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
0Dec 14, '09 by Up2nogood RNQuote from Tolle_legeIf 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.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.
Oops didn't realize this was an older post.
0Dec 14, '09 by txspadequeenRN, BSN, RNto 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.....
0Dec 14, '09 by leslie :-DQuote from txspadequeenrnas well as the incidence of vap's (vent-acquired pneumonia) will escalate, i'm sure.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.....
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.
0Dec 14, '09 by AngelfireRN, APRNAnd 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.
1Dec 14, '09 by TheCommuter, BSN, RN Senior ModeratorQuote from Bronx_RNThe 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.Commuter, how did it work out with the vent patients?
I resigned from this company nearly 7 months ago, and my stress level is lower.
0Dec 14, '09 by MedSurgeMess