Oct 27, 201114 yr A thread about rural nursing got me thinking......are you doing this at your work?Giving nebsDrawing own labsStarting your own iv'sRunning own blood gassesCleaning own roomsWalking pt to radiology, CT etcTesting urineMixing medsAll caths, ng insertions, trach suctioning???
Oct 27, 201114 yr giving nebs nodrawing own labs central lines yes, peripheral sticks, nostarting your own iv's sometimesrunning own blood gasses nocleaning own rooms nowalking pt to radiology, ct etc sometimestesting urine nomixing meds noall caths, ng insertions, trach suctioning yesi work in a larger hospital, so that probably contributed to my answers,???
Oct 27, 201114 yr Author Wow, I must be getting hosed!!! I do all of that and I work at a big level 1 Trauma Center. No wonder I'm so tired and stressed:confused:
Oct 27, 201114 yr giving nebs yesdrawing own labs nostarting your own iv's sometomesrunning own blood gasses nocleaning own rooms nowalking pt to radiology, ct etc [color=lime]notesting urine [color=lime]some poc/ketonesmixing meds [color=lime]noall caths, ng insertions, trach suctioning [color=lime]yesmine may be different as i work in peds ltc, the hosptial lab next door draws our labs and we manage ivs if needed, but the come back from the main hosptial with themsorry just noiticed this was under emergency nursing
Oct 27, 201114 yr Giving nebs yesDrawing own labs when there is no tech.Starting your own iv's yes . 2 pokes and a fail then iv service can be called ,but sometimes there is no iv service on Running own blood gasses noCleaning own rooms - monly if made toWalking pt to radiology, CT etc yes, esp if on teleTesting urine- no just obtaining itMixing meds dependsAll caths, ng insertions- not usually, trach suctioning yes
Oct 27, 201114 yr giving nebs: yesdrawing own labs: yes, and run them most of the time, toostarting your own iv's: yesrunning own blood gasses: i would if we did them here (hopefully soon!)cleaning own rooms: yeswalking pt to radiology, ct etc: yes, and some of the nurses here are certified to take the xrays, we don't have a rad techtesting urine: yes--ua, uds, hcgmixing meds: yesall caths, ng insertions, trach suctioning: yesi do work in a very rural facility that's not big enough to be called a hospital, but we do provide emergency care and/or overnight observation if the person doesn't need to be medevac'd to the city. ancillary services we have not the nurses pretty much do it all. :)
Oct 27, 201114 yr Giving nebs: No, but when I worked on an adult respiratory floor in Maine we did. Drawing own labs: Yes- central lines, arterial lines and peripheral sticks. Starting your own iv's: Yes. Running own blood gasses: Yes. We use iStat machines. Cleaning own rooms: No, we have a housekeeping staff. Walking pt to radiology, CT etc: Yes. All our PICU patients must be accompanied by a nurse anywhere in the hospital. We do have transporters for the adult floors.Testing urine: Yes, for some things. Hcg, glucose and protein on our new diabetics, and if we need a quick UTI eval. Mixing meds: No. Everything comes from pharmacy. All caths, ng insertions, trach suctioning: Yes, all of them.
Oct 27, 201114 yr I work in a very urban ER, and I do all of that except run my own ABG's, but we do draw our own ABG's and give nebs if RT otherwise busy, which they often are.We dip the urine as a POCT 1st, and HCG, and if abnormal, then send to lab for confirmation and culturing.We mix a lot of meds, but we are very lucky to have a pharmacist in our ER for 12 hours a day, so when she is there she does it. We rely on her a lot to do mix the stuff like TPA, integrillin, etc. but we do other stuff, and we do those ourselves on night shift or if she is out.We clean our own rooms except in the case of a room needing a terminal clean, then housekeeping does it, but they will also do it when they are there and see the room empty if we don't get to it first.We only have one tech in ER and they are generally tied up babysitting psych pt.'s, so we transport to CT/MRI, or xray. We go if it's anything like r/o stroke/cardiac etc. as they require RN monitoring, also we transport to floor.
Oct 27, 201114 yr Author I work in a very urban ER, and I do all of that except run my own ABG's, but we do draw our own ABG's and give nebs if RT otherwise busy, which they often are.We dip the urine as a POCT 1st, and HCG, and if abnormal, then send to lab for confirmation and culturing.We mix a lot of meds, but we are very lucky to have a pharmacist in our ER for 12 hours a day, so when she is there she does it. We rely on her a lot to do mix the stuff like TPA, integrillin, etc. but we do other stuff, and we do those ourselves on night shift or if she is out.We clean our own rooms except in the case of a room needing a terminal clean, then housekeeping does it, but they will also do it when they are there and see the room empty if we don't get to it first.We only have one tech in ER and they are generally tied up babysitting psych pt.'s, so we transport to CT/MRI, or xray. We go if it's anything like r/o stroke/cardiac etc. as they require RN monitoring, also we transport to floor.Ok, now that is sounding more like my job. I forgot to add, we do the EKG's too:DWe are supposed to "walk" our patients everywhere. From triage to the ED, to radiology, CT to checkout on the way out. Not just the sick ones, the ambulatory ones too.
Oct 27, 201114 yr giving nebs i have.drawing own labs often, and then deliver them.starting your own iv's always.running own blood gasses no.cleaning own rooms no but lots of emptying of trash and we do have to wipe down med carts.walking pt to radiology, ct etc occasionallytesting urine no.mixing meds at night with no pharmacy i mix my own drips.all caths, ng insertions, trach suctioning yes.
Oct 27, 201114 yr Ok, now that is sounding more like my job. I forgot to add, we do the EKG's too:DWe are supposed to "walk" our patients everywhere. From triage to the ED, to radiology, CT to checkout on the way out. Not just the sick ones, the ambulatory ones too.I hope the pay is gratifying.
Oct 27, 201114 yr Giving nebs: No, done by respirartory.Drawing own labs: YesStarting your own iv's: YesRunning own blood gasses: No, done by respiratoryCleaning own rooms: To a certain extent; housekeeping can't clean up vomit, blood, urine, any kind of fluid until after the nurse has cleaned it up and santized...really? yepWalking pt to radiology, CT etc; No, unless it's a critical pt and a RN has to go.Testing urine: No, lab does it after we collect...straight-cath only/no clean catchMixing meds: No done by pharmacy.All caths, ng insertions, trach suctioning: Yes
Oct 27, 201114 yr Giving nebs - mostly, for holds, respiratory will sometime do the nebs.Drawing own labs - yep, unless no iv being started or "There will be no phlebotomy in the ER" is announcedStarting your own iv's - yepRunning own blood gasses - nope, done by respiratoryCleaning own rooms - sometimes, depends on how much needs to be done.Walking pt to radiology, CT etc - if I'm going with them to a test, they're not walking to it......Testing urine - nopeMixing meds - no longer, all meds now mixed by pharmacy. "I need that cardizem drip NOW!"All caths, ng insertions, trach suctioning - yep
A thread about rural nursing got me thinking......are you doing this at your work?
Giving nebs
Drawing own labs
Starting your own iv's
Running own blood gasses
Cleaning own rooms
Walking pt to radiology, CT etc
Testing urine
Mixing meds
All caths, ng insertions, trach suctioning
???