Vital Sign & I/O Assessment frequency
- 0Oct 7, '08 by MONITORHOSPITALHi 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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- 1Oct 7, '08 by rickardi 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
- 1Nov 4, '08 by gilf7243At 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
- 0Feb 15, '11 by cwhagatI 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I don't care for this policy: when I come on flr at 2300 the "current" VS are outdated as far as I'm concerned, so I typically drag equipment and do own vitals when assessing pts.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.
- 0Feb 29, '12 by cardiac.cure03Quote from rickardYep, this is pretty much what we do in our CCU as well.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