Published
I worked at a facility (peds hospital) that had an automated bp cuff, pulse ox and cr monitor built into the monitor at each bedside. Plus disposable bp cuffs in sizes ranging from newborns to adult, and oxygen and suction at every bedside. It pretty much all worked, or if it didn't, it was fixed quickly. It was great! The only thing we didn't have was the "large adult" size bp cuff, which we could have used for some of our obese teenagers. We didn't have a thermometer in every room, but we generally had enough to go around. We didn't always have a gauge for the oxygen in each room, but there were close to enough that you could "borrow" one from a room where the pt was stable enough that you knew they were pretty unlikely to need O2.
And yes, it would be great if all facilities had all of this stuff at every bedside!
Nice dream but at our hospital dynamaps are not allowed unless you can not get a manual BP.. The rational behind this policy "they are not as accurate as a manual". We have to document in the progress notes we used it and why. We also have to fill out a flow sheet at the nurses station.. We have a dynamap and in the even another unit needs one, they come get ours.. Not all units have one at my facility and yes it is a very large hospital..
This dream can exist, it does in some places,
I work in an ED and every room has a cardiac monitor, b/p with multiple sizes of cuffs, pulse ox, O2, themometer, and a care cart with IV supplies, tubing, bags, tape. In every room.
This was after a huge remodel and years of complaints from the staff that they could not do their jobs when consitantly looking for equipment.
Walden-Puddle, RN
46 Posts
Is it too much to ask? I mean seriously!! How much time have you WASTED running around your unit looking for a (working!) vitals signs machine each week. Does management not get it? Not to mention the infection issues dragging a machine from room to room using the same blood pressure cuffs etc.
Anyways... Not only do I think there should be a dedicated unit for each room, but (and I'm going out on a limb here folks..so get ready to catch me!) I think they should be built into the darn beds..or at least attachable to the beds (Can I get an Amen!)
I know. I know. I'm dreaming. It's too much to ask. Go ahead. Hit me with all the negativity and "reality" you care to. But a nurse has gotta have a dream!!