Is albuterol tx for trache patients done at nighttime?

Hi, I'm a new RN at a SNF and I was checking on some medication charting for patients during the NOC shift and I see that a tracheostomy patient has an order for albuterol sulfate but that charting states that is is not being given at nighttime because patient is asleep. My question is that is albuterol sulfate via trach or nebulizer usually done during NOC shift or is this nurse in the wrong?

[YoutubeTheNP]

Read original order. Does it say albuterol neb q4h or does it say q4h while awake?? It can go either way. What does original order say.

[vanilla bean]

iubanit said:

My question is that is albuterol sulfate via trach or nebulizer usually done during NOC shift or is this nurse in the wrong?

What is "usually" done will vary by facility, practitioner, and patient needs. Like youtubetheNP said, you need to refer to the order for this particular patient.

Also, depending on whether or not the patient is on a trach collar or T-piece, it may be possible to give an aerosolized medication without disturbing a sleeping patient (if they are ordered to receive a medication around-the-clock).

[roser13, ASN, RN]

OP, what does the "DNP" after your name indicate? Your posts indicate that you are a new RN. I realize you could possibly have your MSN with no RN experience, but did not think a DNP without RN experience was possible.

[sallyrnrrt, ADN, RN]

Why would a DNP, also list CNA as credential........?

[YoutubeTheNP]

roser13 said:

OP, what does the "DNP" after your name indicate? Your posts indicate that you are a new RN. I realize you could possibly have your MSN with no RN experience, but did not think a DNP without RN experience was possible.

Roser, I'm happy to say I agree with you on this one!!

[meanmaryjean, DNP, RN]

OP: Your credentials do not match who you appear to be. How 'bout fixing that?

[TheCommuter, BSN, RN]

Albuterol and other nebulization treatments are often administered to patients with tracheostomies either every four hours while awake, or sometimes every six hours around the clock.

It seems as if a nurse at the SNF where you work simply does not want to awaken the patient to administer the breathing treatment.