Neb treatments

[makes needs known]

We just had a pulmonary inservice. We have been told that we are to stay with the patient the whole time they are recieving their neb tx. Sorry no resp therapist. Just me giving meds to 20- to 40 pts. I always tell pt that neb will take 5-7 min depending. If they refuse to have the HOB up during tx it may take 20 min!!! The rational is that they would be dispensing there own med if I leave thier side, mind you this is a rehab floor and we are teaching these people to be as self sufficient as possible when they get home. Sounds like I'm going to have to teach that they have to do their neb tx when they are sitting up.

[CrazyGoonRN]

My LTC/Rehab facility recently had an inservice to prepare the nurses for the state inspection. They said that if state is watching you then you must stay in the room until the breathing tx is over. If not state will flag the facility for it. It is absurd!

[Vinniesguy]

Never heard of having to stay with a pt who's having a neb tx. That's mad! Who has time for that carry on? As for Dilantin an mo shouldn't really be charting extended release for a g-tube pt should they? Never come across that issue! Any g-tube pt I've looked after who is on dilantin has the liquid form...