April Staff Meeting 4/14/2011 @ 2pm. Kim Byrum Chappell Mechanical Assist Coordinator. Top Ten things you need to know…. V entricular A ssist D evice. #1: VAD stands for:. End stage Heart Failure BTT (Bridge to Transplant) – Vanderbilt
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Most likely unable to obtain SBP/DBP
Most reliable/accurate measurement is by Doppler
Document under Manual MAP#5: Continuous Flow = No Pulsatility
Will bring a back up system controller & batteries in case of a failure; typically in a black bag. Must remain with patient at all times, for all tests/procedures, transport, etc.
Do not unplug cables to silence any alarm.
Do not unplug both power cables at the same time.#8: Patients know their “stuff”
If they are speaking to you, if they are warm, pink & with brisk capillary refill they are perfusing.
It’s a patient with a pump, not a pump with a patient – so treat the patient.
Can auscultate the pump
Floors trained in VAD patients: 5N & 7N
You can’t always tell a VAD patient at first glance#10: Remember…..
Crisis Intervention Training
A new Joint Commission Sentinel Event Alert warns that health care facilities today are being confronted with steadily increasing rates of crime, including assault, rape and murder.
A report from the Substance Abuse and Mental Health Services Administration notes that drug- and alcohol-related incidents in the ER rose from about 1.6 million in 2005 to nearly 2 million in 2008. From 2006 to 2008, those visits resulting in violence increased from 16,277 to 21,406. Just last year, more than half of 3,465 emergency nurses reported in an anonymous, online survey conducted by the Emergency Nurses Association being assaulted at work
Health care facilities should be places of healing, not harm. But, unfortunately, health care settings are not immune from the types of violence that are found in the other areas of our lives," says Mark R. Chassin, M.D., M.P.P., M.P.H., president, The Joint Commission. "The recommendations in this Alert give health care institutions and caregivers specific strategies to take action that will keep everyone safer
Source: http://www.campussafetymagazine.com/Handle With Care
There are well over one hundred thousand Handle With Care practitioners working with adults and children in some of the most challenging environments in the United States, Puerto Rico and Europe.Handle With Care
Every verbal and physical component of Handle With Care training has been carefully integrated with the next, creating a system that is beautifully simple and coherent.
Those who complete HWC training will have the verbal and physical tools to effectively to de-escalate a crisis before it begins.
When a crisis presents a clear physical threat, they will be able to make "real time real speed “interventions with confidence.Handle With Care
Illustrates how staff can develop and utilize their relationship skills with a youth to reduce tension.
2. Understand the underlying dynamics of establishing a therapeutic relationship
3. Understand the testing process and begin to identify our personal stressors (“buttons”)
4. Participants examine their own reactions in critical situationHandle With Care Verbal Intervention
Theoretical model used to illustrate the dynamics of escalating and de-escalating tension as it applies to the youth in crisis, intervening staff and other youth and staff exposed to the crisis
1. How tension contributes to inappropriate behavior in youth and staff
2. Identify responses and behaviors that indicate tension levels are rising
3. Understand how the T/T Reduction Cycle relates to observations of self, staff and youth
4. Understand when verbal and/or physical interventions become necessary
5. Understand when to withdraw from an interventionHandle With Care Verbal intervention
1. Same side wrist grab
2. Two on one wrist grab
3. Two on two wrist grab
4. Cross hand grab
5. Front choke / lapel Grabs
6. Rear choke
7. Hair pull
9. Arm bar choke from behindHandle With Care
Use of Personal Space
1. Spatial considerations and strategies
2. The Non-Defensive Posture
Personal Defense - Blocking Techniques
1. Straight punch / straight incoming assault
2. Hook punch / blunt weapon / thrown object
3. Kicking assault
Interfacing the PRT with the entire Personal Defense System
Two and Four Person Team Restraint, Takedown & Transport S
Specialized Intervention Strategies
End Tidal CO2
By Cathy Wilson
CONGRATS on 2011 Healthgrade.com Award
Uniform Trial- going well so far, only a couple issues (4/1-9/1/2011)
Welcome to all new Nurse Residents
New Social Worker: Lauren Goley Sat-Mon 7p-7a
Time and Attendance / Deadlines / Emails
SpindleCont. Manager Update……