Vital signs? How often do you take them on your LTC unit? - page 2
I was wondering if we're the only place in the whole world that takes VS on every resident every day. One hall has them taken on days, another hall on eves and the 3rd on nights. Now if they are... Read More
Oct 17, '02Occupation: R.N Joined: Oct '02; Posts: 5In the LTC facility that I work inwe do VS monthly unless there is a change in condition.
Oct 17, '02Occupation: RN, ICU/CCU Joined: Aug '02; Posts: 1,062; Likes: 7Originally posted by Talino
Frequency of VS check is apropos to the resident's condition. Good practice is common sense -- if it's imperative to identify or monitor a resident's medical condition or response to a drug regimen, then do it.
Same goes true w/ Medicare residents. If their in for Rehab, not for skilled nursing from an acute illness, golly, stick that thermometer back in it's cradle.
A stable resident may require VS once a month during a monthly physician visit ONLY if the physician asks for it.
Routine VS checks is a facility practice, not a regulation. If you check VS frequently without a sensible rationale, you may be intruding on a quality of life issue. If the resident does not need it, let him enjoy his peace. :kiss
Oct 19, '02Occupation: Registered Nurse, DON in a SNF Joined: Oct '02; Posts: 4We take a full set of vital signs on admission, prn and monthly. If they are on Medicare part A, we take them q shift until they are discharged from Part A. We take Temps q shift on everyone on an antibiotic and BP's q week on everyone that has HTN. We also take a full set of vitals if they have had an accident/incident for 72 hours.
Hope this helps! Can't imagine having to have full v/s's on every resident every day. They're not in a hospital, they're at home.
Oct 20, '02Occupation: Deputy Ward Manager Joined: Apr '02; Posts: 523; Likes: 7I work on a stroke unit
On admission, we take them as BP indicates
Daily for 3 days if stable then twice weekly
IF stable weekly
AF patients pulse is done daily
Nov 4, '02Occupation: RN Supervisor Joined: Nov '02; Posts: 14Boy, you "guys," do take vital a heck of a lot more than us. When I first started in LTC I was uncomfortable with taking vitals prn....but now it makes a lot more sense. It was a transition from hospital to LTC nursing problem on my part. We take vitals q shift for the first 3 admission days, temps on on the first 3 ABT days, full vitals on the first 3 fall days, and prn with condition changes. Sometimes weekly for certain meds or daily for lanoxin for example. I usually do my own....which is another thread cause I just don't trust the CNA's vitals. Maybe it's a control thing hey? LOL Anyway, hope this helps.
Nov 4, '02Occupation: RN- MED/SURG Joined: Oct '02; Posts: 14In my experience, we took VS on every new admission for the first week, then once a month after that if everything was ok. We were also required to get VS on every medicare patient each shift. This worked pretty well. We also did not have to chart on everyone each shift; just the ones who were sick and also each medicare patient. Every patient did get charted on atleast x2 a month.
Dec 29, '02Occupation: LPN charge float Joined: Dec '02; Posts: 19We take monthly vs on all resident in our TLC , and medicare,condition change, med change, are daily and q shift sometimes for a month on the medicare , thats the state regs in ks
Dec 29, '02Occupation: REGISTERED NURSE Joined: Nov '01; Posts: 90I work in a skilled nursing facility in Ohio. Our policy is to take vital signs once a week if they are on anti hypertensives or diuretics, on admission and for a week after admission, after a hospital stay, or if they are skilled, monthly for everyone else, and of course PRN.
Jan 20, '03Occupation: LPN Joined: Nov '01; Posts: 191; Likes: 7Originally posted by aimeee
Monthly for stable basic. Weekly b/p for those on b/p meds unless other parameters specified. Qshift temp for anybody on ABT. PRN for anybody with a change in condition. QshiftX3 days for new basic admits. Qshift for all skilled care until they finish their medicare days and go basic. QshiftX3 days for anybody who has fallen.
This is how we do it where I work to. Except when we give flu shots then it is everybody everyshift.