Intubated Pt's Using Bedside Comodes

  1. 0 Ok...a few days ago an ICU nurse, at my facility, stated that stable intubated patients on the Unit use bedside comodes. My first thought was you are joking, right?! No, she was serious! I don't pretend to be an ICU nurse or know the aspects of care that pertain to ICU nursing but in the ER I would NEVER place an intubated pt on a bedside comode for obvious reasons, they are not stable. Can any ICU nurses out there back up her statement? For some odd reason, I keep picturing an intubated patient on a bedside comode and find it HILARIOUS! I think I need to see this to believe it!!
    Last edit by EDrunnerRN on Mar 28, '11
  2. Visit  EDrunnerRN profile page

    About EDrunnerRN

    Joined Feb '11; Posts: 27; Likes: 65.

    35 Comments so far...

  3. Visit  ShaunES profile page
    0
    I've walked intubated patients around the unit with a transport ventilator, so no, using a bedside comode isn't that crazy an idea.

    Not every intubated is unstable, if you have the resources and time to do it safely, do it!

    (The procession for the walk was pretty funny, myself, two other nurses, two wardsmen, another wardsmen pushing an oxford recliner chair, and another with the oxygen)

    This is ICU mind you, down in emergency I wouldnt even dream of it
  4. Visit  blackandyellow profile page
    0
    I haven't seen it on our floor but then again we have had patients that will update their facebook statuses while intubated and text message. ShaunES- I have to admit I laughed a little at the thought of an intubated patient walking around on the unit with a parade of people following him/her. That must have been a little nerve wracking!
  5. Visit  GreyGull profile page
    0
    We have stable intubated patients sit in a bedside chair and ambulate around the unit. A bedside commode is also a possibility. Some try to manage their own ventilators and a few COPDers probably could do a better job.
  6. Visit  tablefor9 profile page
    3
    3 words: Ready for step-down!
    #1ME, CCRNDiva, and CrabbyPatty like this.
  7. Visit  Biffbradford profile page
    4
    Quote from tablefor9
    3 words: Ready for step-down!
    More like ready for a trach.
    CCRNDiva, CrabbyPatty, ckh23, and 1 other like this.
  8. Visit  GreyGull profile page
    3
    Some patients are on the vent because of COPD or asthma exacerbation and may need to do some moving. Others might have a pleural effusion that needs tapping and then waiting for re-expansion before pulling the tube. Some are delayed extubation because the need another surgery later that day or the next and it saves reintubation. If a patient can move, so much the better.

    I think one of the things extending length of stay on vents now dispite all the new technology is because of the technology. We have ventilator modes that do everything for spontaneous breathing trials and we are no longer walking vent patients in "bag and drag" fashion as we did in the 70s and early 80s. We have beds which also maneuver the patient with very little effort on their own. Even the old fashioned hands on CPT is a thing of the past. Patients are now coming off the vents and requiring extensive SNF stays with rehab to get moving again.
    mpccrn, JennyNurse2B, and NRSKarenRN like this.
  9. Visit  msmiranda21 profile page
    0
    A bed pan-most likely, but not bedside commode on a tubed patient!
  10. Visit  NtannRN profile page
    0
    I haven't gotten an intubated pt. Oob since I was an aide 18 yrs ago.i think if I suggested that now the other nurses would want me to get a psych consult! Lol. We have a10-14 day limit, then it's a trach and peg. Honestly,i don't think we have enough staff anyway to walk them. Lately, with all the different documentation we have to do, the unwillingness to pay overtime and working short staffed,i am thank full for my continual rotation bed that does crappy cpt.
  11. Visit  GreyGull profile page
    3
    Doesn't anybody even sit their intubated patients in chairs at the bedside? It could prevent the patient from needing a trach. A trach should not be the answer for laziness or using other excuses for not doing what you can to get a patient extubated. Complain all you want about your working conditions but it is the PATIENT who suffers. You still go home while the patient is connected to a ventilator waiting for PNA and a trach which may mean that is the end of their life as they knew it.
    NRSKarenRN, meagang, and Nccity2002 like this.
  12. Visit  Nccity2002 profile page
    0
    Quote from EDrunnerRN
    Ok...a few days ago an ICU nurse, at my facility, stated that stable intubated patients on the Unit use bedside comodes. My first thought was you are joking, right?! No, she was serious! I don't pretend to be an ICU nurse or know the aspects of care that pertain to ICU nursing but in the ER I would NEVER place an intubated pt on a bedside comode for obvious reasons, they are not stable. Can any ICU nurses out there back up her statement? For some odd reason, I keep picturing an intubated patient on a bedside comode and find it HILARIOUS! I think I need to see this to believe it!!
    Hi EDrunnerRN,

    It is uncommon, but yes, in my experience I had assisted ventilatated patients to a chair ; and in one or two occasions, to a bedside commode. As long as the patient is stable, it should not be a problem.
  13. Visit  miss arron profile page
    0
    The majority of intubated patients I've had would yank that tube out the second the restraint is loosened let alone if attempted to get them up to a bedside commode, or desat the second you lower the HOB or turn them.

    Theoretically speaking, if the patient is stable and cooperative I would consider a bedside commode - just haven't seen a situation where it would even be considered.
  14. Visit  NtannRN profile page
    0
    Grey gull, it's not laziness, I think ambulating an intubated pt has fallen out of favor, esp.when you dont even have the time to get yourself to the bathroom. From my stand point, we barely have the staff to get through the day, our cna's get pulled according to the# of pt's, not by the acuity. So when our pt population drops regardless if they're on something like hypothermic protocol, we have to reduce our staff, I cannot walk an intubated pt when theres only 2 of us for the floor.

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