... for ... a ... of ... assessment ... Like many of you we do not include ventilators as part of any protocol. JCAHO did make it clear that that is not...
I would like to know what you're doing to use less restraints for ventilator patients? We do remove them for cooperative patients, but we use as low a dose of...
I am director of a hospital in Washington, DC. With the changing weather patterns and tornadoes hitting closer to our area than we are used to - we think we...
Good afternoon, I work for the VA in Las Vegas and we are currently in the process of having a new medical center built. We are a joint venture with the AF so...
I am from a VA in Madison, Wisconsin. We have recently changed so that we do not hire LPN;'s for any acute care area. The ones who still remain have had a...
Prior to last year we moved all patients into the hallways and the ICU patients were moved to a hallway on the same floor (3rd) away from the windows. After...
Greetings from Oklahoma! We have 73 ICU beds, not including PICU. We try to move patients out of the room if possible (at least into the hallway outside...
We do not move them out of their rooms. We would do more harm moving some of them, and tornadoes are very specific where they hit! We make sure that...
I work in a 150 bed hospital in SW Oklahoma - right in Tornado Alley. Our community was actually were struck by 100 mph straight line winds last Thursday with...
I am wondering if any of you are using dexmedotomidine (precedex) in your ICU and what success and concerns you have had with the medication. Does anyone have...
Hello everyone, Coming from a state where tornadoes were and are a part of life (Nebraska), we had a tierd system in place to deal with changing weather...
Thanks for taking the time to send us your information and suggestions. We will use all this to try to come up with the best solution. I think realistically...
I would also like the information on the federal conference. Thanks so much for sharing this with us. Lynn [Non-text portions of this message have been...
We have always used a two pump system for simultaneous infusion of TPN and Lipids with the Lipids placed on the y-connection of the TPN tubing below the...
I believe you will have to change your TPN tubing at 24 hours. Many places are mixing the TPN and Lipids in the same bag even and that tubing is changed q24hr....
I am trying to see what other Managers are monitoring regarding your quality indicators? Some of them may include the following: Mortalities, LOS > 7 days,...
Here is the contact information. Center for Domestic Preparedness https://cdp.dhs.gov Basic info and contact instructions are on the home page of the site. ...
... Anne, Here is the contact information. Center for Domestic Preparedness https://cdp.dhs.gov Basic info and contact instructions are on the home page of the...
We have had a clinical ladder for 3 years and so far it has worked well for us. We see nurses becoming more focused on the profession and the hospital benefits...
Our lipids are mixed with the TPN and we change the tubing every 24hr. It is nice to have one pump and one infusion rate. Annette Cole Sky Lakes Medical Center...
Cole,Annette
acole@...
Jun 12, 2008 11:36 pm
3209
Your list is comprehensive! I'm not sure how your hospital is set up, but I have many of those indicators reported to me by Medical records, Infection...
Roberta, We have used Dex for years, but have never protocolized its use. We do, however, have protocols for postoperative pain management, weaning sedation,...
Hello, I am in the process of re-writing the Scope of Service statements for the ICU and IMCU at our hospital and know there are basic elements that TJC looks...
We have a small ICU with no open heart and there seems to be a debate bout whether our patients should be recovered in PACU or return directly to the ICU....
Cole,Annette
acole@...
Jun 15, 2008 6:57 am
3215
There are very few vent pt's we don't restrain. Even on sedation protocols it can be unsafe to leave them unrestrained and find it difficult ot provide enough...
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