Quote from LisaJanae
I know this is not done very often...but does it require an MD's order?
New Grad Lisa
In a fresh MI, cardiac patients... for me, yes.... 13 plus years in, I won't go to the netherlands without consulting with the MD, there are too many pharmacologic options to NOTstimulate a vagus response. Our facility has no specific policy for or against. I was taught, that anytime you puncture or enter an orafice it requires an order. Now sure we drop a ton of lines and foleys, ng's and what not in an ICU setting with out calling... it comes with knowing our docs and writing a "call" order.
A regular older person without "new" cardiac issues... my peers do it all the time and don't even document it, just ask for stool softens in the am. You'll decide as you go how you practice. Everyone has a different comfort level as long as it doesn't violate policy.
For me, it isn't prudent without one, policys can't cover every instance. Should bradycardia occur, I couldn't say I didn't know better. Again, many, many nurses do without any problems.