PAL's and BP Monitoring

[texas2007, BSN, RN]

I am wondering what your unit policy is regarding PAL's and BP Monitoring? Do you go by the PAL BP on the monitor or go by the BP cuff?

[NANSNURSE]

Always by the PAL assuming there is a good waveform.

[MegNeoNurse]

Use the PAL reading if there's a good waveform, if not zero the line out (we use transducers with the kids kit attached for all art lines). Generally do a NIBP Qshift (obv. on a diff extremity) and then NIBP if needed (if the art line is reading really high or low on the means).

[SteveNNP, MSN, NP]

I generally check the cuff BP at the beginning of my shift to make sure they somewhat correlate. If they do, it's PAL BPs from then on.

[Sweeper933]

I generally check the cuff BP at the beginning of my shift to make sure they somewhat correlate. If they do, it's PAL BPs from then on.

We have the same policy on my unit

[EricJRN, MSN, RN]

We generally use the PAL BP for titrating pressors if the waveform is good, but occasionally the doc will ask us to check/consider the NIBP before making further changes to the dopamine.

[preemieRNkate, RN]

I generally check the cuff BP at the beginning of my shift to make sure they somewhat correlate. If they do, it's PAL BPs from then on.

Ditto. Same for UACs too.