote:
           Are you in the ED? If so will you give me your private email. Thanks

Lisa Koser RN, BSN, CEN, EMT-P
Ohio State University Hospitals East
Emergency Department
Nursing Program Manager
Office: (614) 257-2081
Fax: (614) 257-2375
LISA.KOSER@...

________________________________

From: NIHMBL@yahoogroups.com on behalf of feredaa
Sent: Tue 5/1/2007 15:37
To: NIHMBL@yahoogroups.com
Subject: [NIHMBL] Primary PCI Protocol and Orders

Hello,
I am in the process of rewriting our Primary PCI order set. Would
anyone be willing to share their order sets and/or protocols?
Thanks,
Anne

[Non-text portions of this message have been removed]






---------------------------------
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  Check outnew cars at Yahoo! Autos.

[Non-text portions of this message have been removed]

Our hospital has an IV team who does all the pics.  We staff it 24/7.

Marcy Bents
-------Original Message-------

From: jonidarby
Date: 5/1/2007 6:04:43 PM
To: NIHMBL@yahoogroups.com
Subject: [NIHMBL] Re: PICC line placement after hours

--- In NIHMBL@yahoogroups.com, "shannernurse" <shannon.carefoot@...>
wrote:
>
> Currently, the cath lab staff which consists of 3 nurses have been
> asked to be called in to place PICC lines on the weekend or
evening.
> The point of the nurses is that they signed up for emergency cases
not
> to be an IV team. What are practices elsewhere? I'd love ANY
help.
>
We have contracted with an agency who does PICC lines. It is working
well.





[Non-text portions of this message have been removed]

The radiologist place PICC lines between the hours of 0700 and 1500
here. If a patient needs one after hours or weekends, the attending
physician is called and a cardiologist may place a central line.



________________________________

From: NIHMBL@yahoogroups.com [mailto:NIHMBL@yahoogroups.com] On Behalf
Of shannernurse
Sent: Tuesday, May 01, 2007 4:59 PM
To: NIHMBL@yahoogroups.com
Subject: [NIHMBL] PICC line placement after hours



Currently, the cath lab staff which consists of 3 nurses have been
asked to be called in to place PICC lines on the weekend or evening.
The point of the nurses is that they signed up for emergency cases not
to be an IV team. What are practices elsewhere? I'd love ANY help.





[Non-text portions of this message have been removed]

We are in the process of designing our new ICU tower and thoughts are
going back and forth as to having a satelite biomed station in the ICU
has any one any experience with this system and if so comments would be
appreciated.

Thanks
Michelle Rankin
ICU Manager

In 2 of the facilities where I worked we had an IV team from 7am to 11pm, 24/7. 
They inserted IV's and PICCs.  It works very well.  Patients requiring
intervention after 11 were done first thing in the morning.  This team were also
trained in chemo administration as well.
   Anne

shannernurse <shannon.carefoot@...> wrote:
           Currently, the cath lab staff which consists of 3 nurses have been
asked to be called in to place PICC lines on the weekend or evening.
The point of the nurses is that they signed up for emergency cases not
to be an IV team. What are practices elsewhere? I'd love ANY help.






---------------------------------
Ahhh...imagining that irresistible "new car" smell?
  Check outnew cars at Yahoo! Autos.

[Non-text portions of this message have been removed]

Nurse to patient ratios are 1:3 with a nursing assistant for up to 8
patients.  The MPCU is the only one which takes vent patients, and very
few of our patients are long term vent management, so the number of
vented patients in a year is probably less than 10.

Roberta



-----Original Message-----
From: NIHMBL@yahoogroups.com [mailto:NIHMBL@yahoogroups.com] On Behalf
Of Patty Labrie
Sent: Tuesday, May 01, 2007 10:59 AM
To: NIHMBL@yahoogroups.com
Subject: RE: [NIHMBL] Competencies for the intermediate care nurse



Roberta,
What is the patient mix on the vent unit, ratios, etc....

Patty

"Basol, Roberta" <basolr@... <mailto:basolr%40centracare.com>
> wrote:
We have three progressive care units - medical, surgical and neuro.
They are each attached to a larger unit with those same specialties.
More specifically the 8 bed surgical progressive care unit is part of
the 62 bed surgical unit with a designated area. When the units started
the nurses came from those particular units. A group (I think they
volunteered) were cross trained to the PCUs with EKG classes and other
classes to their specific needs - Cardizem and a few other medicated
drips, long term vent management, etc. - based on their admission
criteria. The ICU staff do float to the PCUs, however the PCU nurses do
not float to ICU.

Roberta Basol

St. Cloud Hospital

St. Cloud, MN

320-251-2700, ext. 54110

basolr@... <mailto:basolr%40centracare.com>

-----Original Message-----
From: NIHMBL@yahoogroups.com <mailto:NIHMBL%40yahoogroups.com>
[mailto:NIHMBL@yahoogroups.com <mailto:NIHMBL%40yahoogroups.com> ] On
Behalf
Of serafinbeth
Sent: Thursday, April 19, 2007 6:47 PM
To: NIHMBL@yahoogroups.com <mailto:NIHMBL%40yahoogroups.com>
Subject: [NIHMBL] Competencies for the intermediate care nurse

We are looking at opening an intermediate care unit. I am wondering if
any of you have competencies for this group of nurses. We are trying
to determine if they should be critical care nurses and be within the
ICU cluster as an area to float to. Thanks

Beth Serafin RN,BSN,CCRN
Critical Care Manager
Hillcrest Medical Center
Tulsa, Ok
918-579-3638

[Non-text portions of this message have been removed]

---------------------------------
Ahhh...imagining that irresistible "new car" smell?
Check outnew cars at Yahoo! Autos.

[Non-text portions of this message have been removed]





[Non-text portions of this message have been removed]

--- In NIHMBL@yahoogroups.com, "shannernurse" <shannon.carefoot@...>
wrote:
>
> Currently, the cath lab staff which consists of 3 nurses have been
> asked to be called in to place PICC lines on the weekend or
evening.
> The point of the nurses is that they signed up for emergency cases
not
> to be an IV team.   What are practices elsewhere?   I'd love ANY
help.
>
We have contracted with an agency who does PICC lines. It is working
well.

Are you in the ED?  If so will you give me your private email.  Thanks

Lisa Koser RN, BSN, CEN, EMT-P
Ohio State University Hospitals East
Emergency Department
Nursing Program Manager
Office:  (614) 257-2081
Fax:  (614) 257-2375
LISA.KOSER@...

________________________________

From: NIHMBL@yahoogroups.com on behalf of feredaa
Sent: Tue 5/1/2007 15:37
To: NIHMBL@yahoogroups.com
Subject: [NIHMBL] Primary PCI Protocol and Orders



Hello,
I am in the process of rewriting our Primary PCI order set. Would
anyone be willing to share their order sets and/or protocols?
Thanks,
Anne






[Non-text portions of this message have been removed]

Hello  all,

    We are still using paper to document patient parameters and thinking of
moving on to using different colours to dislplay Temp, HR , BP and Resp and i am
seeking your help in the accepted colours if ever you are using them.
    any help is appreciated,
    Thank you...Jennifer





---------------------------------
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  Check outnew cars at Yahoo! Autos.

[Non-text portions of this message have been removed]

Currently, the cath lab staff which consists of 3 nurses have been
asked to be called in to place PICC lines on the weekend or evening.
The point of the nurses is that they signed up for emergency cases not
to be an IV team.   What are practices elsewhere?   I'd love ANY help.

We are using the Picco  (CCO) monitoring and i feel this is rather invasive and
high risk for  infection.
    I have heard of the LiDCO but have little knowledge. . Can you elaborate
please. Thanks , Jennifer

Susan Gerhardt <susan.gerhardt@...> wrote:
           We have used the LiDCO monitor for at least four years now. The docs
love it and trust the numbers.....nearly always. There is always the
situation where they feel that they "need" a swan.

-----Original Message-----
From: NIHMBL@yahoogroups.com [mailto:NIHMBL@yahoogroups.com] On
Behalf Of Joyce Chambers
Sent: Thursday, April 19, 2007 7:29 AM
To: NIHMBL@yahoogroups.com
Subject: RE: [NIHMBL] Non-invasive cardiac output monitors



We are in the process of trialing one now. So far, it seems to
be
accurate as long as your arterial line is a good line. The
physician
trialing it is our cardio-thoracic surgeon and he seems to be
happy. It
is very easy to use.

Joyce Chambers, RN, CCRN

Conway Regional Medical Center

jchambers@...
<mailto:jchambers%40conwayregional.org>

________________________________

From: NIHMBL@yahoogroups.com <mailto:NIHMBL%40yahoogroups.com>
[mailto:NIHMBL@yahoogroups.com <mailto:NIHMBL%40yahoogroups.com> ] On
Behalf
Of Debbie Blum
Sent: Wednesday, April 18, 2007 10:06 AM
To: NIHMBL@yahoogroups.com <mailto:NIHMBL%40yahoogroups.com>
Subject: [NIHMBL] Non-invasive cardiac output monitors

Are any of you using non-invasive cardiac out-put monitors ? If
so,
could you share your opinion ? Do you find the numbers to be as
accurate and reliable as an invasive monitor ? Do your
physicians
prefer invasive vs. non-invasive ? Are they easy to use ?

What brand do you use?

Debbie Blum RN, CCRN

ICU Nurse Manager

Marion County Medical Center

PO Box 1150

Marion, SC 29574

843-431-2264


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[Non-text portions of this message have been removed]






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[Non-text portions of this message have been removed]

Hello,
I am in the process of rewriting our Primary PCI order set.  Would
anyone be willing to share their order sets and/or protocols?
Thanks,
Anne

Hello,

This email message is a notification to let you know that
a file has been uploaded to the Files area of the NIHMBL
group.

   File        : /vasoactive drug protocols.pdf
   Uploaded by : shellnerp <pamela.shellner@...>
   Description : Lynn's vasoactive drug protocols

You can access this file at the URL:
http://groups.yahoo.com/group/NIHMBL/files/vasoactive%20drug%20protocols.pdf

To learn more about file sharing for your group, please visit:
http://help.yahoo.com/help/us/groups/files

Regards,

shellnerp <pamela.shellner@...>

We follow the ACC quidelines for monitoring patients on the unit and off.  All
class I patients have to be monitored and escorted with an RN where ever they
go.  Pts who are going for stress tests that are ruled out for MI can go without
a monitor.

Anne Fereday <feredaa@...> wrote:          One of the reasons we decided
to eliminate tele during patient transport was how do you know where the patient
is if indeed there is a problem since we did not have electronic tracers on the
patient, and how do you receive signal in hard to wire areas such as the
elevators? As far as reimbursement, I have never been contacted from Finance
regarding reimbursement and our orders clearly stated that telemetry would be
removed upon transport.
Thanks,
Anne

Deborah Minke <trek93a@...> wrote:
Our policy is that if the patient needs cardiac monitoring, then he/she needs it
for transport and testing too. I don't know if there would be a reimbursement
problem though, if the doc wrote to dc tele during transport and to resume after
the test. That is a good question.

----- Original Message ----
From: shellnerp <pamela.shellner@...>
To: NIHMBL@yahoogroups.com
Sent: Thursday, April 26, 2007 1:56:12 PM
Subject: [NIHMBL] transporting monitored acute patients

I have two questions on the subject of discontinuing monitoring for the
transport of patients on acute units that are monitored
a. how do you validate maintaining level of care of the patient?
b. has anyone been denied payment for this change in a patients
level of care?

In the NIHMBL files I have posted a pdf from the book AACN Essentials
of Progressive Care Nursing from the chapter 'Guidelines for the
Transfer of Acutely Ill Patients.'

__________________________________________________
Do You Yahoo!?
Tired of spam? Yahoo! Mail has the best spam protection around
http://mail.yahoo.com

[Non-text portions of this message have been removed]

---------------------------------
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[Non-text portions of this message have been removed]






---------------------------------
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  Check outnew cars at Yahoo! Autos.

[Non-text portions of this message have been removed]

The literature suggests tap water, although the volume is quite
variable, between 20-100 ml. We use 30 ml every 4 hours in the adult,
critical care population, before and after each medication is
administered, after checking residual volumes, before and after
intermittent feedings, and prn if the tube has become occluded.

At this time there is insufficient evidence to support sterile water,
although, as someone else had mentioned, there may be risk of
bacteria collecting in some faucets. We had this occur in my previous
hospital in faucets with heavy curvature and screen traps at the
outlet.

A good evidence-based resource for critical care nutrition is
www.criticalcarenutrition.com/. Most of the enteral nutrition
information is also applicable to the med-surg adult population.

Annette Bourgault RN, MSc, CNCC(C)
Clinical Nurse Specialist, Cardiovascular/ Critical Care
Saint Joseph Regional Medical Center
801 E. LaSalle Ave.,
South Bend, IN 46617
574-237-7737



--- In NIHMBL@yahoogroups.com, "bellester" <bellester@...> wrote:
>
> Hello,
>
> I have been a travel nurse for 2 years and have just settled down
at a
> hospital in New Hampshire.  Working in ICU's around the New England
> area I found it common practice to flush feeding tubes with warm tap
> water.  At the hospital that I am currently at they flush with
sterile
> water, room temp.  Does anyone have any info on if that is not
> "proper" or does anyone know of any reason not to use tap water?  I
am
> finding that the room temp water does not dissolve the meds like it
> should.... I would appreciate any help people could give me....
thanks!!!
>
> Kelly
> Clinical Leader
> NH
>

Shannon,
   Is there a copy of the draft attached?
   Patty

"Carefoot, Shannon" <shannon.carefoot@...> wrote:
           It is still a draft but see what you think...
Shannon

________________________________

From: NIHMBL@yahoogroups.com [mailto:NIHMBL@yahoogroups.com] On Behalf
Of Bowling, Missy
Sent: Thursday, April 19, 2007 04:07
To: NIHMBL@yahoogroups.com
Subject: RE: [NIHMBL] Vasoactive Drip Protocols

I also would be interested in any protocols for vasoactive medications.

________________________________

From: NIHMBL@yahoogroups.com <mailto:NIHMBL%40yahoogroups.com> [mailto:
NIHMBL@yahoogroups.com <mailto:NIHMBL%40yahoogroups.com> ] On Behalf
Of Patty Labrie
Sent: Monday, April 16, 2007 8:32 PM
To: NIHMBL@yahoogroups.com <mailto:NIHMBL%40yahoogroups.com>
Subject: RE: [NIHMBL] Vasoactive Drip Protocols

Susan,
Does your unit use Neo IV? If so, do you have any specific
guidelines/protocols or is it physician ordered. What is the maximum
dosage allowed for intermediate care units? Do the patients have
A-lines?
Patty Labrie, RN
Clincal Educator

Susan Gerhardt <susan.gerhardt@...
<mailto:susan.gerhardt%40uhs-sa.com>
<mailto:susan.gerhardt%40uhs-sa.com> > wrote:
I am also with a telemetry unit. We allow drip starts with titration
increments spelled out clearly by the physician.

_____

From: NIHMBL@yahoogroups.com <mailto:NIHMBL%40yahoogroups.com>
<mailto:NIHMBL%40yahoogroups.com>
[mailto:NIHMBL@yahoogroups.com <mailto:NIHMBL%40yahoogroups.com>
<mailto:NIHMBL%40yahoogroups.com> ] On
Behalf Of Stewart, Deb
Sent: Tuesday, March 13, 2007 12:07 PM
To: NIHMBL@yahoogroups.com <mailto:NIHMBL%40yahoogroups.com>
<mailto:NIHMBL%40yahoogroups.com>
Subject: RE: [NIHMBL] Vasoactive Drip Protocols

I would be interested in this as well. We are a telemetry unit
that is
in the process of developing some of these guidelines and I
would love
to know what others are doing before I begin creating something
for us
to follow. Thanks.

Deb

-----Original Message-----
From: NIHMBL@yahoogroups.com <mailto:NIHMBL%40yahoogroups.com>
<mailto:NIHMBL%40yahoogroups.com>
<mailto:NIHMBL%40yahoogroups.com>
[mailto:NIHMBL@yahoogroups.com <mailto:NIHMBL%40yahoogroups.com>
<mailto:NIHMBL%40yahoogroups.com>
<mailto:NIHMBL%40yahoogroups.com> ] On
Behalf Of shannernurse
Sent: Thursday, March 08, 2007 9:31 PM
To: NIHMBL@yahoogroups.com <mailto:NIHMBL%40yahoogroups.com>
<mailto:NIHMBL%40yahoogroups.com>
<mailto:NIHMBL%40yahoogroups.com>
Subject: [NIHMBL] Vasoactive Drip Protocols

I am interested in developing vasoactive drip protocols for
nitro,
neo, dopamine, dobutamine, nipride.... I envision them stating
the
start dose, amount to go up by and basic precautions. Does
anyone
have some that they are willing to share? I would be very
grateful.
Shannon

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We use tap water to maintain the integrity of the gut unless there is
some surgical reason for using sterile water.  We also use the liquid
form of the medication whenever possible.  I have used the warm water to
help dissolve some oral meds.
Lynn Mazur
SWGHC
Middleburg Hts, OH


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Hi Annette,
   My experience with Sigma pumps were not real positive, we had the same
problems as Ann described, we switched over to the Abbot pumps.
   Holly

annettebourgault <bourgaulta@...> wrote:
           Does anyone have experience with Sigma Spectrum IV pumps? We are
considering replacing all of our existing pumps and would like feedback
from people who have used them.

Thanks,
Annette Bourgault
Clinical Nurse Specialist, Critical Care
Saint Joseph Regional Medical Center
South Bend, IN
bourgaulta@...
574-237-7737






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Roberta,
   What is the patient mix on the vent unit, ratios, etc....

   Patty

"Basol, Roberta" <basolr@...> wrote:
           We have three progressive care units - medical, surgical and neuro.
They are each attached to a larger unit with those same specialties.
More specifically the 8 bed surgical progressive care unit is part of
the 62 bed surgical unit with a designated area. When the units started
the nurses came from those particular units. A group (I think they
volunteered) were cross trained to the PCUs with EKG classes and other
classes to their specific needs - Cardizem and a few other medicated
drips, long term vent management, etc. - based on their admission
criteria. The ICU staff do float to the PCUs, however the PCU nurses do
not float to ICU.

Roberta Basol

St. Cloud Hospital

St. Cloud, MN

320-251-2700, ext. 54110

basolr@...

-----Original Message-----
From: NIHMBL@yahoogroups.com [mailto:NIHMBL@yahoogroups.com] On Behalf
Of serafinbeth
Sent: Thursday, April 19, 2007 6:47 PM
To: NIHMBL@yahoogroups.com
Subject: [NIHMBL] Competencies for the intermediate care nurse

We are looking at opening an intermediate care unit. I am wondering if
any of you have competencies for this group of nurses. We are trying
to determine if they should be critical care nurses and be within the
ICU cluster as an area to float to. Thanks

Beth Serafin RN,BSN,CCRN
Critical Care Manager
Hillcrest Medical Center
Tulsa, Ok
918-579-3638

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