It's just a ******* straight cath!!!

**Hoosier_RN, MSN** · Feb 10, 2016

I've never heard of a hep drip in LTC, much less AL. What state is this? Those usually require pretty close monitoring

blondy2061h, MSN, RN · Feb 10, 2016

I've never heard of a hep drip in LTC, much less AL. What state is this? Those usually require pretty close monitoring

I've never heard of IV access if AL, unless it was a PICC that was for long term antibiotics being completely managed by a visiting nurse.

%D#2 · Feb 10, 2016

Home care and urgent care nurses won't come out to do caths according to previous experiences so it was the regional nursing director who told us we could do it.. If I go in today and she still has not been treated im going to send her out or request that MD put her on antibiotics

%D#2 · Feb 10, 2016

And since we are both sub acute and AL all this stuff gets confusing. I can do one thing on one side of the building but can't do it on the other side. Yet regional director is saying to do one thing and co workers are saying no. I'm looking for jobs in SNF right now.

djh123 · Feb 10, 2016

Wow. That day shift nurse Is. Making. A. Molehill. Out. Of. Nothing. Besides the fact that as others have pointed out, you were just trying to do your job!

**Hoosier_RN, MSN** · Feb 10, 2016

Home care and urgent care nurses won't come out to do caths according to previous experiences so it was the regional nursing director who told us we could do it.. If I go in today and she still has not been treated im going to send her out or request that MD put her on antibiotics

That's your best bet. Hope she comes out OK

**Hoosier_RN, MSN** · Feb 10, 2016

Wow. That day shift nurse Is. Making. A. Molehill. Out. Of. Nothing. Besides the fact that as others have pointed out, you were just trying to do your job!

Maybe not. If you do something that is out of scope for your facility, it can lose its license, and the nurse can lose theirs. That said, they could refuse to cath if that is the issue, but to ignore and not seek treatment is reprehensible. That is an issue!

%D#2 · Feb 10, 2016

Maybe not. If you do something that is out of scope for your facility, it can lose its license, and the nurse can lose theirs. That said, they could refuse to cath if that is the issue, but to ignore and not seek treatment is reprehensible. That is an issue!

Idk my director is still saying I should have cathed her but I sent her out. This is the biggest issue. I was off for three days cause I work 4 ten hour shifts.. I come back and she has a 101 fever. Sent her out im not playing these games anymore with who's right who's wrong and who should I listen to lol

jadelpn, LPN, EMT-B · Feb 10, 2016

Home care and urgent care nurses won't come out to do caths according to previous experiences so it was the regional nursing director who told us we could do it.. If I go in today and she still has not been treated im going to send her out or request that MD put her on antibiotics

Hopefully, this resident got to a higher level of care. And the family is not fumed over the fact that it has been a considerable number of days.

And if you send a referral and VNA declines, it is on them--and your record of prudent nursing judgment and no delay in care. Families love this stuff! Not. And you would then have the only other viable immediate option. The local Urgent Care.

And the regional nurse director can come in and do/ sign off on a straight cath if she is saying it is within your scope in AL. The regulations are crystal clear, and leave nothing to interpretation in my case.

Because when it comes to liability, I guarantee you the farm and all the animals that this regional director would deny that any such thing was said.

And there should be no confusion. What is done in sub acute for sub acute patients is far, far different than what is done for residents in AL.

%D#2 · Feb 10, 2016

Hopefully, this resident got to a higher level of care. And the family is not fumed over the fact that it has been a considerable number of days.
And if you send a referral and VNA declines, it is on them--and your record of prudent nursing judgment and no delay in care. Families love this stuff! Not. And you would then have the only other viable immediate option. The local Urgent Care.
And the regional nurse director can come in and do/ sign off on a straight cath if she is saying it is within your scope in AL. The regulations are crystal clear, and leave nothing to interpretation in my case.
Because when it comes to liability, I guarantee you the farm and all the animals that this regional director would deny that any such thing was said.
And there should be no confusion. What is done in sub acute for sub acute patients is far, far different than what is done for residents in AL.

Yeah I sent her to ER cause no one else was doing anything.. It is confusing and especially being a new nurse.. When everyone I work with and for, is saying all different things.

**Hoosier_RN, MSN** · Feb 10, 2016

Yeah I sent her to ER cause no one else was doing anything.. It is confusing and especially being a new nurse.. When everyone I work with and for, is saying all different things.

Learn your regs and learn them quickly. An administrative person will hang you out to dry in a heartbeat.