rngeorge
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We recently started to use the TGC (tight glucose control) protocol. Unfortunately, we cant use an arterial sample as our glucometer POCT will only take capillary blood. Besides using the finger pads, using the sides of the fingers gives more sites to rotate. Still, q1h is pretty frequent. We also use the Edwards vamp system and have found it very useful. It eliminates the need for "discard" in art line samples RNG
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We have computerized charting at present. It takes more time to computer chart than conventional paper charting. Changing from a paper charting model to computers is painful at first, but it will get easier as staff get more used to it.
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The ACLS text book is pretty adequate and simple. Here are a few tips for the mega code...Always use the clearing chant, do 5 point confirmation check after intubation, start drip after conversion of arrythmia, pulse check, drug shock routine and mention final disposition or wrap up of code ie. transfer patient to ICU etc.. Good luck !!! Its not as bad as it was a few years ago RNGeorge