Kiwi82

I work in Interventional Radiology and we are trying to improve procedural quality monitoring, specifically around end timeouts, implant pauses, and procedural checklist compliance. Our local Epic support team has limited Radiant operational reporting experience. I'm looking for examples of how other IR departments are using Reporting Workbench, Radar dashboards, or Epic analytics tools for procedural compliance, throughput, or nursing quality monitoring. Any examples, workflow ideas, or guidance would be greatly appreciated.

Hi! Those of you that have an educator or clinical resource nurse what are somem things that they're doing for your unit? Looking for creative innovative things or just simple stuff!

Hi, counts only for incisions greater than or equal to 2 inches.

Looking for some insight on pre procedure checklist, time out process and if anyone here does an end time-out? Or have to do end counts (counting materials used similar to how the OR proceeds). Thank you

Looking to see if anyone on Epic in IR uses something other than Radiant? Our cath lab uses OPtime and it just seems more appreciate for a procedural area.

Radiant sucks. It's built for radiology diagnostic and tech work lists. Not for nursing. You can chart notes though. Encounters.. all of that is part of basic Epic. ate you still having issues?

Anyone use Epic - Radiant? Can you pull data from this version of care connect? Reports?

Has anyone had luck connecting a transducer and obtaining any type of pressure on a EKOS catheter? It's a fenestrated catheter so I am unsure on how a pressure could be obtained with so many holes. Our physicians are adamant that "this always works" yet we all have a hard time getting any pressures.

Hi! What education do you provide or have received as a new to Radiology nurse? Has anyone had luck with ARIN and getting responses from them?

Hi everyone. Do the Rad Techs report through nursing in your department?

For those of you have have worked in both union and non-union hospitals - what are the pros and cons? Have any of you worked for a hospital that became unionized while you were there? Pros and Cons? Need honest feedback!

Hi everyone, What is your post procedure/recovery process look like? Based on PAR or specific times for specific procedures? Looking to make flow more efficient. Thanks!

I agree 100%. Healthcare workers have been suffering long enough. I’m looking for some creative ideas staff nurse to staff nurse. I know we need breaks, use the bathroom, drink water… breathe! like making a team of people that can round on floors to offer breaks… non clinical nurses for example. Something like that.

Hi everyone, Burnout is more obvious now than it ever was. What is your hospital doing to help? Are you taking breaks? Are you being offered any sort of incentive? Do you have a wellness room - are you able to use it? I’m not talking about articles or emails Informing about wellness sessions. I want to know what others are doing to make this happen. Is someone relieving you for your breaks? We are all short staffed and I’m looking for some ideas that are doable and can actually make a difference. Thank you!

Right, that’s where I need some insight. This is a crappy situation all around. Just wondering what others are doing, trying to make the best out of this nightmare! Throwing the mask in a paper bag just seems like you’re going to contaminate the inside either way... just wondering if there is some way that we could do it to minimize the risk somehow ?‍♀️ we are putting a surgical mask on outside of N95 to “protect” it and that surgical mask is one time use. Hope you’re doing well!

Hello fellow nurses, What are you using to store your N95 mask for reuse? The hospital where I work gave us paper bags. There are a few videos on FB and Youtube circulating around with someone demonstrating the usage of a plastic container. I feel like this isn’t the best option as this creates humidity which will not allow the mask to dry. I’ve heard from some coworkers that they will use a glass one or I have also heard about poking holes in the top. None of these options seem safe to me but I’d like to hear your opinion on it. Another question.. if your hospital is sanitizing masks, what is the process? What is used? How are they collecting/returning them? Thank you and sending good vibes to all of you out there. These sure are trying times. I hope this *** ends soon.

I just took mine this week and passed. I used the Fast facts book and the Stroke Certification Study Guide. Do you receive a certificate in the mail or a pin?

What is your nurse to patient ratio?

What kind of disciplinary action?

Interesting. Ours is Q4h ... and we are in the single digits for compliance.

Basically not having time. There's so much going on. Plus, nurses are not necessarily formally trained to interpret so many do not feel comfortble. We don't interpret EKG's so why interpret a strip? I personally never made it much of a priority unless I was treating the rhythm. Just wondering if anyone else is going through the same. í ¾í´”

No one misunderstood anything. This is a PIP because obviously there was a fall out at some point. I didn't get into much detail in my first post... All I'm asking is if other ED's do this and if so how is it working for your department? Just trying to get ideas since it doesn't seem to work for us. I've worked in other ED's and it was the same issue. We are one of the busiest ED's in the COUNTRY. We see way too many patients for our department size. We have acquired monitors for overflow spaces. But that component of the strip interpretation is a huge barrier. And yes, of course, we do document... or ... SHOULD document the rhythm. And the EKG process I'm sure is the same across the board.

Same here. All patients get an EKG right when they walk in the door if they meet the criteria. But we are supposed to print the strips and then scan in the EMR. Apparently is a TJC thing... interpret and scan... I guess because otherwise it would just be having the patient on the monitor but no one really "looking at it". we also have an area under the cardiac assessment where the rhythm is documented but apparently that is not enough.

The cardiac monitor

Hey everyone, As part of our performance improvement project we are attempting to increase compliance of printing and interpreting EKG rhythm strips for each patient with an active cardiac monitoring order. We are currently (very) non compliant. We have been working on this for almost 2 years and have had many barriers. What does your Department do? Do you have a unit specific "policy"? How frequently do you print and interpret rhythm strips? Is is this acceptable for TJC? Any input is great! Thank you!