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As always, your explanations are concise and easy to understand. I hope you continue to build these lessons and your site. I tell all my friends about you even if they are not currently interested in ICU its great knowledge.
Eddie, any suggestions for a similar RN educational pod series for ED nurses and or Trauma. I work as a STAT nurse and enjoy reviewing your lectures as I often play different roles each shift. Thx.
Hmm unfortunately I really don't know of anyone Ross thats doing this but for ED content. Sorry. Happy to know that you are able to get value from these videos though!
Hi Eddie... Thanks for the explanation of CPOT. I have been using this scale on MSD for a while, but it's nice to hear you elaborate, especially in describing the differences between facial tension vs. grimacing and movement protection vs. restlessness. I have a specific question about trach-to-vent patients, as this is what we see frequently compared to fully intubated patients in the MICU. For T-to-V situations, would you still classify this as "intubated" on the CPOT scale? This is how I and some other nurses chart the assessment on our unit, but it has never really been fully specified. Technically, these patients are not intubated, but are still ventilated and unable to vocalize. Thank you again for all you do!!
OK, I know this is a subtle distinction, but CPOT is a pain assessment tool, not a pain scale. The goal is to determine the presence of pain (score greater than 2) or the absence of pain. As far as the creators of the CPOT scale are concerned a 3 is just as positive as an 8, and there is no functional difference between 0 through 2. So if a nurse evaluates a patient as CPOT 8, boluses them and reassess for a CPOT of 4, the patient is still in pain and needs more treatment, unlike the traditional number scale where we can document progress toward the pain goal.
I'm going to have to disagree with you, especially about a 3 being just as positive as an 8. CPOT is itself a scale that is used to determine severity of pain experienced by critically ill patients. The higher the number, aka the more domains impacted and greater the impact, the presumed greater the severity of pain.
