Silver Coated ET tubes decrease VAP rates

Who is getting ready for some changes soon??? ;)













***AND***

Latest JAMA article to decrease VAP in ICU
http://www.medscape.com/viewarticle/579239




Dr. Jimenez is back from a recent mission trip.

More KUDOS!!!

Woo-Who! Look at this guys. Great Job!
Also for the month of June, SCU did 100% of their chart reviews.
Vilma
_____________________________________________
PYXIS Inventory 2nd Quarter
Due Date SCU Days Delinquent
4/2/2008- 4/9/2008 0
4/16/2008 - 4/23/2008 0
4/30/2008 - 5/7/2008 0
5/14/2008 - 5/21/2008 0
5/21/2008 - 5/28/2008 0
6/4/2008 - 6/11/2008 0
6/18/2008 - 6/25/2008 0


Due Date PCU Days Delinquent
4/2/2008 - 4/9/2008 0
4/16/2008 -4/18/2008 2 LATE
4/23/2008 - 4/30/2008 0
5/7/2008 - 5/14/2008 0
5/21/2008 - 5/28/2008 0
6/4/2008 - 6/11/2008 0
6/18/2008 - 6/18/2008 0
6/25/2008 0

Congrats!!!

Celebrate the peers amoung us! So far Nic, Nicole (Nikki) Ouellette, Louise, and Becki have all passed their RN boards!!! Latricia (Trish) passed her boards on July 8th! Great job all of you!!
Another Kudos goes out to Wendy Samaroo for passing her Basic Rhythms-as a self study I might add-so far as I know she is the first one to successfully complete this without taking the complete class! Great Job! Wendy will be transitioning to the MT role over the next few weeks so congratulate her when you see her.

What am I?-a Rhythm Quiz

Scenario: An 83 year old woman with ischemic cardiomyopathy goes into her PCP for a routine checkup. She is receiving appropriate medical management with pharmacological agents and has no acute symptoms.

So evaluate her rhythm:

Rate- normal,brady or tachy?

Rhythm-regular,irregular, irregularly regular?

P waves-one for each QRS, less than one for each QRS, more than one for each QRS, unable to determine ?

PR interval-normal, short, prolonged, can't determine?

QRS duration-normal or wide?

ST segment-negative and less than 0.12, negative and greater than 0.12, positive and greater than 0.12?

T wave-normal or inverted?

QTc-normal or lengthened(greater than 0.47)?

Please print and return to me for competency credit for June. I will post answers after I receive everyone's answers.

Also please copy your certificate from attending Bob Pages EKG interpretation workshop and place it with your items in the competency 3 ring binders on each unit. Thanks!

No More Lead II in Critical Care Services

http://homepage.mac.com/edutainment/Menu3.html

Here is the link to Bob Page's presentation and practice 12 Leads.

Hope you all enjoyed the information and yes you can expect some competencies on EKG interpretation towards fall. I know several of you purchased Bob's book that was available at the conference and Vilma purchased a book for each unit's resource library also, please make use of them, they are tools in your practice young Padawans. Before long we'll all be Jedi masters of the EKG. 15 leads are in your reach and join me in monitoring in MCL1 my friends, the difference is amazing!

EKG class at P I Inn and Convention Center Tomorrow!!!

Just a reminder...registration at 7:30...See you there!

Also got this cool article in my email today and thought it was sooo useful...Cardiac meds demystified.

http://www.nursingcenter.com/library/JournalArticle.asp?Article_ID=770337

From Nursing 2008

Have you met a new grad yet?

Big Week

First off-the new grads will be in the floor starting this week. Please Welcome Nick, Latricia, Nicole, Becki, and Louise as they start the venture to "Registered Nursehood".

"Don't let your past dictate who you are now

but let it be a part of of who you will become "

Next off-the Rep will be here this week for the new Kangaroo Feeding pump-I sent out an email with a link to the companies website with a video tutorial. If you missed it here it is-please try and make it down to the McCain rooms for a hands on also.

http://www.kangarooepump.com/Epump/pageBuilder.aspx?webPageID=131032&topicID=131032

And the EKG class is happening Thursday and Friday at the Presque Inn and Convention Center (yes the Old Keddys) from 8-4 each day-registration starts at 7:30. This will be a great break from the busy floors and get some great info for our brains to enhance our bedside practice.

Thanks for all the extra people have been doing to cover each other with the recent bugs floating around. Really appreciate all you do!

Until next update..
~Tracy