Cheat Sheets and other weird policies - page 3

by JDD1017

7,023 Views | 25 Comments

I just transferred from the ER to the NICU about 3 months ago and just got off orientation. I was shocked to learn how many different policies and procedures there are, and in an effort to remember them all and have them at my... Read More


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    Not allowing staff to use tools to enhance the quality of their patient care is reckless and not in touch with best practices and evidence based medicine. Don't take my word for it - ask the Atul Gawande who wrote a 200 page book on the efficacy of checklists in reducing error in intensive care.

    THE CHECKLIST

    Peter Pronovost’s checklists better intensive care : The New Yorker
    or
    The Checklist Manifesto: How to Get Things Right

    The Checklist Manifesto: How to Get Things Right: Atul Gawande: 9780312430009: Amazon.com: Books

    So you'll win the probably win the argument, but you may not win any friends in the process and you may become THAT nurse in they eyes of MGMT.
    Last edit by _MORA_ on Feb 23, '13
    pmabraham likes this.
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    Well that's what I did but I was told to make sure the medical director and managers "NEVER SEE IT" and throw a fit if they see anyone with a cheat sheet. But what they don't know won't hurt them and I will just hide it when I see them coming

    Just thought it was weird and wanted to see if any other units have this rule. NICU is so new to me I thought maybe this was standard or something...
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    Love it!!! But you're right, I prob won't bring it to management's attention...maybe when I'm no longer the newbie
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    Thanks everyone for the replies. So far I love it in the NICU (however, I DO miss the ER a lot!) and I guess it's just going to take some time to get used to the different patient population. I know eventually my brain will start to absorb all the info and I hopefully won't need the cheat sheet forever. Until then I will just keep it hidden in my pocket. I'm glad to know that I wasn't the only one who thought it was unreasonable to not allow cheat sheets or expect 100% on IV starts. I hope to be on the NICU IV Team someday but I know that I, nor anyone else, will not be 100% so maybe I don't want that stress, I'll just keep working PRN in the ER to keep up my IV skills.
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    I can't believe they won't let you have a cheat sheet! Like another poster said, my unit gives out booklets to new nurses that have info on different protocols, procedures, and conditions (although I wish it would be updated more often!). In my work bag, I keep printouts of some of the protocols we use a lot that either aren't in the book or have changed. We use sterile gloves when hanging IV meds and spiking bags, but starting a PIV is not a sterile procedure. 100% success rate? That's crazy!
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    I'd make a file and keep it on my smart phone along with the other invaluable apps there. I'm bewildered at the notion that you cannot have a cheat sheet. That's like saying you can't use a calculator or an app or a 'brain' sheet. Ludicrousness. I'm a damn good stick but certainly not 100%. Unrealistic. I'm in adult care.


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