Overdoing VS!!

live4today, RN · Jul 8, 2003

Our unit protocol is vital signs every four hours because we are a telemetry unit.

renerian, BSN, RN · Jul 8, 2003

We had people qshift, q4, q2 or more often....

renerian

Tweety, BSN, RN · Jul 8, 2003

q4h and q8h is our standard, never BID.

night owl · Jul 8, 2003

all residents, OD at my LTC facility. If they're sick, qshift.

SmilingBluEyes · Jul 8, 2003

vital signs are q4 hours on all stable pp patients, GYNIES, and newborns. more often if fresh delivery/csection of course. and we must chart on babies at LEAST q2h.

Chttynurs · Jul 8, 2003

Full head to toe assessments with VS q four hours, VS more often if needed, obviously. This is on a cardiac surgical step down unit. If the patient has been really stable, I certainly don't wake them in the middle of the night though, as long as they are a good 3 days post op, at least. What kind of unit do you work on, stella123 rn? If you think a patient is rock stable and doesn't need q four hour VS, then just do q shift, unless there's a change in the patient. :)

AHarri66, BSN, RN · Jul 8, 2003

Q4 for Teles, recent post-ops/admits (after post-op vitals, of course.) Q8 if they're stable and have been there at least 3 days.

nowplayingEDRN · Jul 8, 2003

q1 hr in the unit unless otherwise specified by the doc. More often if needed or if administering a blood transfusion. PACU has it's own VS protocol and the floor does q4 on fresh post opsx24hr and then q8 unless ordered other wise.

sanakruz, ADN · Jul 8, 2003

What kind of unit are you on stella? Your profile is kinda blank....

stella123 rn · Jul 9, 2003

I am on a med/surg unit. We often get NH placement patients/inability to care for self at home. No IVs, no med changes....it just seems that we over do it sometimes. The docs write BID. We often do them every 4 hours instead. I do not know, just thinking.

MelRN13 · Jul 9, 2003

If they are stable, it seems like qshift would be sufficient.

In tele, we did them q4h. In CCU, we do full assessments q2h.