Shower with IVRegister Today!
- by Grasshopper11 Oct 24, '11I had a patient with a Heparin drip running. She wanted to take a shower. Is it ok for her to shower with the Heparin still infusing if it is completely covered in plastic?
- Oct 24, '11 by Rob72Without knowing all the ins and outs, I'm going to say no. I ASS-U-ME this is a stroke pt(tho' perhaps not...), in which case they are already a fall risk; add risk for traumatic subdural bleed r/fall while on hep, not to mention the fall risk r/tubing while in a shower...mmmm, no.
Lots of variables, but I would not w/o a clear "up-ad-lib" and clearance by PT/OT on ADLs.
- Oct 24, '11 by Grasshopper11Pt is not a fall risk or stroke pt.
- Oct 24, '11 by ChristineNI have never let someone shower with a running IV. Why not just let the pt wash up in the bathroom, and she can shower once the Heparin gtt is dc'ed? Unless there is some major hygiene issue/body odor going on I don't really see a need to attempt a shower with something running.
- Oct 27, '11 by tokmomSure why not? Its not fair for the pt to feel dirty just because its a pain in the butt for you and there is no risk to the pt. Showers can do amazing things for people. Naturally the nurse should stay with the person.
I have showered many pts with infusing IVs as long as they were stable.
- Nov 2, '11 by BluegrassRNI'm not sure I understand why it wouldn't be okay for someone to shower simply because they have an IV. We place a small washcloth over the IV, wrap it in plastic, and tape the plastic in place. I just ask the pt to call me immediately afterwards, so we can get the tape off and make sure the site didn't get wet.
- Nov 2, '11 by turnforthenurseRNI have never had a patient shower with a running IV. Saline locked, sure, but not with something going. Even though the patient is not originally a fall risk or a stroke patient, they could still fall....things happen. I wouldn't put the heparin on hold either because of the heparin protocols...you might have to start over on it or something.
- Nov 2, '11 by MunoRNWhere I work we frequently put patients on heparin drips (and tele) in the shower. If a patient is being bridged to coumadin with a heparin drip, they can easily be on the drip for 3 days or more. Even prisoners have the right to a shower every other day, I'm not sure why patients shouldn't have the same basic human rights as a prisoner.
Obviously you would follow the same rules you would with any patient regardless of whether or not they have a drip running in terms of fall risk and safety, but having a drip running does not in itself mean it's not safe for them to shower.
- Nov 3, '11 by elthiaWe shower pt's on heparin gtts all the time. Especially if they are going for open heart surgery, then they get two pre-surgical showers with chlorihexidine soap, in addition to bactriban to the nares BID. It is part of the protocol we follow at my facility. It helps prevent postop surgical infections.
All you have to do is cover the IV site carefully, keep the pump and pole outside the shower curtain, provide the pt with a shower chair in case they need to sit, if they are on oxygen provide extension, and provide any assistance the pt may need.
- Nov 3, '11 by JustEnuff2BDangerousOnly issues here with showering are the IV site getting wet and the potential for the patient to fall (you could be in a world of hurt if the patient on heparin falls and hits their head!). As long as you safeguard against these two things (wrap the IV site up well with saran wrap, use a shower chair, and have someone stay very close by to watch the patient as he/she gets in and out of the shower), there's not reason why the patient shouldn't be able to shower.