The correct way to send a patient out to the hospital...
- 0Jan 5, '11 by lvnnars1just for clarification. regarding LTC facilities. ok, lets say you have a patient having SOB you check the O2 sat. and it's 84% you give 2 liters of o2 via NC and it's about 86% now, pt. is a code, patient is a&o X3 how would you go about sending this patient out? would you first get an order from the MD first to send the patient out, or do you use your nursing judgement and send out patient then call the doctor after the ambulance picks him up? do you call 911 at all? curious to see your answers.Last edit by lvnnars1 on Jan 7, '11
- 1Jan 5, '11 by rkitty198I am assuming this is homehealth? I recieve patients many times via ambulance called by their homehealth provider.
With the oxygenation issues you described I would think that would be an emergency and what is a doc going to do about it over the phone? You cant drive the client in yourself, so the next thing is to call 911.
- 0Jan 5, '11 by NurseInTexas12Are you talking about a clinic setting or LTC? Using common sense to save a patient's life does not require an order. If you have a patient who is having shortness of breath and O2 sats in the 80s in an outpatient setting, you need to address any immediate patient needs and call 911 right away. Of course you'd want to notify the doctor as soon as possible so he could come assist you, but your first responsibility the safety of the patient.
- 5Jan 5, '11 by Crux1024Increase O2, nebs? Telling them to take a few deep breaths. All should be done before calling 911 i would think. But of course use your judgement.
Also, I would imagine calling 911 depends on your facilities individual policy. You should know it if youre working there.
- 2Jan 5, '11 by Nascar nurse, ASN, RNI initially thought LTC.
If patient is in obvious distress & looks to be circling the drain...911 first!
If resident is somewhat OK despite O2 SAT, I may try to contact MD once. If I can't get ahold of them within a short amount of time, they're going out anyways.
- 0Jan 5, '11 by ObtundedRNQuote from lvnnars1A "non siren ambulance" is called a "Non Emergency Transport" or what we always referred to as a NET call (when I worked EMS. A NET transport would be for non emergencies. Typically scheduled pick ups for appointments or scheduled procedures.im talking about LTC..
also what type of situations do you use a "non siren ambulance" (not 911)?
And I agree with previous posters. Try a little more than 2 liters of O2. That's only about 28% FiO2, and room air is about 21%. 2 liters isn't much. And try any PRN nebs, tell them to cough and take deep breaths, etc. If still no improvements, then definetly call 911.