Please remember to check your alarms during shift change: the high, low and critical alarms should all be checked Q shift. A patient was desating without critically alarming (the loud beep that needs to be physically silenced) because it was set abnormally low. If you need assistance with this, please let me know.
When caring for trached patients, checking the trach box is part of your bedside safety check. Last week a trached patient in PICU was missing several emergency supplies, including the smaller sized back-up trach. With respiratory season upon us in full swing, please get in the habit of checking these things. Each trached patient should have a designated BOX (pink basin) marked TRACH SUPPLIES, and this box should not be used for anything else. Feel free to ask the charge RN or PCT to gather your trach supplies and box if you are busy with your patients.
7C- Please remember that Bedside Shift Report should be done at the bedside. The 7C nurse's station is busy in the morning with RNs, MDs, and other team members, so the bedside is the best place to give and receive a clear, thorough report. This allows you to immediately perform your safety checks and also allows the charge RNs to give and receive report without others speaking around them.
A HUGE shout-out to both units for your hard work this month. It has been very busy, and many of you have been open and flexible with assignments and shifts. Thank you for your positivity! It is vital during busy times, and does not go unnoticed. If you notice a staff member going above and beyond, please remember to recognize them. Tell myself or Melinda, nominate them for employee of the quarter, or a DAISY award. We work with some pretty great people who deserve to be recognized for it :)
Any questions/comments, please let me know.
-Erin
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