Vital Sign & I/O Assessment frequency

  1. Hi All,
    Im working in a hospital where they are trying to find a nursing care delivery model. Part of that, they are trying to redefine the time we check vital signs & I/O in different units in the hospital. this is our frequency:
    ICU - V/S every hour & I/O every 2 hour
    Telemetry - V/S every 6 hours & I/O every Shift or per MD order
    Med surg - V/S every 8 hours & I/O every shift or per MD order

    Can you share how it is done in your hospitals.....we are trying to look @ community standards & evidence based practices....
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  2. 10 Comments

  3. by   rickard
    i work in a CVICU I&O is assessed at least hourly and VS are pt dependent if no vasoactive gtts then hourly is fine if on something and not titrating the q 30 mins maybe even q hour if very stable on the same rate but titrating gtts are recorded q 15 mins
  4. by   meandragonbrett
    ICU: q1h VS and I/O. q15 while titrating. q2h head-to-toe assessment
    Stepdown/Tele is q4 vitals, qshift i/o. q4h assessment
    Medsurg is q4 vitals qshift i/o. q8h assessment
  5. by   hajer
    Am Working In Ccu & We Are Checking Vs & I&o Every Hour Regardless Of The Patient Condition ..this Is Our Hospital Policy When The Patient Admited In Critical Care Unit..
  6. by   gilf7243
    At my hospital it works like this

    ICU=vitals every 1 hour, I&0's every 8 hrs (6a,2p,10p)unless very critical then every 2 hrs.

    Step-down ICU=vitals every 4 hrs, I&0's every 8 hrs (6a,2p,10p)

    Tele=vitals every 8hrs unless they are on a drip or have been admitted less than 24hrs. (Drip like cardizem, heparin, nitro, dopamine, dobutamine, etc)

    Med surg=vitals every shift or every 8 hours-not sure b/c I work the critical care block. I&0's every 8 hours (6a,2p,10p)

    Hope this helps

    gilf7243
  7. by   MatthewRN
    Record vitals and I&Os q hour on our nursing flowsheet. Document vitals in the electronic record q4 and I&O totals q8.
  8. by   cwhagat
    I recently transferred to a hospital, oncology/med floor. The nursing council as recent as August 2010 agreed to VS q12 (0600, 1800) for all pts on this floor unless otherwise ordered or PRN nursing discretion.

    I don't care for this policy: when I come on flr at 2300 the "current" VS are outdated as far as I'm concerned, so I typically drag equipment and do own vitals when assessing pts. Really slows me down.

    Hospital argument is based on the lack of evidence for qshift vitals.
  9. by   eliyel
    usually Q1 in the ICU. more frequently when on drips and unstable.
  10. by   cardiac.cure03
    Quote from rickard
    i work in a CVICU I&O is assessed at least hourly and VS are pt dependent if no vasoactive gtts then hourly is fine if on something and not titrating the q 30 mins maybe even q hour if very stable on the same rate but titrating gtts are recorded q 15 mins
    Yep, this is pretty much what we do in our CCU as well.
  11. by   npschuma
    ICU: VS Q1H, I&O Q1H, Assessment Q2H, Hemodynamics Q2H unless more frequent assessment needed
  12. by   Carrig RN
    ICU: Q1h VS and I&O if stable, if titrating drips VS with every change in drips (I usually write the pressure that made me make the change and then a f/u set to show the effect); Q4 body balance; Qshift head-to-toe assessment or with major change in pt condition.

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Vital Sign & I/O Assessment frequency