Recently I was given an order to TPA and the later to Talc (pleuradese) a double chest tube. I declined as this falls outside my experience. While I have assisted with the procedure and taken care of the patient following the procedure, I had never physically injected the meds.
Is this something that falls inside of a staff nurse's scope of care?
Mar 10, '05
by NRSKarenRN, BSN, RN
not within the scope of practice in pa to instill anything into chest tubes. assisted the docs many times when worked pulmonary unit. talc worked well >95 %, better than antibiotic. turning side to side every 15 min, even to prone if can tolerate helps to distribute talc and promte internal scaring to seal lung.
chemical pleurodesis links:
Last edit by NRSKarenRN on Mar 10, '05