Swan-Ganz Use - page 3

by TexRN08 5,706 Views | 21 Comments

I'm a brand new nurse and the hospital I did my clinicals in did not use these. I don't want to say they NEVER did, but the general consensus at that hospital was that current research does not support their use, therefore they... Read More


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    Quote from LifetimeLearner08
    I'm a brand new nurse and the hospital I did my clinicals in did not use these. I don't want to say they NEVER did, but the general consensus at that hospital was that current research does not support their use, therefore they were pretty much phased out (we didn't even keep the supplies for them in our equipment room). However the hospital I am at now uses them all the time, and many of the nurses are not happy about how often one of the docs here will just put them in everybody (including non-cardiac patients). So my question is how often (if ever) are they used at your facility and what sort guidelines are in place for their use? The docs at my old hospital seemed to do just fine without them, so it confuses me why the doc here is so into using them with all of the risks they pose. Also, in your personal opinions (especially those of you have been nurses for a long time and greater amount of experience using them) do you think that the benefits outweigh the risks??


    Well, my experience PA catheters are great for post thoracic surgery, CV, sepsis and Cardiogenic shock. The line usually blurrs after that! Physicians have to consider if the benefit outweighs the risk. Plus after about mostly 3 days those suckers stop wedging! CV removes them as soon as the pt is stable from OR. I am glad my cardiologists and pulmunologists donot push it with the blurred line! Any way to familiarize yourself with the use go to pacep.org and the risks CMS will definitely make you see the light! good luck
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    We only use them for post-op cardiothoracic surgical patients. Maybe if someone's seriously septic we might put one in. But we have orders NOT to wedge! Basically, with the heart patients, we use the swans to decide on a neo gtt vs dopa/nitro combo vs only fluids. It's a matter of preference for the MDs.


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