At the Cleveland Clinic Foundation, our open hearts are never 1:1 unless it is an extremely complex case involving extraordinary circumstances like balloon...
IF THE PATIENT NEEDS VENTILLATION FOR MORE THAN 48 HOURS CONSIDERING THE CONDITION YOU COULD DO A TRACHEOSTOMY AND SEND THE PATIENT TO A SIDE ROOM OR OTHER...
ok, I just sent our careplan policy, and I will have our administrative sec scan one for you all to sample..thanks ... Behalf ... care ... email. ... ...
Does anyone postpone MRIs until patient's are extubated and stable? I would be interested in viewing your policy or process. We have run into some issues...
To clarify, your open heart patients are 1:1 during recovery - correct? LeAnn Richardson RN CCRN BSN BBA "Exemplar leaders are those who challenge the process,...
I also have this book that I bought when I first started called Guide to Nursing Management and Leadership by Marriner and Tomey...it is pretty much a bible...
We do the MRI's when patients are critically ill {esp so}...accompanied either by Intensivist, Neursurgeon, or RT and nurse with full sedation, NMB and...
We are in the process of revising our Central line policy to meet the new 100,000 live campaign bundle. While doing this, we thought we would also look at the...
We use only saline flush unless there is a specific order from a physician for heparin flush. Pam Haney BSN RN Clinical Nurse Manager MACU, MICU and...
We are using Saline. Recently we started using Pre packaged saline flushes that are labeled. Now for the pressure bags we are using only saline - have only...
Debbie, I also would like a concensus on use of saline vs. Heparin for central line flushes. We do continue the policy of flushing central lines with Heparin ...
Jennifer, We do MRIs on critically ill patients only when extubated. marielly04766@... ... __________________________________________________ Do You...
Our neurologist has always waited until extubated due to metal and acuity of patients and does not consider an MRI emergency care hence it can wait until safe...
The criteria is not so much "time" but acuity...post-op open hearts are recovered in our unit, so they must be recovered (which is a minimum of 2 hours) and...
Does anybody have bedside RN's pulling Swans, Chest Tubes, or Epicardial Wires? The reason that I'm asking is that the medical director of my unit (CVICU) is...
In our hospital it was not unusual for 1500 Open Hearts/year,,,we often recovered in pairs..but as you say,,,if the pt. was very liable,,,whether on a device...
Yes,,,we do all of them. Respectfully, Hattie Harriger,RN,BSN Cardiovascular Nurse Specialist 806.725.1745 hharriger@... ... Does anybody have bedside...
Your state board of nursing, ANA and AACN standards are the basic standards to cover your nursing practice. Beyond that, I am conservative to push what nurses...
Our nurses do the CT and Swans in Pa. and I have worked in Ohio and done them there also. It is not my experience that staff nurses pull the epi wires....
This is a major concern for our ICU as well. We had a negative patient outcome event a couple of years ago while in MRI and developed specific guidelines for...
We are also only using saline flushes...no heparin due to unknown bleeding tendencies. However i would like to also ask whether you account for the 3 mls per...
Our nurses d/c PA catheters and also withdrawal them if they spontaneously occlude the PA. Chest tube and epicardial wire removal are currently performed by a...
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 : /nursing care...
NIHMBL@yahoogroups.com
Oct 4, 2006 5:48 pm
912
... Epicardial ... my unit ... The nurses do pull swan ganz catheters but are not permitted to pull chest tubes or AV wires. Hope this helps....
At my previous hospital, the critical care RNs pulled chest tubes and epicardial wires after receiving specialized training. In my current hospital, we d/c...
Our nurses can pull SG, central lines, and A-lines. We do not pull chest tubes or epidurals. Anne "Darby, Joni" <jdarby@...> wrote: Our nurses do the...