JessicaT

I am very interested in hearing what measures other organizations have taken to meet the requirements outlined by TJC. What are your policies, documentation requirements, etc.

Two-nurse verification is our policy for SubQ insulin, but it was not at another organization I worked at.

I am working to improve our retention rates and would like to propose benefits for our top seniority nurses. When I worked at another organization some of the benefits of being top seniority included: priority scheduling and vacation requests, no holidays, and no floating. What are some benefits your organization could offer that would keep you from leaving??

When I worked in CVICU the primary nurse would print the patient's strips at the beginning of his/her shift, tape them to a rhythm sheet, measure/interpret the strip, and place in to the chart. Then if there were any changes they would add them. The patient's rhythm was only documented in EHR with assessments or as indicated. When I started my current position the tele-tech monitors the patients on the med-surg unit. They print, post, and measure/interpret rhythms every 4 hours and as indicated. I feel this is overkill and would like to change it. Would you happen to have a policy you could share?

Is that on a telemetry unit or ICU?

I am attempting to update our telemetry monitoring process and would like to see how other organizations operate. How often are strips printed and interpreted? How do you document the strips: On the strip itself, mount the strip on a form and fill it in, in the EHR, etc.

Do any of your ICUs have a reference binder that you refer to as a quick reference for skills, equipment, etc.? If so, what all does it include and what do you refer to the most?