KimRN41514

Thank you. I've been a nurse for 27 years and am so taken aback. In shock really. Help me to understand as I'm not an ER nurse, why in the ER would he have been defibrillated multiple times while in asystole? I'm just not processing this well.

I recently lost my husband. He had a strong cardiac history. MI x 2, 5 vessell bypass 7 years ago. Was sitting and talking to me, mid-sentence he arrested. I did CPR while family called 911. I had his pulse back and was doing rescue breathing when EMS arrived. Was so shocked they didn't bring an AED/ambu bag, oxygen or anything into the house. Loaded him into the ambulance and sat in the road intubating for 15 minutes with the hospital 2 minutes away. No CPR was ever done, yet they documented asystole. At the hospital, I wasn't allowed to be with my husband during resuscitation despite asking many times. We were married 24 years and I needed to be there for him (and me). How do I handle this and these feelings?

I work at a small rural hospital. Most of our nurses complain about the amount of paperwork necessary to admit a patient. I can't help but agree with them. We want to form a committee to help reduce the amount of paperwork needed and still meet all of the JCAHO requirements as well as the CORE Measures. I hear very frequently that they have had members of their families as patients in other hospitals and they don't have nearly the amount of paperwork that we do. I have a GREAT group of nurses and don't want to lose any of them. I realize that they work very hard everyday and we have good patient outcomes. Is there anyone who would be willing to share the paperwork that you do at your facility? If you are looking for something (protocols etc) I would be willing to return the favor. Thank you so much!

We put the patients in and use our ACS protocol. If you would like, I could share it with you.

Thank you for replying. I Like the report sheet. I'm interested in seeing other admission history forms and things like that too. We have a good care plan/interdisciplinary education form as well as many protocols- skin care, chest pain, pneumonia, chf. sbar. Staff is really complaining about the volume of paperwork to complete an admission.

Hello Everyone! I would like to find colleagues who would like to share their nursing forms. I have PLENTY to share if anyone is interested. I plan on working with the staff to do some paperwork reduction in the near future and am interested in what others have found that works to meet all of the JCAHO requirements. I would greatly appreciate any replies. Thanks! KimRN41514

I feel your pain..with our preceptor program, the preceptor and the preceptee meet weekly with the manager to just check in and see how things are going- are you learning what you need to, how are the two of your getting along etc. to help catch mismatches early on. If you feel lost, look around the ER after work. Find out where everything is etc. I agree with the others. Maybe she is an excellent nurse but just isn't a great teacher. I know you will do great because you really WANT to learn. Best of luck!

We have used Unna boots in the past. Should be no problem getting them stocked again. We currently use Convatec products for wound care and have seen good results with pressure ulcers. Thank you so much for your suggestions :)

We are seeing more and more venous stasis ulcers and diabetic ulcers at our rural hospital. Unfortunately, we don't have a Wound Care nurse. We have protocols for decubitus ulcer treatments. Does anyone have any wound care protocols that they would share? Thank you!

Just curious.... besides the wonderful nursing care, what keeps your patients coming back?? What special perks do you do for your patients to make their stay more comfortable, etc. Thanks!

Just curious.... besides the wonderful nursing care, what keeps your patients coming back?? What special perks do you do for your patients to make their stay more comfortable, etc. Thanks!

Just curious.... besides the wonderful nursing care, what keeps your patients coming back?? What special perks do you do for your patients to make their stay more comfortable, etc. Thanks!

Hi Again Everyone, Thanks for posting. Very nice to meet all of you.

I'd like to exchange information re: JCAHO NPSG etc with you. We are expecting survey anytime :):stone Do you have any suggestions in meeting the CORE requirements for pneumonia vaccination compliance. We have it on the admission history to ask patients about vaccinations and have put it on the Pneumonia standing orders and are still having problems with compliance. Any suggestions are appreciated!

I would be glad to share our form and policy for reconciliation. Any other of the NPSG's that are particularly problematic?