Published
the facility I work in does not ice the cardiac output injectate. I went to a coferance a few weeks ago and the speeker said her hospital still did. what is the norm at your facility?
CC NRSE....are you frequently calibrating your SVO2 monitors? If not, maybe that's why they are not accurate.
As for the ice vs no ice.....haven't used ice since I was a student 5 years ago. Now, either use no ice (if bolus method) or Baxter CCO. Have worked as a traveler/agency in almost 12 hospitals & have never seen ice.
Haven't routinely used ice since the 80s when it was found to not be necessary. On rare occasion in the summer though if there's a big temperature change outside to >90 reallyrapidly the hospital ventilation system takes a while to equilibrate.
In some rooms with lots of machinery which produce heat, and a cold patient (ie sepsis with hypothermia and using a bear hugger to warm them ) the body temperature is too close to the injectate temperature and we need to chill the fluid. This happens pretty rarely, so when it happens there are sometimes issues. for instance, the computation constant needs to be changed for different temperatures of injectate and sometimes that's forgotten. We seem to do best in these situations when we just chill a 100cc bag of NSS in the refrigerator briefly so that the temperature is still in the range of our usual computation constant. I've found that abou 15 minutes in the frig works great.
anotherRNinCali
5 Posts
No ice in our unit either.