get the patient up in a cardiac chair

[labman]

Would you feel comfortable with this situation.

In the teaching hospital I work at there is a resident who insists that his patients get up in a cardiac chair (we have chair mode in the beds which can halt a person in a chair position)

-# 1 situation- Person post op day 2 from a basilar tip aneurism who is on a Nimbex/ cis. coma on PRVC with a ventric Otherwise regular IV fluids running no pressors no cooling issues. Bad idea because I feel she would just slide out especially with no muscle tone.

- #2 situation This patient had an aneurism rupture. Went for 5 days in a row with verapamil treatments, Keep SBP 160-180 on levophed to maintain the BP. Thiopental turned off two days ago and he still has thio in his system and stiff like a board. Pt has an uncontrolled high temp which he has a coolguard in place, scheduled tylenol, scheduled demerol to prevent shivering, and is sanwiched in cooling blanket (temp is still 38.0), has a ventric, has small bore feeding tube and is mechanically vented. I personally think there would be a line that would be pulled and it isn't a good idea.

-So what do you think of this situation?? Would you do it because I flat out refused.. Not out of laziness but because of patient saftey.

[nrsang97, BSN, RN]

Is this resident crazy? How did he think they would stay in the chair? I would never move a paralyzed pt out of bed to chair. I don't care who ordered it.

The second pt is also not stable enough to go up to the chair.

I am sorry but I am not understanding why the resident is so hellbent on getting these people out of bed right now. Especially someone paralyzed or in vasospasam.

I would have done the same and completely refused too. Glad you did.

[labman]

I was thinking of the paralyzed pt sending him a text page saying pt slid out of chair because they are paralyzed:lol2: or something smart like that. The other one sending a text page to see if he could assist us with line management and lifting this guy into a chair.