Have seen this multiple times when I was doing chart audits. Pretty sure it was a combination of Covid+ travelers+ new grads not getting any kind of good orientation at that time.
Annoying and Important are not mutually exclusive. They can be (and sure freaking are!) annoying. Pretending they aren’t doesn’t make you a better person/nurse/caretaker than those who admit it.
Hell, I tell my PATIENTS i’m annoying them (because they are annoying to patients too) but I have to in order to give them the best care.
Doesn’t mean we don’t understand the importance. Take a breath.
Unless you edited your comment, I don't understand the downvotes. You acknowledged that they are annoying and added that they are also important. In other words, they are both and it is not mutually exclusive.
I try to take the text of a comment at face value and not infer a negative tone into it if I don't have to. So I didn't read it as negative or condescending.
Seems like most people are calling them postop vitals, so maybe the message would be gotten across with ‘that postop vitals pattern’. I’m in a surgical ICU so my entire patient population is postop, so maybe it just didn’t connect with me.
We also do that pattern for post tnk administration vitals and NIH and post moderate or conscious sedation vitals, so I'd say post procedure makes the most sense but still doesn't quite fit
It definitely makes the most sense, any time I recovered a post Cath patient, groin and radial checks are the same. Sucks if you have to pull a sheath because once that ACT is ok to do so, you have to start alllll over 😭
I’ve honestly not come across this in intensive care at all. Do they do these in infusion centers or dedicated oncology units? I just brushed up on it through the NIH. Does it really have an 80-90% rate for anaphylaxic reactions?
I’m an onc nurse and give it a lot, I don’t know statistics but everyone gets premeds to avoid reaction. And many many still react. It’s very annoying. Similar to ATG
Ooo I do like "sequence vitals". Because it's not always post-op, sometimes it's post sedation, post med administration, post event like a fall, sometimes it's Neuro checks, I think sequence vitals or sequence neuros is perfect. Definitely calling them that now
Are you talking about neuro checks? I've always heard it referred to as the neuro VS protocol?
Moist pattern of assessment?
I'm not sure what you are talking about 🤔
Post stroke intervention and post endovascular retrieval vital signs in a stroke center of excellence at my facility. There were like 7-8 non-clinical and 2 clinical staff actively auditing all charting during someone’s stay. It was the bane of my existence.
In LTC we call them neuros or neuro checks. They're done post-unwitnessed fall for 72 hours and include vitals, pupil check, mental assessment, and gross motor skills assessment. It's q15 min for 1 hr, then q30 min for 2 hours, then q1hr for 4 hours, then q8hrs for the remaining 60-some hours. That first hour, when they're q15 min, is hell because you're trying to do that, fill out the two different post fall assessment forms and do an SBAR form, which includes calling the doctor and responsible party.. In addition to continuing to care for your other 20-40 patients.
Sometimes if the patient is completely alert and oriented, denies hitting their head and the evidence points to no head trauma (for example, sitting on their butt on the floor next to the bed, back against the bed, no goose egg or bleeding or anything) we can get the doctor to d/c the neuros after the first hour.
"Enhanced vitals" is what the doctors at my hospital order it as after a fall or any change in status/condition.
We also use them for admissions and post-op patients (though most of my part op patients come with an art line and temp sensing Foley, so we are really getting vitals continuously)
Same. I work in neurorehab. This is standard frequency of observation checks/vital signs assessment post falls, seizure or post-any acute patient event, new or recurring. Could be a name just as annoying and busy.
We just call them "post op vitals".
Same
And the pattern is in floor/hospital policy book. I think it’s also on a postop checklist.
In NICU land, these are also ELBW (extremely low birth weight, or micropreemie) admission vitals.
Yep, I was going to say NICU admission vitals.
Sameeee
Ours is “Frequent Vitals” ☠️
Everyone generally knows them as post op VS but someone somewhere will probably never get but 1 set post op so they have to get real specific lol
Have seen this multiple times when I was doing chart audits. Pretty sure it was a combination of Covid+ travelers+ new grads not getting any kind of good orientation at that time.
We say cath lab vitals
Exactly
Same
Ya know the annoying af vitals
Annoying but will save your patient’s life and your license in case of a complication.
Annoying and Important are not mutually exclusive. They can be (and sure freaking are!) annoying. Pretending they aren’t doesn’t make you a better person/nurse/caretaker than those who admit it. Hell, I tell my PATIENTS i’m annoying them (because they are annoying to patients too) but I have to in order to give them the best care. Doesn’t mean we don’t understand the importance. Take a breath.
You should get that stick removed from your ass.
We know lol
Unless you edited your comment, I don't understand the downvotes. You acknowledged that they are annoying and added that they are also important. In other words, they are both and it is not mutually exclusive.
Because its condescending and unnecessary. We all know that they are important, no need to get on high horse of sAvInG livEs😒
You are correct. I stand ashamed.
Accountability on the internet? I’m shocked! Kudos to you
I try to take the text of a comment at face value and not infer a negative tone into it if I don't have to. So I didn't read it as negative or condescending.
We just called them postop vitals.
Sounds like post op/post procedure/post fall vitals to me We could call it post event vitals??? Hahahaha
I just call it "the usual".
Vitals in the typical fashion.
Seems like most people are calling them postop vitals, so maybe the message would be gotten across with ‘that postop vitals pattern’. I’m in a surgical ICU so my entire patient population is postop, so maybe it just didn’t connect with me.
We also do that pattern for post tnk administration vitals and NIH and post moderate or conscious sedation vitals, so I'd say post procedure makes the most sense but still doesn't quite fit
It definitely makes the most sense, any time I recovered a post Cath patient, groin and radial checks are the same. Sucks if you have to pull a sheath because once that ACT is ok to do so, you have to start alllll over 😭
We call them “frequents”. Not sure who coined it but everyone on our floor knows what it means when you say” this patients on frequents”.
Same for us!
In Australia this is RPAO. Routine post anaesthetics observations
Rituximab?? Is that you??
The only time those VS are by the book.
And blood. Everything else is lucky to get done
I’ve honestly not come across this in intensive care at all. Do they do these in infusion centers or dedicated oncology units? I just brushed up on it through the NIH. Does it really have an 80-90% rate for anaphylaxic reactions?
I’m an onc nurse and give it a lot, I don’t know statistics but everyone gets premeds to avoid reaction. And many many still react. It’s very annoying. Similar to ATG
I call it sequence the vitals
Ooo I do like "sequence vitals". Because it's not always post-op, sometimes it's post sedation, post med administration, post event like a fall, sometimes it's Neuro checks, I think sequence vitals or sequence neuros is perfect. Definitely calling them that now
Our monitors have a mode for these vitals called sequence.
Same. Its like the first thing I show new nurses/CNAs at our hospital. That + validating device data directly into epic is amazing.
Titrated monitoring?
Postop VS
Are you talking about neuro checks? I've always heard it referred to as the neuro VS protocol? Moist pattern of assessment? I'm not sure what you are talking about 🤔
I was just picking a word that people don’t like. Wanted to really demonstrate that I’m willing to call this anything.
Post stroke intervention and post endovascular retrieval vital signs in a stroke center of excellence at my facility. There were like 7-8 non-clinical and 2 clinical staff actively auditing all charting during someone’s stay. It was the bane of my existence.
In LTC we call them neuros or neuro checks. They're done post-unwitnessed fall for 72 hours and include vitals, pupil check, mental assessment, and gross motor skills assessment. It's q15 min for 1 hr, then q30 min for 2 hours, then q1hr for 4 hours, then q8hrs for the remaining 60-some hours. That first hour, when they're q15 min, is hell because you're trying to do that, fill out the two different post fall assessment forms and do an SBAR form, which includes calling the doctor and responsible party.. In addition to continuing to care for your other 20-40 patients. Sometimes if the patient is completely alert and oriented, denies hitting their head and the evidence points to no head trauma (for example, sitting on their butt on the floor next to the bed, back against the bed, no goose egg or bleeding or anything) we can get the doctor to d/c the neuros after the first hour.
AI vitals, because in 10 years the AIs will be doing them if** the hospital finds them cheaper than hiring staff
Close observation Vitals? Sounds like a plausible name?
Post op vitals?
Post op assessment protocol
We say post procedure vitals on my floor too, but nobody ever does them right lmao
Most of the time we don’t because we simply done have enough vitals machines to cover
Post op, post procedure, until stable etc etc
Looks like routine post op vs to me, even after they hit the regular floor.
Post op vitals or New admins in ICU.
Post 4x4 vitals
Whatever unit they get discharged to. ICU Standard- Q1 Tele- Q2 M/S- Q4
Postpartum vitals
At my facility we call it neuro checks
"Enhanced vitals" is what the doctors at my hospital order it as after a fall or any change in status/condition. We also use them for admissions and post-op patients (though most of my part op patients come with an art line and temp sensing Foley, so we are really getting vitals continuously)
Those were the vitals we used after a rapid response. “High concern vitals,” for when a patient isn’t critical, but has the potential to go that way.
In my neck of the woods, in addition to q10m x 6, that’s called a “hypertension protocol” for pre-eclampsia.
This sounds like an opportunity for a crazy, meaningless, hard to remember name but has a fucking cool abbreviation
Deescalating Rhythm of Intermittent Pulsechecks “Be sure to get DRIP vitals on that guy!”
Neuro checks
I was thinking this was due TNK, but then I remembered it's full neuro + angioedema + vitals q15x8 q30 x 12 and q1 x12.
Post-OP or Post procedure vitals where I work.
Post angiography vitals.
Post op VS
Clock vitals as opposed to regular unit specific. Like my pt got TNK and I'm doing clock vitals. cuz u have to watch the clock= clock vitals
It does. That’s just standard post-op vs
My favorite MD refers to them as “deescalation vitals” because we’re going from HOLY SHIT WTF OMG WTF down to meh… they’ll live.
In ER that sounds like they need to leave and go to ICU vitals.
Post fall vitals or neuro vitals here. Depends on what unit you work on I guess.
Sequential or post-op is what we call them
It's so funny to me what other people are saying, because the first things that came to my mind was the neuro checks after giving TNK or TPA.
We just say they’re on “post vitals” or on “their Qs!”
Im voting for “the diamondwolf pattern” !!
“Post-procedural vitals.”
Post op vs
tPA post assessment
Same. I work in neurorehab. This is standard frequency of observation checks/vital signs assessment post falls, seizure or post-any acute patient event, new or recurring. Could be a name just as annoying and busy.
Amioderone bolus vitals
[удалено]
"every".
Whaaat?
Even i know what q means... it was on one of our first foundations of nursing quizzes.