FLArn 7,633 Views
Joined Jan 6, '02.
Posts: 532 (62% Liked)
Once placed by the MD and verified by X-ray, a g tube shouldn't migrate and verification of placement by auscultation would be sufficient for general purposes. However if the balloon ruptures or as in the OP the stoma enlarges through leakage of stomach contents (which IMHO requires eval by the MD -- but that's a separate issue for another day) and the g tube comes out replacement would require verification via X-ray to be sure of proper placement.
The Hardest part of the LTC med pass for me always was running to the supply closet when I found the empty bottle of test strips, ... then to replace the tylenol bottle with 1 tab in it, etc., etc......:selfbonk:
The only reason the hamburger was "forbidden" was because she was in a LTC facility. Had she been at home with hospice or in a hospice residential unit she could have had a hamburger or any other food item she desired.So sad that is not the case with all hospice patients regardless of setting.
As long as the meds are in sealed labeled packets and you finish the rest of the safety checks at the time you give the meds , I wouldn't consider this a true "pre-pour" situation.
As a longtime night shift nurse, I am So insulted by your post that I can barely type this reply. YOUR attitude in that post is the biggest reason for the between shift fighting. I am so busy on my shift I barely have time to toilet and eat while I chart. In addition to the patient care my shift is also responsible for calibrating the blood glucose machine, chart checking the day's new orders, maintaining the crash cart, writing nurse's notes on the patients that days and evenings didn't get to do (sometimes half or better of their assigned charting) preparing the MAR's and TAR's for the next month, reordering patients meds, lab draws, preparing the paperwork for the day's MD appointments if any patients are going out to appointments and the paperwork for any dischrges that are pending. Before any day or evening people flame me , I wish to acknowledge that all shifts are busy in their own way. But to state that night shift nurse's are lazy and SLEEP on their shift is beyond rude and insulting!:angryfire
Thank you for your article. When so often we are told that we should never shed tears, I agree that in certain settings and in certain situations, tears are an expression of caring and emotional support for the family. When a patient I have taken care of for a long time dies and I am the one who attends the death if the tears come, they come. This is esp. true of my pediatric hospice patients. Thank you for reinforcing that we can be effective nurses and human at the same time.
I must respectfully disagree with a portion of your post. While I can completely understand being emotionally spent having tried so hard to keep a patient alive and having difficulty dealing with having lost that patient, that does NOT EVER make disrespecting a body in the ways described by the original poster ok, EVER! If one is so stressed one can't treat the person (and they still are a person) properly then one need to trade tasks with another nurse or put on our big girl panties and provide the care that the person deserves. Just my
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