Beating my head against the wall - page 6

Ughh. Today MD writes an order ok'ing for a pt to smoke (we have facilities available.) Pt is on respiratory isolation. Infx control people say it's ok as long as we take appropriate precautions... Read More

  1. by   Enabled
    From what we were told by infection control was that the particulate mask the heavier ones are good for onlly 20 minutes tops. You would have to take a box with you as you know that given the opportunity that one is not going to be enough. If the patient needs that much assistance getting out of bed I would think and I am only assuming and I do know what that does she is already respieratorily compromised. I have found that someof the worst smokers are respiratory therapist. I know of several that I use to work with have died or now have advanced respiratory disease and now have chronic admissions. The patch, The patch. Most insurance companies are now paying for the patch. The only problem is that on discharge the patient has to be warned that if they do smoke with the patch on they are putting themself at rish for an MI as the studies have shown. I have seen too many people who never smoked fighting to take their next breath. Down with smoking. I am a former smoker of Tiparillos but 20 years ago and yes there are still times I would like to have one but it is too dangerous. I hate to admit I do like the smell of a good pipe, I only wish they could reproduce it so that someone doesn't have to light up..
  2. by   night owl
    What has medicine come to???? Respiratory isolation, but you can take her out of isolation so she can smoke as long as you take the necessary precautions and "clean up" afterwards. This doesn't even make sense to me. But I guess they know what they're talking about Does she wear a mask? Did infection control sit down and go over what exactly you have to do? And how do you clean up the room when she's finished? Use a can of lysol? Then you have to get the pt ready to go smoke...What would happen if another one of your pt's started to crash or code while you were out with her filling her already infected lungs with smoke? Fiasco! so much for necessary precautions! If you're in isolation, you're in isolation and it doesn't get any plainer than that. Risking the health of sick pts with lowered resistance to infection to me would be the first priority rather than her right to smoke...Then they wonder why nosocomial infections are the 4th leading cause of death in the USA of which 75% could have been prevented??? I wonder what "Jay-co" would say about this? If it were me, I wouldn't do it, no but's (pardon the pun) about it! Give her a patch, some gum and a straw to hold in her's a start to quitting...
  3. by   nrw350
    AMEN folks!!!!

  4. by   teeituptom
    Howdy yall
    from deep in the heart of texas

    I remember a few decades ago in nursing school, an Instructor. Who taught us not to be judgemental but to assess and intervene appropiately
  5. by   Pinkmegan
    This issue is very close to my heart. I am in the UK. The facility that I work in has a dedicated 'smoking room' which, as you can imagine, is not a pleasant environment!
    The majority of our clients can do nothing for themselves therefore facilitating smoking for them sometimes entails having to hold the cancer stick for them! I react badly to cigarette smoke, even in the street, it causes me dyspnoea and nausea. I refuse, point blank, to facilitate clients with smoking. I will, on occasion light one for people who have adapted smoking aids, but only when they are outside. As many others have mentioned we would no give a patient with diabetes sugar in their tea, we would not give a patient with high cholesterol a diet of bacon sandwiches so what is the difference!
    Also I advise staff working on my shifts that they do not have to this if it makes them in any way uncomfortable.
    If this violates human rights, so be it. Ash as been said before, 'with rights comes responsibilities'!
  6. by   ~Mi Vida Loca~RN
    Quote from Nurse Ratched

    Today MD writes an order ok'ing for a pt to smoke (we have facilities available.) Pt is on respiratory isolation. Infx control people say it's ok as long as we take appropriate precautions and keep other pt's out while she is there and clean the area afterward. Because of patient's physical condition (long story) it will take several staff members to ready her to smoke plus having to have one sit with her (in full isolation garb) plus cleaning out designated area afterward. I figured it would be a good 45 minutes invested in helping a patient smoke who is already extremely time consuming with her other medical needs.

    I refused to assist pt in this. MD left for day. Passed it on to next shift who can do on their shift as they see fit.

    Any thoughts?
    That would never fly in our facility. Doc would have them sign out AMA before they made us go through all that.
  7. by   xtxrn
    Thread started in 2002...
  8. by   ~Mi Vida Loca~RN
    I didn't even catch that. lol
  9. by   xtxrn
    Quote from ~Mi Vida Loca~RN
    I didn't even catch that. lol
    I was curious about the title