Quote from leslie :-D
your managers are 100% wrong.
if a pt decannulates, you replace it- period.
if a new one isn't on hand, you use the one that expelled.
either way, never use the obturator.
oh gawd, no.
Thank you, thank you, thank you, for re-inforcing what I already knew. A little more information was forthcoming today, very little of it good.
Currently this pt. is at a psych unit, and I told my manger if she expected me to work with her once she came back, that all proper equipment would be in place in her room or I would 1. refuse to work as charge RN, and 2. Refuse to work with that pt. I used the word "liablity", which is usually something management seems to understand.
I brought in the training packet I had for my home care job, showed them the obturator (still in her room) and asked for an explanation on how this was supposed to help maintain an airway (as a solid object). I got a puzzled look and was told that the last time she decannulated, she was sent down the street to the hospital and this is what they sent back to manage the airway.
I asked her if it was possible they sent the obturator so that we, at our facility, could re-insert the trach itself, since the nurse who sent her in didn't have a clue how to re-insert the trach? It appeared that small (but dim) light bulb came on over this manager's head. She said she would bring it up at the morning meeting (management meeting)...
I just don't know why the heck we are taking pts. that 1/2 the nurses and none of the managers know how to care for.