Stable Vent Patients in LTC - page 2

by TheCommuter 6,573 Views | 19 Comments Senior Moderator

My workplace (an older nursing home) is thinking of admitting stable vent patients in order to raise the census and profits. When I lived in California, the subacute facilities would be full of these stable vents. However,... Read More


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    It stinks that graduation is so far away but if you absolutely have to stay in this job then you will just have to suck it up. I really hate where I work but I like you have to work those 16 hours weekend shifts to make ends meet and keep my health care. The past year has been stressful and exhausting but it's almost over in a few short weeks. If I did it you can too! What kept me halfway sane was realizing that I wasn't going to have to work in that hell hole for the rest of my working life.

    I don't like what your facility is trying to do but maybe it will work out. Sorry to say this but you can only do what is humanly possible for one nurse to do on a shift. If the outcomes are poor then the state will start to look at your facility and staffing ratios as well as that decision to not hire an RT will have to be re-evaluated. It sucks that facilities will take chances with people's lives but dollars always come first to administration.

    Quote from TheCommuter
    My graduation date is in March of 2010.
    TheCommuter likes this.
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    Surely a patient's family will look at some guidelines before allowing even a stable vent to be treated at a facillity without a RT http://www.ardsusa.org/inpatientrehab.htm If not, the facillity should be aware of the recommendations of organizations on vents patients. I am also assuming there are state and federal guidelines for LTC's with vent patients though may be assuming wrong. I would be concerned for my license depending on training and staff help however. There is a lot that can go wrong in this situation.
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    We have vent patients where I work at an LTAC, but we are still 5-1 and the nurses don't touch the vent settings AT ALL! We record numbers and hit 100% oxygen before doing inline suctioning. I don't know how they expect you to have vents without RT to check the settings and wean them off. Sounds crazy.
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    Commuter, how did it work out with the vent patients?
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    Quote from Tolle_lege
    We have vent patients where I work at an LTAC, but we are still 5-1 and the nurses don't touch the vent settings AT ALL! We record numbers and hit 100% oxygen before doing inline suctioning. I don't know how they expect you to have vents without RT to check the settings and wean them off. Sounds crazy.
    If they're on long term vent therapy no settings should be changed, they won't be weaned off. But that could be really tough with having to suction and do neb tx's on top of what you already do. Realistically though you only have a few more months and it could take them that long to get a vent patient.
    Oops didn't realize this was an older post.
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    to me this situation spells out trouble...i work for a ltc and i know how cheap they are...your turnover will increase and so will the lawsuits.....
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    Quote from txspadequeenrn
    to me this situation spells out trouble...i work for a ltc and i know how cheap they are...your turnover will increase and so will the lawsuits.....
    as well as the incidence of vap's (vent-acquired pneumonia) will escalate, i'm sure.

    i'm pretty confident staff would be inserviced...
    but i'd be leery w/o rt present.

    everything in life, is hunky dory, until something goes awry.
    then the proverbial poop hits the fan.
    i feel badly for these vent pts as well.

    commuter, just think of all that experience you're accumulating.

    leslie
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    And what, may I ask, do they plan to do in the event of a power failure? Are there backup generators? Are there going to be enough staff to bag the vent patients if there are no backup generators?

    This is just very wrong and very unsafe on more than one level.
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    Quote from Bronx_RN
    Commuter, how did it work out with the vent patients?
    The facility got into trouble with state surveyors, so management decided to abandon their plans of admitting patients on ventilators. I did have one alert vent patient, and thank goodness that he knew what to do when his alarms sounded off. Thank goodness that the power never went out.

    I resigned from this company nearly 7 months ago, and my stress level is lower.
    PostOpPrincess likes this.
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    Quote from Straydandelion
    Surely a patient's family will look at some guidelines before allowing even a stable vent to be treated at a facillity without a RT http://www.ardsusa.org/inpatientrehab.htm
    some families want the cheapest facility that they can get away with. I worry about this....


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