Quote from ontherock
Sorry guys, I don't know how to start a thread. I am very new to LTC as a LPN. Can anyone answer me, do I need an actual order to take out a saline lock left in by an out of home service company? The actual order for IV medication was completed a couple days prior?
Yes, you need an order to DC an IV, even if the patient arrived without an order FOR an IV, or even if the patient arrived with no documentation that the IV even existed. Don't risk it. (Unless, there's a policy or standing order that says 'DC all IV's that are not ordered on admit', or something, anything, to back you up). But- it's possible that an IV may be ordered right after admit, like the next day, if so- might want to get IV maintenance orders, to prevent it from being ignored/get infected, or to prevent removing an IV that might have to be replaced the next day? Things to think though, is all. It's often a hassle, and a lot of paperwork, etc. to get an IV inserted in a nursing home. Also, chances are good that the IV is already expired and clotted off, anyway- who knows when it was inserted?