Are you doing this at work?

[vivasmom]

A thread about rural nursing got me thinking......are you doing this at your work?

Giving nebs

Drawing own labs

Starting your own iv's

Running own blood gasses

Cleaning own rooms

Walking pt to radiology, CT etc

Testing urine

Mixing meds

All caths, ng insertions, trach suctioning

???

[Mommy&RN, BSN, RN]

giving nebs no

drawing own labs central lines yes, peripheral sticks, no

starting your own iv's sometimes

running own blood gasses no

cleaning own rooms no

walking pt to radiology, ct etc sometimes

testing urine no

mixing meds no

all caths, ng insertions, trach suctioning yes

i work in a larger hospital, so that probably contributed to my answers,

???

[vivasmom]

Wow, I must be getting hosed!!! I do all of that and I work at a big level 1 Trauma Center. No wonder I'm so tired and stressed:confused:

[LoveMyBugs, BSN, CNA, RN]

giving nebs yes

drawing own labs no

starting your own iv's sometomes

running own blood gasses no

cleaning own rooms no

walking pt to radiology, ct etc [color=lime]no

testing urine [color=lime]some poc/ketones

mixing meds [color=lime]no

all caths, ng insertions, trach suctioning [color=lime]yes

mine may be different as i work in peds ltc, the hosptial lab next door draws our labs and we manage ivs if needed, but the come back from the main hosptial with them

sorry just noiticed this was under emergency nursing

[martymoose, BSN, RN]

Giving nebs yes

Drawing own labs when there is no tech.

Starting your own iv's yes . 2 pokes and a fail then iv service can be called ,but sometimes there is no iv service on

Running own blood gasses no

Cleaning own rooms - monly if made to

Walking pt to radiology, CT etc yes, esp if on tele

Testing urine- no just obtaining it

Mixing meds depends

All caths, ng insertions- not usually, trach suctioning yes

[AKav8trix]

giving nebs: yes

drawing own labs: yes, and run them most of the time, too

starting your own iv's: yes

running own blood gasses: i would if we did them here (hopefully soon!)

cleaning own rooms: yes

walking pt to radiology, ct etc: yes, and some of the nurses here are certified to take the xrays, we don't have a rad tech

testing urine: yes--ua, uds, hcg

mixing meds: yes

all caths, ng insertions, trach suctioning: yes

i do work in a very rural facility that's not big enough to be called a hospital, but we do provide emergency care and/or overnight observation if the person doesn't need to be medevac'd to the city. ancillary services we have not the nurses pretty much do it all. :)

[Double-Helix, BSN, RN]

Giving nebs: No, but when I worked on an adult respiratory floor in Maine we did.

Drawing own labs: Yes- central lines, arterial lines and peripheral sticks.

Starting your own iv's: Yes.

Running own blood gasses: Yes. We use iStat machines.

Cleaning own rooms: No, we have a housekeeping staff.

Walking pt to radiology, CT etc: Yes. All our PICU patients must be accompanied by a nurse anywhere in the hospital. We do have transporters for the adult floors.

Testing urine: Yes, for some things. Hcg, glucose and protein on our new diabetics, and if we need a quick UTI eval.

Mixing meds: No. Everything comes from pharmacy.

All caths, ng insertions, trach suctioning: Yes, all of them.

[vanburbian]

I work in a very urban ER, and I do all of that except run my own ABG's, but we do draw our own ABG's and give nebs if RT otherwise busy, which they often are.

We dip the urine as a POCT 1st, and HCG, and if abnormal, then send to lab for confirmation and culturing.

We mix a lot of meds, but we are very lucky to have a pharmacist in our ER for 12 hours a day, so when she is there she does it.

We rely on her a lot to do mix the stuff like TPA, integrillin, etc. but we do other stuff, and we do those ourselves on night shift or if she is out.

We clean our own rooms except in the case of a room needing a terminal clean, then housekeeping does it, but they will also do it when they are there and see the room empty if we don't get to it first.

We only have one tech in ER and they are generally tied up babysitting psych pt.'s, so we transport to CT/MRI, or xray. We go if it's anything like r/o stroke/cardiac etc. as they require RN monitoring, also we transport to floor.

[vivasmom]

I work in a very urban ER, and I do all of that except run my own ABG's, but we do draw our own ABG's and give nebs if RT otherwise busy, which they often are.

We dip the urine as a POCT 1st, and HCG, and if abnormal, then send to lab for confirmation and culturing.

We mix a lot of meds, but we are very lucky to have a pharmacist in our ER for 12 hours a day, so when she is there she does it.

We rely on her a lot to do mix the stuff like TPA, integrillin, etc. but we do other stuff, and we do those ourselves on night shift or if she is out.

We clean our own rooms except in the case of a room needing a terminal clean, then housekeeping does it, but they will also do it when they are there and see the room empty if we don't get to it first.

We only have one tech in ER and they are generally tied up babysitting psych pt.'s, so we transport to CT/MRI, or xray. We go if it's anything like r/o stroke/cardiac etc. as they require RN monitoring, also we transport to floor.

Ok, now that is sounding more like my job. I forgot to add, we do the EKG's too:D

We are supposed to "walk" our patients everywhere. From triage to the ED, to radiology, CT to checkout on the way out. Not just the sick ones, the ambulatory ones too.

[DroogieRN]

giving nebs i have.

drawing own labs often, and then deliver them.

starting your own iv's always.

running own blood gasses no.

cleaning own rooms no but lots of emptying of trash and we do have to wipe down med carts.

walking pt to radiology, ct etc occasionally

testing urine no.

mixing meds at night with no pharmacy i mix my own drips.

all caths, ng insertions, trach suctioning yes.

[emmanewgrad]

Ok, now that is sounding more like my job. I forgot to add, we do the EKG's too:D

We are supposed to "walk" our patients everywhere. From triage to the ED, to radiology, CT to checkout on the way out. Not just the sick ones, the ambulatory ones too.

I hope the pay is gratifying.

[Dazglue, ADN, BSN, MSN, RN]

Giving nebs: No, done by respirartory.

Drawing own labs: Yes

Starting your own iv's: Yes

Running own blood gasses: No, done by respiratory

Cleaning own rooms: To a certain extent; housekeeping can't clean up vomit, blood, urine, any kind of fluid until after the nurse has cleaned it up and santized...really? yep

Walking pt to radiology, CT etc; No, unless it's a critical pt and a RN has to go.

Testing urine: No, lab does it after we collect...straight-cath only/no clean catch

Mixing meds: No done by pharmacy.

All caths, ng insertions, trach suctioning: Yes