LOCUS OF CONTROL ORIENTATION AND LEVEL - Drake University

IMfUS10Y 14. main premired d icatlon solution fran Pharmcy urd &la-&& ulth tw rwrw (m
IECHYIOUES: ant & I.Y.); Ute-ripn on the Ep~durak Flou Sheet.
*- -
15. -In Infutm at pre-ordered rate and regulate per ~nesSh~sIoloplst orbr.
Enter credit
(vo(rrsl llatt nd volun givcnl rt the rrd of rursa's shlft.
16. Do mt dup. dresrlno or tlbina.
17. Dfuad my epl&rel rolutlm h&tng over 72 hwrs, and file-slpn urrtage a, the
Iladtcatim AhlnlrtrLtion R~ord (WAR).
CllIPCICATIOI1S: 18. llonlter for thr follouinp:
a. reaplratory dspr*s#lm--
(1) if r*splrrtory rrta 10 per minutes or less ud patient I excesalvely drany or
tatherglc, all masrherlologist;
(21 If respiratims 4 per minutes or (en., u l L emstkes(oloplrt u;
(41 tvn oif w16ral infullon:
*(b) &inirt&Marcm 0.l-O.Z& fv prsh over 2 minutea;
(c) rlntein airmy:
*(d) Inltiate oryeen- with 21 per wssl ramule;
b. hypotenelon--Increased 8%- of kypotmrion: heart rate less then M or s dcvlstlon frm
bselin of mre thsn 15% or I blood pressure vbth r systolic tear than 100 or I Zag
drvlstlon fra blallnc; cat matheaiolog(rt;
c. derwmtas--
(1) If dsrmtonr level a&.~es cephaltc frm the r, Ievet adlor patlent c/o finger*
tlng11w or losr of mms8rIon. Inrrd6ateIy mtbly ancrtheslolog~st:
(21 aulntsln elruay:
d. W~N~Y rrtatlm--
*~trLi@ht catheter or imert foley crtkater snd Lesve for r mininun of 12 harrt;
a.
1.
prurftur-a
(1) &lnlatw mtlprurltlc as ordcrrd;
(2) mtiw uwrthesiologi~t it ham severe or cmcinucs;
I ~ t pin e control--
(I) nrify dollvery of nrdlcatlon - auurity of catheter, patsmy, and sscurlty of
intralon trblw;
(2) nhinimaer redative. rurcotlc, or treng~ilizer uith Anesthesiology's approval;
19.
(3) (1 pain combrot rcavinr Inedeq.iate, mtifv mestheriotaoy;
I. If patient la caperiming duttrlorstlon in au4tiple system, sr listed sbove, mtify
Innthealolooy.
If catheter ~nedvrrtently removed, call westheriologist and uva catheter lor tnspect~on.
Uhnaver cathetar sy.tcsl Is discomrcted, h m new setw (tubing end bag).
AESEUQ ram 40. If pmtlent la to Leave the mi t, obtain snsetheeloloqist's approval end have a mrse
UUIT: uc- the pstimt--with except ion of fhyslcal therapy on 5th floor.
lmtnct patlent cn the foltowing M initlatian of ~rotocol:
a. frcqucnt monirorlng of viral signs;
b. calllng for assistance uith activity to prevent catheter frm dislodging;
c. notify nurse of inadrquate pain control, headache, or insbitity to mve nny pert ol the
w-
Record epl&rat mdlcatlm infurlon on the Epl&rml Flou Sheet when sterted.
t d asrerPncnt on Lpldural Flov Sheet bv end of ohift.
Eccrd iaplmntarion ot protocol on Stardardr ftou Sheet by end of shift.
Buord tnd of ehllt auwsry note on the Nursing Progress secord by end of shlfr.
Record avaluatlan of efftctivencsa of care via ZC-hour aunnntion every 22 hour3 to ~nclcdc:
e.
b.
Inprwcarnt or deteriorat~on of pain control:
prrme or sbsme of canpi icet fma ui th trertant .
BMCC~::
Crowlev. 0.. et. at. (1w1). ClinlceL Indlcatorr:
wur;hw 9uatitv Assw.n~, 4(11. 40-C4.
A tool for teaporar). pain euuupmmt doc-tation. JOU~M~ of
Murd, Lea, N.D. (1990). i&ral anmtaesia tn a private hosoital. Schufvert Wedlcel Center, Shrevcporr, LA.
ncYair, Y. D., P.M., H.S.Y. ERY. OIRM. (1990, October). Epidural ~rcot~cs tor postoperalive paln: rurstng
1~pllcatfmr. Jovrml of Weuroscime lursinq, M(S), 275-279.
Parwo, Chris, I.Y.. B.S.Y. (1991). Olractor Of Acute mnd Chronic Pain Services, Sch-rt Medical Center,
Shrswport, LA.
uedle, David, 0.0. (1W1). Amthwia Oevrtmt, Mercy Hoepblrl Wedica4 Cmter, Des Woines, L0wa.
-1s 3/PO
ProtocoL Coaitt-
1nt.ctim Cantrot Carlttn
Cmtral St-&
tevlarr f2/93
tamittea
But&: 12/91
Olatrlhtlm: Muraln~ Omrle Sturdardr M-1