When a patient is placed on trach collar, what is your standard practice? Do you

routinely deflate the cuff and remove the inner cannula while off the

ventilator? Please advise...



Thanks,

Raumi Kudrna, RN, BSN, CCRN

ICU Clinical Coordinator

St. Alexius Medical Center

Hi...do any of you require staff to complete a 24-hour 'chart check'

form?  If so, could you share?



Thanks!



Renee



Renee L. Clark, RN, MS

MSP Clinical Nrs Coord - Mgmt Team

Fort HealthCare - R.E.S.P.E.C.T.

renee.clark@...

920.568.5166

Yes we do. They are supposed to check all orders since the last 24 hr.

Chart Check. If there was not one done the night before, they should

check all orders since the last one. This includes making sure all tests

were ordered and completed, that all med orders match what is on the MAR

.





Gail McWilliams RN,MS,CEN

Institute of Nursing Science Faculty

University of Maryland

Shore Health System

505 Byrn Street

Cambridge,MD 21613

O: 410-822-1000 x8152

F: 410-228-6921

Cell: 410-310-2866



	 -----Original Message-----

	 From: NIHMBL@yahoogroups.com [mailto:NIHMBL@yahoogroups.com] On

Behalf Of Clark, Renee

	 Sent: Wednesday, July 01, 2009 11:08 AM

	 To: NIHMBL@yahoogroups.com; Med/Surg@...

	 Subject: [NIHMBL] Chart Checks











	 Hi...do any of you require staff to complete a 24-hour 'chart

check'

	 form? If so, could you share?



	 Thanks!



	 Renee



	 Renee L. Clark, RN, MS

	 MSP Clinical Nrs Coord - Mgmt Team

	 Fort HealthCare - R.E.S.P.E.C.T.

	 renee.clark@... <mailto:renee.clark%40forthc.com>

	 920.568.5166











*** The information contained in this transmission is confidential and is

intended only for the individual named above. If you have received this

information in error, please notify the sender immediately and delete this

message. If the reader of this message is not the intended recipient, you are

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the communication or its contents is strictly prohibited





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

Yes we require 24 hour chart checks. The staff have to just sign the chart in

red ink 24 hour chart check, date, time. No form required.



--- On Wed, 7/1/09, Clark, Renee <renee.clark@...> wrote:





From: Clark, Renee <renee.clark@...>

Subject: [NIHMBL] Chart Checks

To: NIHMBL@yahoogroups.com, Med/Surg@...

Date: Wednesday, July 1, 2009, 11:07 AM

















Hi...do any of you require staff to complete a 24-hour 'chart check'

form? If so, could you share?



Thanks!



Renee



Renee L. Clark, RN, MS

MSP Clinical Nrs Coord - Mgmt Team

Fort HealthCare - R.E.S.P.E.C. T.

renee.clark@ forthc.com

920.568.5166







































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

We do the 24 hr chart check but we just write in time date with nurse's name on

the order sheet to the point that we checked. Its completed at 12 midnight. No

additional form is filled out.



Sharon









________________________________

From: "Clark, Renee" <renee.clark@...>

To: NIHMBL@yahoogroups.com; Med/Surg@...

Sent: Wednesday, July 1, 2009 11:07:49 AM

Subject: [NIHMBL] Chart Checks











Hi...do any of you require staff to complete a 24-hour 'chart check'

form? If so, could you share?



Thanks!



Renee



Renee L. Clark, RN, MS

MSP Clinical Nrs Coord - Mgmt Team

Fort HealthCare - R.E.S.P.E.C. T.

renee.clark@ forthc.com

920.568.5166















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

Same with my unit, however, the organization I used to work for had a form in

which you put the patient label and notated whether or not any missed orders

were found.  It was a simple form with just a few columns for missed meds,

orders & procedures seperately so they could be tracked.  This was initiated due

to a large amount of missed orders, not as a routine process.



Darla

We do end of shift chart checks and currently still do the 24 hour chart check

with a stamp stating chart checks.  It is amazing what staff finds even with

shift and 24 hour chart checks.



Patty

I am seeing lots of emails about 24 hour chart checks. I have never

heard of this before. What is included in a chart check? Could someone

send me a list if you have one?



Thanks.



Roberta



Roberta Basol RN, MA, NE-BC

Director; Intensive/Surgical Care and Clinical Practice

St. Cloud Hospital, St. Cloud, MN

Magnet Designated

Beacon ICU

320-251-2700, ext. 54110

fax 320-656-7144

basolr@... <mailto:basrolr@...>

We also do end of shift chart checks. Fewer errors and the RN on duty

has a last chance to review the orders she received throughout the

shift.



Missy

Can you please tell me more about this? Do you have an audit tool you

would be willing to share?





Diane Pelant RN, BSN, CCRN

St. Cloud Hospital, Magnet Designation

Children's Center, Clinical Director

320-255-5782

Spectralink 59502

Fax: 320-656-7094

1406 6th Ave. No

St. Cloud, MN 56303

pelantd@...



"Excellence is the gradual result of always striving to do better."

--Pat Riley

I have electronic mediaction  record & physician orders  in our ICU.any

suggestion to check the charts

Aleyammma