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Vital Signs The ultimate tradition An EBP Journey of discovery. Christine Malmgreen, RN-BC MS MA & Dr Lillie Shortridge-Baggett, EdD RN NP & Maggie Adler, RN-BC BSN Masters Candidate . Literature synthesis to establish an evidence-based policy on routine vital sign frequency.
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Christine Malmgreen, RN-BC MS MA
Dr Lillie Shortridge-Baggett, EdD RN NP
Maggie Adler, RN-BC BSN Masters Candidate
Literature synthesis to establish an evidence-based policy on routine vital sign frequency
Have things really changed?
(trial and error)
someone in authority
has said to do it this way
(Policy and procedure)
(Definition of insanity)
a focused clinical question
We found three:
Best Practice Information Sheet summary of current best evidence on V/S
To present the best available information related to the monitoring of patient V/S
Considerable research on many aspects of V/S
Still need to know:
A re-evaluation of the role of V/S :
time/expense for a nursing activity
& Hanley, 2003
Toms E. (1993) Nursing rituals: Vital observations. Nursing Times
One group of physician-researchers indicted what routine V/S frequency should NOT be
None provided insight into
Maybe there is no answer to these questions?
Spiraling hospital costs = need for critical analyses of practices
Begins with nursing terminology
To encompass The Work of nurses
requires redesigning, transforming reconceptualizing care concepts
The money question: How do we prevent adverse events, and what is the relationship to “routine” vital sign collection?
preventing adverse events
Interpreters of multiple and complex patient data gathered in context of the whole picture presented by the patient =
enables capture of impending AE
Make sure nothing happens (at least, nothing bad)
Discharged home, good quality of life maintained= priceless
Amazing fact: Majority of protocols for Rapid Response teams look for alterations in V/S (B/P, pulse, rarely respirations) as reasons for initiating a rapid response!
Magnet project listserv members for their responses to the query: