icuedu

Yeah we just had seven people in our unit take and pass the CCRN exam....Two of which have only been nurses for just over a year.... We had a debate at the beginning of our "CCRN drive" about the time req...and the poster who said it can even be less than a year is correct....As long as those hours (1800 or so) have been attained....You can sit for the exam...

Ok I have been trying to get this question answered and this thread seemed closest.... We are having a debate in our unit right now on the "correct" way to zero the transducer on an External Drainage System (Codman EDS-3 to be exact)..... We have two schools of thought here......One school is that when zeroing out the transducers, the "cap" on the "not attached to anything" end of the transducer needs to be opened to air while the stopcock itself is "closed" to the transducer (Pt's brain -> drain).....Then zero.. The other school is that the "cap" should never be removed from the stopcock and the system Zeroed while not being open to atmospheric pressure..... So I guess my question is...... How are people truely zeroing the transducers if they are not opening them to atmospheric pressure? (like CVPs, Art lines, etc)...... We have no policy on "zeroing" the system.... And yea....we dont change out transducers, blah blah blah :) My question simply revolves around the technique of zeroing.... Thanks

So documenting that the intake is 65 (just because that is what the pump) per hour is as accurate as zeroing the pump frequently? I'm sorry, I'm not trying to be sarcastic or anything....But what if the TF is stopped for a short time, maybe going to CT or getting the pt OOB or bathing, etc, do you still record 65 cc? And just as a side....This is assuming that you DONT have 6-10 patients....I posted in the Critical Care/Med Surg ICU forum (1, 2, 3 at the most patients)

Howdy all....I am looking for some advice/info.... A few years back our facility was "dinged" by CMS for not accurately recording our enteral nutrition. (What nurses were doing is setting their TF pumps at say 65cc/hr and then documenting 65cc/hr across the 24 hr flowsheet) For a while, nurses were zeroing their pumps and recording the ACTUAL amount infused over the previous hour, NOT what the pump was set at. Over the past few years since the CMS visit, some units have become more lax than others with regard to zeroing out their pumps every hour....We have gotten to a point where nurses from units that are zeroing every hour are being "yelled at" by nurses/physicians in other units when they have to float. My question is this..... What do most of you out there do in the ICU setting? Accurately record hourly tube feeding intakes? Or just document what the pump is set at? Any help is greatly appreciated...

Thought I'd bump this because we are looking into starting this in our ICU's.......Anyone???

And unfortunately in today's world.....(this is what it would turn into) Joe and Sara then retire the the breakroom for a heated session of sex still "high" from post-code adrenaline. Two and a half months later Joe is now sleeping with Glenda and Sara has found out that she is pregnant with Joe's child...but how does she get an abortion without her coworkers finding out...blah blah blah.... I can't stand the medical shows on TV...everybodys sleeping with everybody else and on and on and on.....but if I had to vote for a favorite..It'd be SCRUBS.... :rotfl: