Is anyone using the CAM=ICU delirium assessment scale? If so , do you do it on all patients or just vented? Do you find it helpful in treating these pts?...
Doing research on sepsis in the acute stage --presenting to ER and which pressor to use. Can anyone enlighten me on what their facility uses--maybe some...
What is your policy for chart checks in Critical Care? We do 12 hour chart checks, but historically have problems with day shift completing it. Night shift...
What are chart checks? I am not sure what you are referring to. Roberta Roberta Basol RN, MA, NE-BC Director; Intensive/Surgical Care and Clinical Practice ...
Every nurse taking care of the patient does a 24-hour chart check. We have nothing official in place to ensure compliance other than to talk to the nurses and...
Does anyone have a "helping-hands" type system in place at their hospital whereby departments that are experiencing "downtime" can send staff to another...
We based our protocol on the Surving Sepsis campaign recommendations. I can send you a copy of our order set if you like. There is info available on the IHI...
We have experienced the same issue with physicians requesting it to be turned off. We prefer to wean in 5-1-mcg increments unless they are on a very low dose....
We have a really neat system here. We have actual radio frequency stop lights (I believe there are 22) in strategic locations throughout the hospital. The...
We have a system--where when it is slow, the staff can request to cross train to the areas they want to work, Then when the area that they work in is slow,...
The chart check is part of our hand-off communication at shift change. This is the most effective way we have found to get all shifts involved and hold...
Does anyone have a structured/formalized process to ensure that ICU pts are safe to go to diagnostic tests? Is there a huddle with the team ( MDs, LIPS...
Does anyone use any system for code activations that does not require paging overhead? We currently activate all emergency codes (disaster, patient arrest,...
We have a total electronic Patient Record. The staff are to review orders every 2 hours, and in report as part of the hand off, review all orders entered in...
When a hospital associate is alerted to the event (when it occurs in our building), a house wide "code blue" page is sent out by our operator. If the first...
Barbara, We are currently switching from all overhead paging to minimal overhead paging. This requires everyone who might need to respond to any code have a...
Did you get any information regarding phasing out the monotor techician job and state is mandating RN or LPN to watch the monotor . I was supposed to train...
Do any of you have a policy/protocol on documenting the bedside alarm limits/settings for each parameter you are monitoring on patients, i.e., high/low limits...
Are any of you doing hourly "comfort rounds" in critical care? We have rolled that out hospital wide to our Med/Surg areas but know that for the critical care...
Our nurses document actual alarm settings every 12 hours on our flow sheet. The limits are adjusted as needed. Susie Kampfert RN MSN CCRN ICU Nurse Manager ...
This is a non-ICU or step-down question. I'd like to know what other hospitals are doing regarding the frequency of vital signs and assessments on telemetry...
We also work 12 hour shifts and do routine VS on the 7a to 7pm shift @ 07:30 and 1600. On the 7pm to 7am @ 2000 and 0600. With our surgicals we follow a...
We have a code Blue manual that outlines all non patient care areas in the hospital as well as buildings attached to the hospital and who is to respond if it...
Currently our hospital does not have guidelines as to where 3% saline infusions can be started and managed. Does anyone have this in their policies? Also we...
Hi Tonia, We have a "Code Three" Team. Listed below is the general policy. A Code Three Team may be utilized when an emergency situation occurs needing extra...
We use a system that is quieter but it does involve overhead paging as a redundancy for safety. We use the emergin system with vocera personal communication...
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