So I have one going. Boss comes by and says its going too fast.
I say...well how fast should it be going. She walks off and comes back with the printed very very official policy. it clearly sates that CBi should only run at a max of 50 ml per hour.
I roll my eyes and almost pass out. I ask her if she has thought about that math.
A bag of irrigant is 3000 ml.....
3000/50 = 60 yes? YES?
So I only have to change the bag every 60 hours? Silly me? I usually change them 2 or 4 times per shift....What have I been thinking.....
Get the uro docs to approve a protocol, which you will write. If all it says is, "Run to keep output light pink, increase if clots until cleared, notify prn for ... ," then you're covered for the right thing.
Always ask the doctor. We had a dumbass MICU Nurse place CBI to an IV pump and blew up the patients bladder with fluid that he was unable to expel...so he ended up in the OR with us. Bad bad scenario. If in doubt...always ask.
Bwahahahaha!!!! I'm wiping the tears from my eyes as I type. That's the funniest thing I've heard in a while. That policy is definitely not based on EBP. You may want to re-read that and make sure it says what you thought it did.
Always ask the doctor. We had a dumbass MICU Nurse place CBI to an IV pump and blew up the patients bladder with fluid that he was unable to expel...so he ended up in the OR with us. Bad bad scenario. If in doubt...always ask.
How is that even possible? The CBI tubing is way too big for an IV pump. Regardless, did it clot off or something, and that's why his bladder blew up? I'm just trying to figure out how something like that happens!
Always ask the doctor. We had a dumbass MICU Nurse place CBI to an IV pump and blew up the patients bladder with fluid that he was unable to expel...so he ended up in the OR with us. Bad bad scenario. If in doubt...always ask.
This is happened at least once at my work. They used regular IV tubing with a connector and yes, it clotted off. The patient died.
We used to have the order "wide open for the first 12 hours post op" coupled with the ever popular " accurate I&O" (as opposed to inaccurate I&O?). Your shift report would be 36,000 in and 36,350 out- SURE, I was able to measure that extra 350cc that accurately.
nurseprnRN, BSN, RN
1 Article; 5,116 Posts
Get the uro docs to approve a protocol, which you will write. If all it says is, "Run to keep output light pink, increase if clots until cleared, notify prn for ... ," then you're covered for the right thing.