I work at a community hospital that does pretty significant procedures (VATS, Trachs, lung CA lobectomies, bariatric surgeries).
My question is...do the ICU docs in the hospitals you work at push for Trach/PEG insertions at an alarming rate? Our ICU patients (I work both in ICU and an ICU step-down unit) are given approximately 12 days on the endotracheal vent and then the families are coerced into placing a trach and 85% of the time a PEG within the following week.
It happens so frequently that the nurses have started to call it the "Trach/PEG Special"
Just really curious about other hospitals, thanks!