What do you want in a set up of a new room for an incoming patient? - page 2
by meghan91 6,159 Views | 16 Comments
hey guys! i am currently a nursing student working in an MSICU as a nursing assistant part of our job is to get the room "set up" when an incoming patient is coming to the unit. I wanted to get other nurses opions and things you... Read More
- 0Jun 28, '12 by hajiyeah i agree don't bring a bunch of stuff into the room. if the patient is sick the last thing you want is a bunch of cleaning supplies getting in the way. you can get that stuff when you need it..
i don't like to wait until the patient is throwing up or getting intubated to find that none of the suctions work, so I set up and check at least 2 suctions with yankhauer catheters. get the ambu bag ready, set it up and hook it to 02. also make sure you have a couple oral airways.
also its important to have all the monitoring ready like you described plus two pressure cables. etco2 is nice also.
- 0Jul 27, '12 by Good Morning, GilI:
Zero the bed
Clean the EKG cables, IV pump, table (even if housekeeping was in there; some do a better job than others)
Set up suction canister
Extra linens, wipes placed in bedside cart
MRSA/VRE swab, pulse ox on bedside table
Make sure there is an IV pump with channels and suction canisters (that are working lol) in the room
That's it. Anything extra I add depending on the admission. After I get report from the ER/floor, wherever, then I will add things that I might need. Maybe an extra suction canister set up or 2 if they're really sick, a few bags of NS if their condition warrants it, central line kit/cart stocked if I know they'll be placing one right away; get my a-line bag/set up with transducers if applicable, etc. All of this extra stuff just depending on what type of patient is coming up. Restraints to bedside if they're vented or withdrawal, etc.
Hope you enjoy it!
- 0Aug 2, '12 by Pheebz777[QUOTE=meghan91;6625165]
Depending on the patient. For a basic set up not knowing what type of patient you're getting:
Using your list:
the things i put in the room are:
-hook all suctions up with canister and lines. - I only set up 2 cannisters
-get the leads ready by straightening out the cords and putting on the electrodes so their ready to put on when the patient arrives
-get BP cord set up
-get pulse OX cord set up
-i have a pack of restraints ready near the sink - not necessary.
-at least 2 set ok - only 1 Yankhauer is needed.
-a bag of normal saline - not needed
-swabs (for MRSA etc)
-bottle of irrigating water - not needed.
-2 diffrent types of "needles" the big ones used for NG tubes and the other big one that doesnt have the long plastic tip on it - do you mean piston syringes?
-a mannifold - not needed.
-a container to collect an measure urine
-swabs for suctioning ( for oral care)
- a lopez valve - not needed
- all the regular patient care things (basin, sopa, wipes, peri care spray, powder, lotion, tissues, etc) -I don't know about powder but the rest ok.
-a pack of crib pads ( the absorbent green pads) - not a pack, 2 would suffice
-an irrigation bulb kit
-extra packets of 4x4's - not needed
- 0Aug 14, '12 by 8jimi8ICURNi want two suction setups, a zero'd bed, 4 sets of iv tubing, iv pumps, monitoring equipment, flushes, poccbg supplies, iv start setups and angiocaths, bath supplies, a new gown, chux/ultrasorbs, a slideboard or sheets, information on the whiteboard. Time arrived:, Weight:, Temp:, and Height:
and any supplies that we might need when we see what the patient has. core temp foley kit, central line dressing change kits, if the patient has wounds: supplies to dress them
AND the unit camera.
have all that and i won't complain.
- 0Sep 18, '12 by xtine618Definitely ask the nurses on the unit. Your list seems pretty thorough. I would not necessarily add stuff for NGs. Also, many ICU admits are transfers from other floors so they may already have bathing supplies. Like many have said, zeroing the bed should be added to your list. But one of the things I try to avoid is over stocking the room/drawers. Keep in mind that if you have a patient in isolation, most of that equipment has to be thrown away even if it's in a wrapper when they are discharged.
- 0Feb 19, '13 by IABP4UBeen a while since anyone posted, but I'm passionate about this topic (partly bc excess "stuff" causes clutter, which drives me nuts). One time I took it upon myself to keep an informal tally of all the excess supplies that are not used after a pt is discharged from my ICU. I then got with my manager to determine the "cost" of one J-loop, lopez valve, suture removal kit, etc. The rest was simple math. When the dust settled, I was shocked at the total dollar amount. My unit used this information as a teaching point for everyone: bring in only what you truly need, return what you don't use (unless the pt is isolation).