Are you doing this at work?

giving nebs....sometimes, but rt usually

drawing own labs...yes most with iv start and if techs are busy or mia

starting your own iv's....always, and draw labs at this time.

running own blood gasses...no rt

cleaning own rooms...most of the time

walking pt to radiology, ct etc...critical only

testing urine....no

mixing meds...yes, no pharmacy after 2100

all caths, ng insertions, trach suctioning...not many trachs, but yes, and ekg's if rt is tied up.

all of our icu admits rn must transport

Giving nebs: yes unless it's a vented pt

Drawing own labs: only when starting an IV

Starting your own iv's: yes

Running own blood gasses: no, RT does

Cleaning own rooms: yes we all pitch in since we usually have one tech

Walking pt to radiology, CT etc: yes

Testing urine: no, goes right to lab

Mixing meds: some, we're trying to get away from that and many of our meds are premixed now

All caths, ng insertions, trach suctioning: yes

Urban Level 2 Trauma Center:

Giving nebs No, RT does this.

Drawing own labs Frequently, but can be delegated to a Tech or occasionally a phlebotomist.

Starting your own iv's Frequently, can delegate to a Tech if too busy.

Running own blood gasses Draw my own ABGs, Lab runs them.

Cleaning own rooms This is a task assigned to the Techs, but I often do it because they are busy too. We also have volunteers who help out with this (also, if the room looks like a tornado hit, with dirty instruments, overflowing garbage, full urinals or post Mayo enema BSCs, and all kinds of nastiness, I try really hard not to leave it for the Tech/volunteer).

Walking pt to radiology, CT etc If the patient is critical, on a vasoactive drip, or no Techs are available.

Testing urine I dip it, if anything is positive, I send it to lab.

Mixing meds Depends on the med; some meds can only be mixed by pharmacy or the CN; mixing meds is one of our competencies.

All caths, ng insertions, trach suctioning I do my own caths and NGs, but RT handles advanced airway suctioning.

I, too, work in a level 1trauma center. The answer to all the questions except giving nebs is "yes". I work in a 35 bed recovery room. If we don't want to wait forever for lab, housekeeping, escort, iv team, or pharmacy, we do it ourselves.

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

???

Yes

Yes

Yes

No

Sometimes

Yes

Yes

Sometimes

Yes

We have respiratory and medics but it frequently works out where they are busy with another patient when you need them.

a thread about rural nursing got me thinking......are you doing this at your work?

giving nebs- nope, respiratory does

drawing own labs- yes (techs can also)

starting your own iv's- yes (techs can also)

running own blood gasses- no, respiratory

cleaning own rooms- yes, sometimes

walking pt to radiology, ct etc- yes, sometimes

testing urine- we collect and send to lab...

mixing meds- some, most pharmacy does

all caths, ng insertions, trach suctioning- we do caths (techs can too), we do all ng's, and we sometimes do trach suctioning, but so does respiratory

???

love how easy it is to keep skills up, also makes you an iv pro

Giving nebs Sometimes

Drawing own labs Sometimes

Starting your own iv's Always. Who else would do that for me?

Running own blood gasses Never unless it's vbg

Cleaning own rooms Sometimes

Walking pt to radiology, CT etc Sometimes

Testing urine Huh? Like with dipsticks? Never. We don't stock them.

Mixing meds Sometimes

All caths, ng insertions, trach suctioning Always - who else would do it?