Do you trust automatic "vitals" machines?? - page 7
At our hospital the CNA's use "robo nurses" to take vitals. It is relatively fast for them, taking BP and pulse and o2 sats at the same time. However the more I work, the less I trust them. It... Read More
May 19, '08Occupation: RN-i (RETIRED) Specialty: ORTHOPAEDICS-CERTIFIED SINCE 89 ; From: US ; Joined: May '00; Posts: 14,479; Likes: 2,298Short answer NO.
Longer answer, only if *I* put the cuff on and watch it myself,AND have a sphyg and stet in my pocket. So going through all that why not just take the bp yourself?
So short and long ansewer NO.
May 19, '08Joined: Sep '07; Posts: 103; Likes: 13Quote from FairlythereWe use the Machine for taking Vital signs. It might not be as accurate, but close. Also, we don't just rely on Vital Signs. I mean what's the difference of the reading pulse of the machine the result 86, and by counting it by palpate is 89?At our hospital the CNA's use "robo nurses" to take vitals. It is relatively fast for them, taking BP and pulse and o2 sats at the same time. However the more I work, the less I trust them. It seems like one night the CNA reports all my pts. BP's are up, another night they are low. Or they can't get the machine to work. I take them manually to check. Sometimes I agree with the machine, sometimes not. Also the pulse ox seems weird. It will often show lower sats then the hand held machine.
When I was in RN school we were told to not use these machines, but the BP cuffs in the rooms are not always in good shape either. I do prefer to check my pts. pulses on both sides during an assessment if I can and at the same time I can accurately check respirations.
What do you all think about these machines? Does your facility use them???
The school were told us not to use the machines, because they wanted us to learn the basics.
May 22, '08Occupation: Paramedic/RN-Emergency Department Specialty: So far Emergency Department ; Joined: Apr '08; Posts: 7; Likes: 1I think that automatic vital machines are alright. The thing is you have to also take in your patients appearance, complaints (if any), and reason for being in the the shape they are in whether it is a hospital, clinic, longterm facility, etc. Though you are using a machine to take v/s rather than manually you need to still use all your senses and think about what is going on. Gardengirl08
May 22, '08Occupation: RN Specialty: Critical Care ; Joined: Feb '06; Posts: 2,125; Likes: 3,657What's a BP machine for when you can simply do an art line?
May 27, '08Occupation: Med/Surg Specialty: 8 year(s) of experience in ER, Med/Surg ; From: US ; Joined: Aug '06; Posts: 481; Likes: 518Be sure to not put the pulse ox probe on the same side as the BP cuff. Your "saved" readings will always show a lower O2 sat because of the lack of blood flow.
I agree that these machines are accurate enough for most things.
Some people have been saying that they would check it manual if the machine had a funny reading, but wouldn't you recheck yourself, or have someone else if you got a funny reading?
Oct 5, '08Joined: Oct '08; Posts: 9; Likes: 8I find the ones we use are pretty accurate. Like many people have said, if the number is unusual I recheck Manually. Often though the auto is really close.
Completely on the ball accurate VS's are less important than, "How is my pt doing?" and having the time to do a good total assessment.
Oct 8, '08Occupation: QWE Charge Nurse Specialty: Med-Surg, mostly ; Joined: Aug '07; Posts: 31; Likes: 8The automatic cuffs make the job of taking BP's faster, not accurate. If it's accuracy you want, then take the BP manually.
I actually had a suprise the other day with a continuous pulse oximeter...I never trust them for a pulse reading, the pt usually moves their finger. Well, the aide came out of a pts room and told me that her pulse on the cpo was 31..I said "those things are never right, take her pulse manually", and I also went into the room and placed my stethescope on her chest, apically. Her pulse was 34!
Jan 26, '09Occupation: ED Registered Nurse Joined: Apr '08; Posts: 616; Likes: 304Ok I found this thread and its really interesting to hear all the points.
You know what this all boils down to ...staffing.
Theres no reason why a CA should have 18 patients, but it happens. I think the old school nurses had more time to do manual blood pressure because (im guessing) there werent *that* many patients.
The baby boomers are now old with cardiac/respi problems. So take the increase in patient population ..add in a nursing shortage, then you will have people who cut corners and mistakes happen.
I trust the machines to a degree because they have to be somewhat accurate, in order to be qualified for hospital use ..right? idk.
As a student nurse, I use manual. It beats the headache of telling my professor why I got a different reading (student:the dynamap said... -- prof: goodbye! arevadurche! sianorra!) Then again as a student nurse I have ONE patient.
Mar 5, '09Specialty: 1 year(s) of experience in LTC ; Joined: Mar '08; Posts: 62; Likes: 17I do not trust them I have always take my own manually when my bp show high or low I have been told that they do not stay calibrated properly because they are constantly being jarred I dont know if that is true but I believe it could be.
Dec 6, '09Joined: Nov '09; Posts: 198; Likes: 158Well I think the machines are a god send!
I am a CNA and I have 23 people on my hall. Sometimes I have another CNA to help me but often times I am on my own!
I work in a LTC facility so I help the residents with their ADL's.
Last night it was Vitals on everyone night! (once a month)
This was the first time I have ever had another aide on to help me. I did have to go back through and get manual vitals on some people, but since I have worked the same hall since August I knew who you could not get a reading on with the machine. As it was it took the girl a long time to get readings on everyone with the machine. I had 14 people in bed by the times she got the readings. If she would have had to do it all manually it would have taken way longer!!!
And to think I have always done vitals night on my own... no wonder I never get out of there on time!