Medical-surgical nursing standard of care review
A medical-surgical nurse compares what the nurses did with what the standard of care and the unit's policies required, and documents each deviation with record citations. Med-surg cases frequently involve missed deterioration on busy floors.
What it costs
$1,250–3,600
Estimate for about 1,000 pages of records
How fast
2–3 weeks
Post a case in medical-surgical nursingFree to post · you pick the nurse and the price
What the medical-surgical nursing nurse checks
- Post-operative monitoring and failure to rescue
- Fall-risk assessment and prevention
- Pressure injury prevention
- Escalation of abnormal vital signs and labs
What the review examines
- Vital sign trends and early warning scores against the frequency ordered and unit policy
- Nursing assessments and reassessments after abnormal findings
- Each escalation: who was called, when, what was said and what was ordered
- Chain of command and rapid response activation criteria
- Opioid and sedation monitoring, including capnography and pulse oximetry
- Handoffs between shifts and transfers between units
- Staffing and assignment on the shifts in question
Proposals come from license-verified medical-surgical nursing nurses, with their fee and turnaround.
Post a caseRecords to request
- Vital sign flowsheets and monitor or telemetry data, with timestamps
- Nursing notes, including late entries and their audit trail
- Physician orders and call or page logs
- Rapid response and code records
- MAR, especially opioids and sedatives
- Facility policies on vital signs, escalation and rapid response
- Staffing records and assignment sheets
- Nursing notes and fall risk assessments
What you get
- Each potential deviation described, with the policy or practice it departs from
- The supporting chronology entries and source pages
- Severity and open questions, clearly separated from conclusions
- Findings tracked in the case workspace and exported with the chronology
Medical-surgical nursing consultant profiles
Post a redacted brief, compare proposals
Describe the case without names. License-verified nurses in the right specialty send proposals with their experience and rate. Records are shared only after you hire, in an encrypted workspace.
Need a physician for causation or a certificate of merit? Request one from the case. Already work with a nurse consultant? Bring them into the same workspace on a plan.