Labs that I need to focus and report

[jtanga]

I need help guys. Im new in Icu , I just wanted to know what labs should I focus and report to the MD. Sometimes its very overwhelming and I don't have time to check the labs.. Too much info and I feel I have less time.

[Susie2310]

There are some concrete guidelines (like critical values), but this is also something that involves critical thinking & nursing judgement.

Is this a new problem or chronic issue?

Is the abnormality already known & addressed? If addressed, has enough time passed that you'd expect results?

Is it a value that, while may not be critical, may indicate a complication of the pt's problem/condition or a side effect of a new medication? Would a change in this value possibly require a need to re-evaluate a medication dose?

This judgement comes with experience, as well as with a practice that is not just about carrying out tasks but is also about understanding physiology/pathology and ​pts response to a diagnosis or condition.

In my opinion, these points cannot be emphasized enough.

[whofan, ADN, BSN, RN]

Report all critical labs, no matter what they are, and do it quickly. My hospital has policy that it has to be within 30minutes. We also have protocols on how to deal with electolytes and DKA. The order sets save calls to the doctors as they are protocol and we just follow the instructions. Also report any status changes immediately as well.