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What would you do in this situation?



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Aug 18, 2009 12:52 PM

What would you do in this situation?

Updated Aug 18, 2009 at 01:43 PM by arelle68

What would YOU do if:

The day shift left you a chemstrip to do on a resident with no additional information other than to get it.
You are finally able to get chemstrip results at 2130. They show trace protein, and ++ leukocytes.
Resident has no pain or burning with urination. No incontinence. No frequency. No fever. No change in mental status.

How would you proceed?

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21 Comments
No. 1
from IMABSNRN
Old Aug 18, 2009, 01:18 PM

Default Re: What would you do in this situation?
Notify the doctor.
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No. 2
from NurseKitten
Old Aug 18, 2009, 01:21 PM

Default Re: What would you do in this situation?
2130 isn't too late to call the doc/extender on-call.

If for some reason you couldn't, and you felt like you wouldn't get in trouble for it, I'd watch them a little closer during the night and do a fresh culture to send out with the morning labs for a C&S.
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No. 3
from arelle68
Old Aug 18, 2009, 01:22 PM

Default Re: What would you do in this situation?
Originally Posted by IMABSNRN View Post
Notify the doctor.
Would you immediately call the on-call?
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No. 4
from TessaMae
Old Aug 18, 2009, 01:29 PM

Default Re: What would you do in this situation?
Did someone verbally tell you? If so, I would have said ok and why?
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No. 5
from NurseKitten
Old Aug 18, 2009, 01:34 PM

Default Re: What would you do in this situation?
I might call the nurse who told me to get the sample before I called the on-call, and ask him/her why they told me to get it.
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No. 6
from arelle68
Old Aug 18, 2009, 01:37 PM
Updated Aug 18, 2009 at 01:44 PM by arelle68

Default Re: What would you do in this situation?
Originally Posted by TessaMae View Post
Did someone verbally tell you? If so, I would have said ok and why?
They left it on the 24 hour report. It was hard to read. It said that it had been requested, but I couldn't tell who it had been requested by.
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No. 7
from arelle68
Old Aug 18, 2009, 01:42 PM

Default Re: What would you do in this situation?
Originally Posted by NurseKitten View Post
I might call the nurse who told me to get the sample before I called the on-call, and ask him/her why they told me to get it.
You would want to know about other symptoms the resident was having? Would the chemstrip itself be enough to make you call the on-call? Do you trust a chemstrip that much? I'm trying to find out if I should.
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No. 8
from NurseKitten
Old Aug 18, 2009, 01:45 PM

Default Re: What would you do in this situation?
Originally Posted by arelle68 View Post
You would want to know about other symptoms the resident was having? Would the chemstrip itself be enough to make you call the on-call? Do you trust a chemstrip that much? I'm trying to find out if I should.
My point exactly - what was going on that made them think the resident might need it??

Regardless, with the elderly and UTI's, you can't know about something like that, and sit on it, so I'd still call the on-call before it got too late, to report it.

They may just tell you to watch them closely that night and do the C&S in the am, but then it's on THEIR judgement and not yours.
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No. 9
from Not_A_Hat_Person
Old Aug 18, 2009, 06:01 PM

Default Re: What would you do in this situation?
I would contact the MD on call, ask why the chem strip was ordered, and pass on the results. Then I would document everything.
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