Quote from Whispera
Why does the patient try to remove the tube? Can the patient tell you? Maybe there's an underlying issue that can be dealt with!
I'm concerned about forcing a patient to have an NG tube. Commitment generally means the patient can be hospitalized against his or her will, but forcing particular treatments requires more than the commitment (at least it does in my state).
Crikey, I can't tell you how many times I've had patients who are restrained for trying to pull out NG/PEG/BiPap/IVs...
I've had totally demented patients who are on cardizem or amiodarone gtts for rate control, ones who have NG's due to ileus or SBO, ones who are on BiPap to try and keep from tubing them...when you can't reason with them, and they're a full code, what are you supposed to do? It's why there's rules stating that we can restrain when medically necessary.
Obviously, as soon as medically possible, other treatments should be pursued which don't require the restraints for compliance.
Also, we just had our blitz, and were told that we are no longer allowed to do trial releases...any time the restraints are off for longer than is necessary for ROM etc. we have to get a doc's order to reapply.