Vital Sign & I/O Assessment frequency

  1. 0
    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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  3. 10 Comments so far...

  4. 1
    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
    MONITORHOSPITAL likes this.
  5. 1
    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
    MONITORHOSPITAL likes this.
  6. 1
    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..
    MONITORHOSPITAL likes this.
  7. 1
    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
    MONITORHOSPITAL likes this.
  8. 0
    Record vitals and I&Os q hour on our nursing flowsheet. Document vitals in the electronic record q4 and I&O totals q8.
  9. 0
    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    I don't care for this policy: when I come on flr at 2300 the "current" VS are outdated as far as I'm concerned, so I typically drag equipment and do own vitals when assessing pts.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.
  10. 0
    usually Q1 in the ICU. more frequently when on drips and unstable.
  11. 0
    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.
  12. 0
    ICU: VS Q1H, I&O Q1H, Assessment Q2H, Hemodynamics Q2H unless more frequent assessment needed


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