Stable Vent Patients in LTC - page 2

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... Read More

  1. by   Lovely_RN
    Commuter, how did it work out with the vent patients?
  2. by   Up2nogood RN
    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.
  3. by   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.....
  4. by   leslie :-D
    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
  5. by   AngelfireRN
    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.
  6. by   TheCommuter
    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.
  7. by   MedSurgeMess
    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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