Open Forum

 View Only

  • 1.  Vital Signs in Clinics

    Posted 12-01-2022 11:11

    I am reaching out to see what my peers are doing regarding Vital Signs in your Ambulatory clinics. It is a given that all Primary Care/Family Medicine clinics perform VS as our basic screening for each patient, but what about your Specialty clinics? I get pushback from providers stating VS are not necessary in the Specialty clinics. I disagree stating that it gives us an opportunity to capture potential issues with patients. What are your thoughts?

     

    Michael Turturro, DNP, MBA, MHSA, MSM, BSN, AMB-BC

    System Vice President/Chief Nursing Officer
    Baylor Scott & White Health Ambulatory Clinics
    Baylor Scott & White Health

    Office of the Chief Nurse Executive
    2401 South 31St Street, Temple TX 76508 MS-14-170

    254-724-6606 Office | 737-888-4041 Cell | 254-724-6646 Fax

    BSWHealth.com | @MikeTurturroCNO | linkedin.com/in/MichaelTurturroCNO

    BSWH_logo_email_sig-for Outlook

    I commit to Empower patients/staff to request/provide highest quality customer service so those we care for can define their care so our patients and team members are empowered to live well.

     

    "This e-mail contains information which may be CONFIDENTIAL or PROPRIETARY IN NATURE or OTHERWISE PROTECTED BY LAW FROM DISCLOSURE, and is intended only for the use by the addressee(s) named above.  If you are not the addressee, or the person responsible for delivering this to the addressee(s), you are hereby notified that reading, copying, or distributing this e-mail is prohibited.  If you have received this e-mail in error, please contact the sender immediately."

     

    The information contained in this e-mail may be privileged, confidential, and/or protected from disclosure. If you are the intended recipient, further disclosures are prohibited without proper authorization. If you are not the intended recipient (or have received this e-mail in error) please notify the sender immediately and destroy this e-mail. Any unauthorized copying, disclosure or distribution of the material in this e-mail is strictly prohibited and no waiver of any attorney-client, work product, or other privilege is intended. No binding agreement on behalf of Baylor Scott & White Health, or any affiliated entity, is permitted by e-mail without express written confirmation by a duly authorized representative of Baylor Scott & White Health.


  • 2.  RE: Vital Signs in Clinics

    Posted 12-02-2022 13:58
    Hi Michael, 

    This is something that I have been trying to integrate into my clinic, as well. Interestingly, VS seem to be a relative standard for primary care provider visits but not for nurse specific visits (eg: vaccinations, teachings, etc). 



    Original Message


  • 3.  RE: Vital Signs in Clinics

    Posted 12-02-2022 16:10
    At our OB, MAT, and Dental sites, we do vital signs at all of their visits alongside our Family Practice visits.  We do not have ortho, or other specialties associated with our practice, so I have nothing to offer in that sense.  

    Our nurse visits, it depends on what kind of visit it is.  If we are doing a birth control visit, we do Ht, Wt, BP,  but no temp or pulse, or respirations  (most of us do a full set of vitals anyways).

    For our phlebotomy (lab draw) nurse visits, we do not do any vitals unless the patient condition warrants.  95% of the time we don't 

    Our vaccination nurse visits we do a full set of vitals.

    I hope this was at least sort of helpful.

    Bonnie


    ------------------------------
    Bonnie Hooper
    Primary HealthCare
    Des Moines IA
    (515)248-1887
    ------------------------------

    Original Message


  • 4.  RE: Vital Signs in Clinics

    Posted 12-03-2022 09:34

    We obtain vital signs as well as height/ weight in our orthopedic clinic.  It can impact surgical decisions because of BMI and where patients can be accommodated for imaging.  There was some pushback initially because of how to address out of range vital signs but it is now a  routine part of rooming patients.

    Pier

    Pier Ferguson, RN, BSN, NRP, CPAN

    VCU Health Colonial Orthopedics

    Chester, VA

     




    Original Message


Related Content