Is anybody else out there frustrated with the "core measures" movement? I understand the idea behind it, but the application has been.....over-administrationed to put it politely. Where I work, we have at least 5 core measures; only 1 of which is supposed to apply to pediatric patients. The pedi unit I work on is also a med overflow depositing area for adults so we now deal with most of these core measures. The issues that I'm having now involve the VTE for adults and the Asthma for pedi. The adult VTE drives me nuts because it's necessitating lovenox, teds/scd for EVERY SINGLE ADULT PATIENT in the hospital! The long checklist has an area where someone could potentially be given reprieve from daily lovenox if they are marked as a bleeding risk. If I was an ambulatory "walkie/talkie" patient, I would refuse the Lovenox and I would be pretty unhappy about being required to wear teds/scd. For the pedi patients, the asthma education was clearly developed around the use of a peak flow meter. This would not create issues except that many of our pedi patients are too young to use one, or do not have one and it is not being ordered. There is a blank in each of the asthma "zones" for peak flow readings that are supposed to help parents and patients assess the status. Well, I can't put a number if there is no meter use but administration disagrees apparently. I have to attend a personal meeting for my core measure fall out on one of these asthma sheets because I did not put numbers on the peak flow spots. Also, just curious - who does asthma education where you work? At my current place of employment the RN is responsible for the core measure education; at my previous place of employment (a fairly large children's hospital) the RT was required to complete the asthma education at discharge.