This is a discussion on Stress Testing in Cardiac Nursing, part of Nursing Specialties ... Hi all, I am employeed at a small hospital that has a nuclear stress lab, where I have worked for...
by Teenutter LPN
Mar 26, '11
Hi all, I am employeed at a small hospital that has a nuclear stress lab, where I have worked for the last three years. Last summer I had to train a RN to take my place in the stress lab so that when I started the nursing program in Jan there would be some one there to do my job.
Now since I have been in the RN program the hospital administration has decided to make a few changes to our stress lab. 1 the Dr will not have to be present for the test but only be 100 feet away and "easily obtained" 2. RN with ACLS will be present for the test along with Nuc/Med tech 3 there will be standing order for all the what ifs??? I have been asked to help ensure the what ifs are covered, 4 no dobutamine stress test will be performed with out dr present and the Lexascan stress is questionable at the moment if he has to be present (or I may have misunderstood).
My question is this safe practice, walking nuc stress test with only a RN with ACLS and Nuc Med tech present (ofcourse we would have a crash cart). I know there are occasions that the test is changed from walking to chemical because patients heart rate doesnt increase to the 85 - 90% of max. I am told that if that happens then patient will be rescheduled so the dr can be present for the chemical but that it may not be necessary with lexascan......
I am wondering about the risk that the nurse performing these exams is taking and if there are any guidelines I can refer to?????
Thank you for any help anyone can give
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