So what's next? Techs telling us to call the docs? - page 2
So we recently recieved an updated policy. Apparently our central monitoring unit (CMU) is to call with this message: "Your patient just had a wide complex tach (# beats) This is a rhythm... Read More
Jul 3, '09Quote from flightnurse2b
We also have standing orders like, if the pt has up to 10 beats of vtach, to run a mag/k level, and replace electrolytes if needed, call at 7am.
I may have to suggest this...I like it! However considering I just found out that medicare/medicaid only pays for one lab run a day we might have a difficult time convincing them to eat the cost on that one.
Jul 3, '09i worked as a monitor tech for a month when i'd injured my knee too badly to keep up in the icu. it was one of the toughest jobs i'd ever had -- the phones were the worst part of it! we were expected to answer the phones so the secretaries could continue taking off orders, ordering tests, etc. the phones nearly drove me crazy! the other thing that drove me crazy was that the newer nurses (who didn't know me) often argued with me about rhythms. until one day i told the rn "this is atrial flutter" and she gave me a nasty attitude. the cardiologist, who happened to be standing right there said "yes, it is atrial flutter and who are you to question one of our best icu nurses about a rhythm when you didn't even recognize v tach last weekend?" after that, they'd ask me my opinion rather than tell me what it ought to be.
but i agree -- it's infuriating, having techs telling us when to call the doctors. especially when the doctor already knows the patient goes in and out of vt 30 times a day, tolerates it well, and is scheduling them for an aicd.
Jul 4, '09Quote from TaitI may have to suggest this...I like it! However considering I just found out that medicare/medicaid only pays for one lab run a day we might have a difficult time convincing them to eat the cost on that one.
oh it's great! we have a big medicare/medicaid population too... i didn't know you only get 1 lab run a day! sometimes our lab can use the blood already drawn from the morning labs...
once you get the labs theres a sheet with standing orders for how to replace the electrolytes, like if your mag is 1.5-1.9 you get 1g IV over 1 hour, recheck labs in 4 hours. you just check the box with the lab value that corresponds with your pt's labs, fax to pharmacy, and you're set.
saves alot of unnecessary phone calls to cranky docs.