Do your lobectomies come straight from the PACU to your floor? Do they go to a regular floor, step-down, or ICU? How frequent are their vitals?
I work on a vascular-thoracic telemetry unit -- patients come straight from PACU. VS q1x4, q2x4, q4 -- very complex patients with chest tubes, epidurals, etc. -- but do quite well -- start them on incentive spirometers literally as they come to my floor. Get them on evening shift -- out of bed in the am -- usually need to have the chest tubes on suction, so get them OOB to chair & ambulate in room. Once chest x-ray shows no air leak, get MDs order to taken them off suction & ambulate them in hall.
The epi doesn't take care of the shoulder/muscular pain, so frequently start patients on Vioxx qd when they are taking po.
Length of stay depends on chest tube draining, lung expansion etc.
Thanks for your input.
Last edit by susanmary on May 18, '02