Traveling in hospital with the patient

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    Any tips on how to make traveling to CT scan/IR/Nuclear Medicine within the hospital with an ICU patient who's vented and on all sorts of gtts? I have been a nurse for 1 yr, and have been on nights. I am switching to day shift and I am having some major anxiety thinking about traveling with these patients....
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    If they are vented, hopefully RT is traveling with you. I'd bring someone else, too (charge nurse, tech, another RN) for moral support and managing the bed, pumps, etc. Take a phone with you so you can call someone if you need to - and know the numbers you might need to call - there's no cheat sheets of numbers pinned to the walls of the hallway. Disconnect whatever isn't vital - tube feedings, maintenance fluid, etc. Call the department you are traveling to before you pack up and head out so you don't end up waiting because they weren't ready for you or they had a Stat order come up. Always speak up if you think your patient is too unstable to transport - the risk of travel must be worth the benefit of having the test/procedure done.

    In situations that make me nervous, I play the game "What's the worst that could happen?" and then think through what the best options would be before they happen. Say the patient codes in the elevator or hallway - how do you call a code in this situation? Where is the nearest code cart? What is going to be your first action/drug for the most common arrhythmias - the start of the code is going to be all you!! Or say the IV pole gets too far away from the patient and your central line for whatever reason isn't stitched gets pulled (true story), and your patient is on pressors!! Does the patient have other access? How fast can you get an IV in? I'm sure you (or others) can come up with some other nightmare scenarios from road trips.

    I find comfort and confidence in being prepared for the worst. My advice is to think through the 'worst' when you have a clear mind and you should feel prepared for whatever should happen!!
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    at our hospital you have rt for vented pts, a nurse, and a pct that is trained in cpr. the pt gets a travel kit with all emergency meds, airway kit with ambu bag and et tube, and then of course the pumps. the pt is transported with a monitor for art line, sats, and all. we have vocera so any help can come very quickly.

    picu pts always have established ivs or lines
    in 2 locations
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    Can someone mentor me .I want to work to a hospital and specialize in ccu or cvicu.I need tips where to apply and what are the things are needed.Im from Dagupan city.
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    Gracied , so if i have to travel my patient to like cat scan, vented, a lot of drips, how much oxygen do i need to bring, and what are the precautions in order to prevent catasthropy in moving highly critical patient .
  8. 0
    Quote from anon456
    at our hospital you have rt for vented pts, a nurse, and a pct that is trained in cpr. the pt gets a travel kit with all emergency meds, airway kit with ambu bag and et tube, and then of course the pumps. the pt is transported with a monitor for art line, sats, and all. we have vocera so any help can come very quickly.

    picu pts always have established ivs or lines
    in 2 locations
    do you need to bring defibrillator too just in case and drugs.
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    If your patient is ventilated hopefully RT is going with you so you don't need to worry about oxygen. And if the patient is so unstable that you think you need to bring the defibrillator, then you seriously need to consider if your patient is stable enough to be wheeling around the hospital for tests.
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    There is no time I would ever NOT bring a defibillator with any of my patient, especially one that is vented. I think the poster "graciD" covered everything. If the pt is vented, RT has to come come along for the ride, and usually that is enough.

    There are times that the pt is so unstable that I insisted the MD comes with us, but that is VERY RARE. If I have to ask, they probably are too unstable for travel & shouldn't be going.

    And just one more thing --- if you have been working in an ICU for 1 year, you need to be more confident! Trust in yourself and your ability manage your patient! Apparently other's believe in you or they would not assign you that patient.
    Zombi RN likes this.
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    Best tip: BECOME FRIENDS WITH YOUR RT and others you work with! Get people to help you and you will be okay! I think gracieD covered all the best bases.
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    good suggestion from gracie. unhook whatever isn't essential. I don't get vented pt's but do transport constantly on days wiith, cardiac gtt, alines, bipap, get RT, get an aide, always bring the defibrillator, atropine,lido,epi,flushes. Make sure all iv/triple lumen access is working before you leave the unit. if needed call PA to assist you or another RN. we get pt in elevator feet first just in case they code. always speak up. you'll get used to transporting soon enough


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