nellymac

Do you think it's OK for staff to have personal mobile/cell phones with them at the bedside during their shift? Does your unit have a policy regarding this?

We have a debate going on in our unit relating to the correct deflation/locking procedure for Pulmonary Artery Catheter balloons. Historically we have always allowed the balloon to passively deflate after obtaining a wegde pressure. Once the pulmonary artery wedge pressure trace has reverted to a pulmonary artery trace we lock the syringe. Recently it has been suggested that this may not be an fail safe procedure as some air may remain in the balloon after passive deflation. A new method has been suggested which involves detaching the syringe from the gate valve while the gate is unlocked therefore allowing all the air in the balloon to escape via the gate valve. Once the trace has returned to a pulmonary artery waveform the gate can be locked and the syringe (with 1.5ml of air in it) reattached to the gate valve which should be locked to prevent inadvertant inflation of the balloon. We use the Edwards Lifescience Thermodilution VIP 834HF75 Catheter. What do you do in your unit?