The facility I work at has an unwritten rule that Neo gtt's will not go through the RV port on a PAC (SGC). When someone "breaks" the rule the claws come out. I have asked 6 cardiologist, 2 CT surgeons, 1 APRN, 5 CCRNs, 1 intensivist, and the educator about literature to support this rule. Every MD/DO says it BS, the CCRN's agree, and the APRN looked like a stunned mullet. The educator, who is the rule proponent, says it has always been that way. Someone...anyone.....direct me to evidence based research that supports/rejects this notion. I have tested this theory with no adverse effects as there is no policy to support it and the RV port was the only one left.
FYI....I do not intend to gloat either way but my unit is antiquated in its approach to critical care nursing and will never get it until the boat is rocked.
Mar 6, '07
Thanks for the replies. To answer the question about the SOP on pressors.....there is no SOP. I believe the educator ( who is "educated" with a MSN) had a pulmonary vasospasm occur years ago and that has been her rule since she has been around for so long. I again asked her, after showing her this thread, and she still could not come up anything better than "that is the rule." I politely told her until it was approved by the multiple committees to have the "rule" made into the SOP I would continue to put the Neo in the available port. And then........her reply....." you are going to CRNA school, what do you care?"
I believe she should extinguish her lamp of knowledge and put it on the shelf.
Last edit by BAMACCRN on Mar 6, '07