kathys76

I was asked this morning if KVO and/or TKO rates are still acceptable abbreviations by JCAHO. I hadn't heard that they were not.....does anyone know for sure and what standard applies to this? Also, we use 30ml/hr as a KVO rate. Is this accurate? I couldn't find anything in the INS policy and procedure book. Thanks.

My concern stems from (and maybe I didn't make this clear in the original post) the hospital's policy states that the PA should write the covering physician's name and then theirs on the order. If we're not in compliance with hospital policy and give meds based on just a PA's order.....I think there would be a liability problem if something went wrong or as someone else responded, the doc came in and said he never authorized the order. We all know that when stuff trickles downhill the nurses are the ones with their arms out waiting to catch it. We have a policy at our hospital that covers this...I just wanted to know if other places were different or if anyone was having the same problem.

Can anyone share their hospital's policy on PAs writing orders? For years (and I've been around for 20 of those) our policy has been that the PA writes orders like they've been in direct contact with the MD - i.e Dr. Brown/T. Hall, PA. The covering MD then has 24 hours to co-sign the order. I also thought that this was a JCAHO requirement. We've recently had two new PAs start working at our hospital and they are writing orders independently and the docs have not been co-signing them. I'm taking this issue to our medical staff services office but I'd like to know what other hospitals are doing?

Even though they FINALLY pulled the campaign, I'm still not buying any of their shoes! I still don't understand a company with a "Marketing Dept" that thought it was okay to put those kinds of ads out in the first place!

hi StuPer and thanks so much for some direction. Of course I got so excited that I went right to that web site and searched everything they had. It seems the only thing that they don't have is the "Felt Distress" assessment tool. I did e-mail the company for any direction that they could give me...I guess I'll just keep everything crossed. I'm not a psych nurse and I'm beginning to think this assignment was an attempt to peak my interest. Well it worked, 'cause now I'm like a dog with a bone. I can't believe that I work at the only hospital in the world that uses this instrument. Anyway, my quest continues.....kathys76:uhoh3:

Thanks for trying to help. This is a one-page assessment of "feelings" reported by the patient. They circle numbers from zero to four under a Likert scale that ranges from Not Bothered to Extremely Bothered. The most that I have been able to find out is that it was developed in Missouri and used as part of something called "Symptom Checklist-90" which was developed as "screening criteria for psychological assessment". That is the only thing that I have been able to find in the literature. I need to know how to score it are any of the questions predictive....all the good stuff. Any help is greatly appreciated.

I need some expertise from the psych nurses please. I'm a Med-Surg CNS and have been given an assignment that involves a PI project on the Felt Distress tool used on our Behavioral Health Care unit. Can anyone direct me to a source (book, journal, author) so that I can gain some understanding of how this tool works? Does anyone use this at their hospital? Right now I need all the help I can get. I've searched every web site I know and have gotten nowhere. kathys76