IV Fluid/IV Tubing

tablefor9, RN · Mar 28, 2011

Pyxis scanner...who knew the best pre-nursing job experience ever would be grocery checker?

tparks · Mar 28, 2011

Ours is included in the room rate. The fluids are billed through the pyxis.

dthfytr, ADN, LPN, RN, EMT-B, EMT-I · Mar 28, 2011

Heard a lot lately about an 80/20 rule. Accountants figured they get 80% of their charges from 20% of their supplies. Somehow they adjust so that rather than charge for every item in the hospital, they boost the charges and only charge for 20% of supplies. I don't claim to fully understand it, or claim that it's is totally fair. However, it deserves credit for being one of the rarest ideas in healthcare, a change in the way things are done that decreases the nursing workload instead of increasing it Very, very, rare indeed!

Calixan · Mar 28, 2011

We use a charge sheet, the nurses have to mark how many have been used. The sheet has at least 200 things on it from splinting, to iv start kits, b/p cuffs, iv fluids, etc. Everything not in the pyxis that we use in the ER is on that sheet. The nurses get in a rush and get lazy, they dont fill them out completely accurately but I guess it works. I usually mark a straight line through the boxes that have "o2, monitor, oximetry monitor and b/p cuff" since they are all in the same area basically and nearly every patient gets it.

GM2RN · Mar 28, 2011

I work in the ED. Fluids and tubing are charged for when pulled under the patient's name in the pyxis. The caveat is that we must have a start and stop time (or chart that it's still infusing when admitted to the floor) in the patient's chart in order to be reimbursed. The software we use forces us to document these times before the patient's chart can be dispoed and removed from the trackboard.

LegzRN · Mar 28, 2011

Fluid and IV tubing are some of the items in our omni cell. We select the pt then press the button under the item and they get charged for it.

Sarah010101 · Mar 28, 2011

just out of curiosity... how much does something like that cost, like a primary and secondary IV tubing set? (we dont scan or charge anything here for patients in canada)

mskate · Mar 28, 2011

we have a medication barcode scanning system, and when you hang new fluids, you scan it into the MAR, so it documents when you hung the new bag, carries the volume into your I&O, and it gets charged to their hospital account.

ObtundedRN, BSN, RN · Mar 28, 2011

Ours is included in the room rate. The fluids are billed through the pyxis.

This is how my hospital does things. Never had to "charge" a patient for supplies. Besides, IV tubing and fluids are probably the cheapest things in healthcare.

SCnurse2010 · Mar 28, 2011

Fluids are scanned in the room like any other med and charged through the eMAR. Tubing is scanned in the supply room under the patients room number.

shadowflightnurse · Mar 28, 2011

I have worked at several ED's and have done it just about every way posted above. I think the best was the Omni Celll (? sp) system. It was quick (you don't have to wait for individuial doors/drawers to open) and was easy to override (if the patient was emergent and wasn't in the system yet. I believe the ED at my current hospital has the supplies pulled from the documentation system.