What would you do in this situation?

Specialties Geriatric

Published

We have a G tube lady who throws up alot. She is prescribed Dramamine prn and I give it to her right after I take the floor because she gets hooked up to her feeding at 3pm, after having it off all day (they give her a lunch tray during the day). The order reads to give her the feeding all evening and night shift at 45 cc/hr. Last night at last bedcheck before I was scheduled to leave, she had a large amount of emesis. Since the feeder bottle was low and needed changing, I unhooked her and because the bed was a total mess, my aides gave her a shower. The night nurse coming on told me to just leave it off and he would change the bottle etc. after he took the floor. I was finishing up some charting and one of the aides asked me did I want to hook her feeding back up...and I was thinking, if someone's stomach was really full, enough to make them vomit, do I still hook the pump back up and continue feeding, or leave it off for like 30 min?

What would you do in this situation? (Btw, her order states "continuous feeding"; wish we could get an order to leave be after she vomits.)

I want to know because the aides told me it depends on the nurse; some nurses will leave it off for 30 min. after a big vomiting spell, and some keep it going.

Blessings, Michelle

The fact that all of these things have been addressed in her care plan validates your concern and confirms your nursing instincts. She is fortunate to have you as one of her nurses.

How frustrating to have to dig to the back of each section of the chart. I wish you success in learning the system.

You did a good job.

Specializes in LTC,Hospice/palliative care,acute care.
I have never heard of that rule- "No staff nurse (rn or lpn) can just pick up the phone and call a doc- we have to go through our supervisor."

Is this a written policy by you? Does the doc know?

QUOTE] The chief of staff wrote the policy-He does not have a very high opinion of women in general and he only tolerates the day shift because he works with us the most.He detests most of the other 2 shifts-I have heard him refer to many of my co-workers as "dumb" He just really hates to be bothered.And also this particular supervisor is very aware of the chain of command and her position in it if you get what I mean.How dare anyone "under" her have a thought.... Sadly we do have nurses that will call without getting a full set of vitals first-or call with new PT/INR's without the previous coumadin dosage and last lab result right in front of them. You know what they say about "one bad apple"

Specializes in Gerontology, Med surg, Home Health.

Having a supervisor assess a resident before you can call the doc does nothing to protect anyone's license. Again, we are responsible for our own actions or inactions. If the supervisor told you not to call the doc and you didn't and something happened to the resident, you wouldn't be protected. I worked in a place once where the nurses had to write their concerns in a notebook and I as the nurse manager would have to call the doc because he didn't like speaking to just anyone. He also, I was told, didn't like anyone to tell him what had to be signed. Little wonder the medicare certs went unsigned for months (PS..illegal to bill without those). It took a week but we set him straight. The days of those kind of docs should be long gone. Call the medical director and discuss it with him. And for goodness sake(and the sake of your patients) change that ridiculous policy of the sup. always having to decide if the doc gets called.

Specializes in Geriatrics.

This post is almost 2 years old

Specializes in Cardiac Care.

Actually, the thread is just over two WEEKS old, but even so, if relevant information is posted, the age of the thread is hardly important.

Specializes in Geriatrics.

oh my gosh- you are right, I am sorry... For some strange reason I thought it was march of 07 for the original posting.... tough day today.. to the OP and others- I am sorry:(

Specializes in Cardiac Care.
oh my gosh- you are right, I am sorry... For some strange reason I thought it was march of 07 for the original posting.... tough day today.. to the OP and others- I am sorry:(

No harm done.

I'm sorry you had a bad day. I hope tomorrow is better for you.

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