Good day fellow nurses! I just got off work and had a long shift (orange juice splashed all over me by a combative and arrgumentative patient) as well as a fall and a long med pass!
Some background on me: I have been an LPN for 2 1/2 years and just recieved my RN (asn). I have 2 years full time expierence at my current job - LTC as well as 3 summers of sleep away camp nursing.
Today as I was preparing to start a tube feed on a non-verbal pt I discovered his peg dislogded with the ballon deflated. Not a big deal- happens every once in a while. What I normally do is clean the site apply a dressing and send them to the ER for peg replacement. Well my supervisor instead put a foley cath in the stoma to.keep it patent while he is in the ER waiting room. I thought this odd and vant imagine his stoma closing by the time he was seen. His original peg would not stay in place. He came back from the ER WITH THE SAME FOLEY IN HIS STOMACH like really did anyone even examine him?? How could you not tell the diff between a peg tube and a foley?? His paperwork saif peg conformation and that he had an xray. Well he came back at 11pm. New supervisor on shift said to not send him back he has been there all night with no feed and is prob starving. She said to start the feed. I had a feeling in the pit of my stomache that this was wrong to give a feed through a foley. I voiced my concern and she the supervisor said it was ok for the night. I check placement and patency. In the Am My unit manager Was FURIOUS she said it was not my fault but the supervisors. I feel horrible! Pt was not harmed. Any thoughts?
