Does your ER specify how often to vital and reassess your pt? Or is it just an expectation that you will know how often to vital (without it being a written policy)?
I am just curious about this....
Oct 25, '11
by Esme12, ASN, BSN, RN Senior Moderator
google is your friend and so is the ena......
this has pain/vitals standards.
i am surprised that you have no policy for the assessment of pain as that is a focus of the jc, ahrq, and other quality measures. if you have no set policy, how do you document response to intervention and response time to treatment for quality and not get in trouble with the jc (joint commission)? which measures of the standards and adherence to the standards are just as important.
is your facility accredited? then they must have a policy to measure the quality of interventions and how frequently you need to reassess to measure compliance. if they really don't have one in this day and age with standards of care and minimizing delay of care i'd be looking for anothrer position because where else do they lack in quality.....and if anything ever happens and there is a bad outcome or delay intreatment the lack of a policy and standard of care will place you at a higher risk for being sued and thrown under the bus.
Last edit by Esme12 on Oct 25, '11