I manage a 12 bed general ICU. When our census is at least 8 patients (which is most of the time), we staff our ICU with CNA's from 7 am-11pm, otherwise our...
This may seem like an odd question, but have any of you come across documentation discouraging the use of "rhonchi" in charting of breath sounds? Or do you all...
Yes, we take digital pictures. Before we were electronic we were using a polaroid and posting the pictures in the chart. We were considering going digital...
We currently only allow Cardizem drips in the ICU/CCU. I am working on educating the telemetry staff pertaining to Cardizem drips so that low dose (5 or less...
We use Meditech for nursing documentation and in collaboration with IT we developed "canned text" that allows the nurse to basically fill in the blanks and...
We have recently adopted the Emergin Pager System. It's configured to receive the CRISIS alarm that we designated. Our escalation time is set for 3 minutes....
We switched over to computerized charting using CareConnect just last year. I don't know the research behind the choice of breath sounds terminology, but...
How do other institutions handle the surgical patient with, or while ruling out, C-Diff, MRSA, VRE or nursing home patients with these histories in the...
Greetings and Happy New Year. I am seeking any input on how organizations strucutre their Holidays for nurse staffing and hospital wide. For example: We...
We schedule staff for Christmas and New Years for the total 48 hours, so they either work both days or they are off both days. Christmas to work days is a 12...
We typically schedule from 7am - 7pm or from 1900-0700 the next day. Staff are on a set rotation of 11.25 hours and we work in hours when it comes to vacation...
We handle all patients the same in our Critical Care Unit for rule out and nursing home. They go on contact isolation when admitted, are swabbed, then remain...
Our holidays are considered Christmas Eve and Christmas Day. Each staff nurse must work one of the two days and it then rotates the next year. We usually do 8...
-Hospital wide our holiday pay starts at 2300 prior to the holiday and ends 2300 the day of the holiday. My department rotate holidays using a grid system....
We are a rural Critical Access Hospital and I am looking for input on charge structure. Currently we have a flat charge for inpatient ICU beds, but I am...
I wanted to know how other small community hospitals handle off shift and weekend recoveries...we recover in our ICU when PACU is closed after 7pm on weekdays...
We are also a small community hospital; however we only recover after hours and on weekends if our staffing and census allows. If we cannot they have PACU...
We also recover in ICU during evening and weekend hours but there is always a PACU RN on call to recover those patients in collaboration with the ICU nurse....
Teresa, We are a 550 bed community hospital and we do the same thing. After 7pm on weekdays/weekends our ICU's become PACU's. I would be interested if there...
Hello to all, I am not a ASPAN member and I would like to review the practice standards. can anyone forward me a copy? I also have a quick question, I have a...
I will be out of the office starting 12/28/2007 and will not return until 01/15/2008. I will respond to your message when I return. In my absence, please...
When we made the decision to keep carotid patients in PACU for 2-3 hours post op it was related to the financial benefit and prevention of ICU admission....
Our ICU and IMCU have basic room and telemetry charges at this time, but are not capturing any procedure or event charges. Does anyone out there have a list of...
How do other organizations handle educating EMTs in their facility? What procedures etc are they permitted to do, and are they permitted to give meds? We don't...
We only allow patients to return to our tele unit without a PACU stop if they were done under local. i.e. PAC insertion. All our GI scoping goes to the OR and...
Are you going to provide the same level of care as PACU-what are your PACU standards...v/s etc. you must do the same in ICU (your unit). Also has your staff...
Ours is a community hospital with variable acuity in the general ICU. Sometimes when the physician order states "ICU" the patient acuity is not very high. For...
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