Vicki_RN

Hi, We are updating our peds code blue process and I am collecting information on who responds to pediatric codes in other facilities. We are most interested in pediatric units in community hospitals, but happy to hear from all facilities. Does the ED physician respond? Thank you!

Hi! When pediatric patients are hospitalized post a self-harm event and waiting for transfer to a psych center, what measures are used for those patients at risk for elopement, after de-escalating interventions have been unsuccessful? What is the procedure for a minor running out of the room, that provides for the safety of the patient and staff? What role does hospital security play, if any? Thank you!

Hi, we are being asked to consider wearing gloves for all patient care activities on non-isolated patients, beyond just standard precautions. Does anybody use gloves for routine patient activities (vital signs, etc.) where no body fluid contact is likely to occur? We are looking for PICU practice, but input from any unit is appreciated. Thank you!

Hi Everyone, Does your hospital require RN insulin double checks for adult subcutaneous insulin? Our hospital is considering eliminating this practice, only for subcutaneous insulin. We use insulin pens for basal and rapid acting, not NPH or Regular. Thank you in advance for your responses!

Hi, my med/surg colleagues would like to know if any nurses go to the ED to pick up their patients to decrease transfer times to the door? Thank you!

Hi. We are revising our pediatric skin care guidelines and would appreciate hearing what others are doing. The adult area of the hospital requires a 2 person check for every single admission, regardless of the skin risk assessment score (adults use the Braden, Peds uses the Braden Q). I am wondering how many facilities do a 2 person check on every pediatric patient at admission, and if not, what is the policy for assessing pediatric patients? Thanks!

Thanks for the responses! Much appreciated. Yes...we are aware of the INS guidelines. We were just wondering if anybody out there was using midlines for that small percentage of patients that would be eligible within the INS guidelines. We heard rumors that the use of midlines was increasing in the community, but it does not sound like that is true. Take care.

Hi! Does anybody work at a facility that places midline catheters in pediatric patients and if so, what ages and by who? Thanks!

Hi, I am collecting data regarding the community standard for the use of a cardiac monitor, central or bedside, in the general pediatric hospital care areas. For those who work in a NON-ICU pediatric patient care floor, do you provide cardiac monitoring, is it central or just at the bedside, and which patients are considered for monitoring? I promise to post the numbers once I get replies for others who may be interested. Thank you for you help!

We are looking to purchase an MRI compatible IV pump that will accomodate our neonatal and pediatric patients. If a transfer of pumps is required, who transfers the infusions from the hospital pump to the MRI pump and back? Unit nurse? Radiology/MRI nurse? Any input regarding pumps or process are appreciated! Thanks!

:confused:for pacu's that care for pediatric patients: who transfers the pediatric pacu patient back to the unit? pacu nurse? peds nurse from the receiving unit? other licensed or unlicensed personnel? about how long is the transport trip from the pacu to the unit? our hospital is in the middle of a re-build, and the or/pacu will be about a 15 minute walk away from the unit. thanks for any information!

Thanks, Amyrae! Just the kind of input I'm looking for!:)

Hi, We are looking into a new IV pump/pump system for acute adult, adult ICU, OR, Peds, PICU and NICU at our hospital. Is anybody happy with their large volume infusion pump or pump system that is used in a variety of patient populations? I have reviewed the ECRI material on pump comparisons, but would like some real-life input. Thanks!