Lining and labing in the waiting room

  1. 0 Does anyone else start care paths and line and lab patients in the waiting room?
    It is becoming an increasing concern over the legal aspect for the nurses at the hospital where I work?
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  3. Visit  melimaras profile page

    About melimaras

    Joined Feb '12; Posts: 1.

    20 Comments so far...

  4. Visit  mybrowneyedgirl profile page
    3
    Wow. Never heard of that. It would make me nervous to do that. Our drug seekers would love to obtain permanent access to their veins and then run out the door before being seen by a doctor.
    bjaeram, Lovely_RN, and DixieRedHead like this.
  5. Visit  Esme12 profile page
    0
    Yes it's done, and obviously your candidate for doing so is chosen very carefully. What is the legal concern?
  6. Visit  GleeGum profile page
    3
    labs sure, but no lines! i'm a traveler and haven't seen PIVs in the waiting room.
    Zookeeper3, boyfactory, and JSJones,RN like this.
  7. Visit  Anna Flaxis profile page
    2
    We will draw labs, obtain EKGs, and order peripheral (not core) x-rays while the person waits in the lobby, if the wait is going to be more than an hour.
    boyfactory and JSJones,RN like this.
  8. Visit  nurse2033 profile page
    1
    Quote from ~*Stargazer*~
    We will draw labs, obtain EKGs, and order peripheral (not core) x-rays while the person waits in the lobby, if the wait is going to be more than an hour.
    Same here, but no lines.
    Zookeeper3 likes this.
  9. Visit  rnjlin profile page
    0
    Quote from melimaras
    Does anyone else start care paths and line and lab patients in the waiting room?
    It is becoming an increasing concern over the legal aspect for the nurses at the hospital where I work?
    This is common practice where I work and I love it. It makes it easier to treat patients faster. I feel it also increases pt safety as results are known faster. We even give medications in the waiting room.
  10. Visit  thelema13 profile page
    0
    Labs are routine, but if the triage nurse places a line, they wait in the sub-waiting room and are getting a bed assignment pretty fast.
  11. Visit  tiddleywink profile page
    0
    At my ED we start lines and medicate frequently in the triage/waiting room. Especially N/V/D patients, a little zofran and a liter of fluids hung on the wheelchair, and back to the waiting room! Anyone that is medicated with a narcotic is places very close to the triage nurse/nurses. Then, when a room is ready, their labs are back and the first time they are seen by MD, there is a plan of care initiated.
  12. Visit  VICEDRN profile page
    0
    Quote from melimaras
    Does anyone else start care paths and line and lab patients in the waiting room?
    It is becoming an increasing concern over the legal aspect for the nurses at the hospital where I work?
    In niether of the facilities I have worked at are we allowed to line patients in the waiting room. If we lined them, they wait in a sub waiting area. Otherwise, they have labs drawn and EKGs/radiology completed while they wait.
  13. Visit  canoehead profile page
    0
    I've put a saline lock in at the same time I've drawn the labs, but on people that were really too sick to think of leaving. Definitely drawn labs in triage, but it causes such a roadblock if the triages back up, I'm not free to do a draw, and the lab takes 10 minutes to answer a page. Still working out the logistics.
  14. Visit  KeeperMom profile page
    0
    Quote from tiddleywink
    At my ED we start lines and medicate frequently in the triage/waiting room. Especially N/V/D patients, a little zofran and a liter of fluids hung on the wheelchair, and back to the waiting room! Anyone that is medicated with a narcotic is places very close to the triage nurse/nurses. Then, when a room is ready, their labs are back and the first time they are seen by MD, there is a plan of care initiated.
    That sounds dangerous to me.

    How can y'all give meds w/o the pt seeing the MD? It sounds like a lawsuit waiting to happen.
    Besides, what incentive does the pt have to actually STAY if they know they can come in, c/o of N/V or whatever, get morphine and zofran or whatever?

    We do not start IVs in my ER because every IV drug user would come in for their "free port" and leave.
    We do stick with a butterfly for labs and will often get an xray for what appears to be a simple r/o fracture or whatever.
  15. Visit  psu_213 profile page
    0
    I have heard of our ER drawing labs on waiting room pt's. I really don't think lining them a such a good idea--to put an IV in them and then have them in a place where they could so easily slip away (then again, it could be argued that even if you line them in a tx room, they can still leave).

    In my mind, if they are so sick they need an IV/fluids/other meds that badly, then they will be brought back from the waiting room to at least a hallway.


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