Published Oct 11, 2009
eas78
31 Posts
Those indicators are: avoiding falls, avoiding pressure ulcers, avoiding using restraints, avoiding UTI from urinary catheters.
SuesquatchRN, BSN, RN
10,263 Posts
What are they?
ayla2004, ASN, RN
782 Posts
falls asses risk factors highlight pt with increased risk commiuncate and monitor responds. if need be we use a 1-1
avoiding pu. risk acess increased fluids pressure relive/turn/reposition and montior
we dont use restraints
and uti in foley, handcare closed system bag lower than bladder and remove as quick as possible we arre going for intermitten rahter than indweeling if possible.
pharmgirl
446 Posts
what?
caliotter3
38,333 Posts
Well, my employers haven't even addressed the issue by letting us know what the indicators are, so if we do anything about them in our daily practice we were doing it anyway.
Up2nogood RN, RN
860 Posts
Being employed at a magnet hospital these are beat into our heads. AKA hourly 'intentional' rounding, the 3 p's- pain control, pee, and position. Foleys are to come out asap unless medically necessary, ie certain surgeries, epidurals. We're also supposed to be attentive to DVT prophylaxis and post op antibiotic use. While it can be a pain it's nice to work in a facility with high standards.
tatara
102 Posts
In the deal world where my clinical instructors back in college seem to have came from, all those are preventable/avoidable (and its true, they really are). But in reality with all the different reasons, factors, and situations a nurse encounters as she performs her duties, conditions like those you mentioned do happen.
I would say, be the nurse that is expected of you. Put a fraction of everything that make you a nurse in your heart.
Maintain to have pure intentions and gentle spirit as you serve, so that at the end of the day, no matter what happens at work, you can go home to your family smiling, still whole.
I almost forgot, your being efficient, effective, and competent should never be compromised when caring for patients.
PostOpPrincess, BSN, RN
2,211 Posts
Everything evidenced based, and NO restraints unless absolutely necessary.
Propofol for intubated patients.
These are indicators so that CSM (Medicare) pays. FRUITI is prevented, and DVT is the biggest issues we are currently addressing.
To date, I think my system is in the 99% of compliance. That's just hearsay--waiting for the "EXCEL tables" to prove it.