Pay for Performance

susanmary · Jan 8, 2003

I've never heard of an RN taking out an epidural cathetar -- does this actually happen? In my facility, only an anesthesiologist removes the cathetar.

caregiver11 · Jan 8, 2003

Yes, we have an IV team that receives specialized training in removing these.

susanmary · Jan 9, 2003

Any other hospitals use RNs or IV teams to remove epidural cathers? Can't believe it's covered in the nurse practice act.

B.Wilhelm · Apr 27, 2003

The facility I used to work for had just started letting the RNs remove the epidural catheters on post op patients before I transferred to Surgery. The Anesthesiologists would come to the floor and explain what we needed to examine on D/Cing epidurals. Many of us were not comfortable in this practice, but we were pretty much told to do it. Still, many of us wouldn't.

B.Wilhelm · Apr 27, 2003

The facility I used to work for had just started letting the RNs remove the epidural catheters on post op patients before I transferred to Surgery. The Anesthesiologists would come to the floor and explain what we needed to examine on D/Cing epidurals. Many of us were not comfortable in this practice, but we were pretty much told to do it. Still, many of us wouldn't.

ceecel.dee, MSN, RN · Apr 28, 2003

I love the idea of pay for performance. Unfortunately, our nurses practice under a contract, and this allows for little "creativity" in financial rewards.

ceecel.dee, MSN, RN · Apr 28, 2003

I love the idea of pay for performance. Unfortunately, our nurses practice under a contract, and this allows for little "creativity" in financial rewards.

fergus51 · Apr 29, 2003

I took out epidural caths. We had to be certified to do it, just like with chest tube removal. At our hospital there were a bunch of things you had to get certified for at certain intervals. Like at 6 months you had to be able to do x, y and z. Since our pay went up with experience it had the same effect as rewarding us for more skills.

fergus51 · Apr 29, 2003

I took out epidural caths. We had to be certified to do it, just like with chest tube removal. At our hospital there were a bunch of things you had to get certified for at certain intervals. Like at 6 months you had to be able to do x, y and z. Since our pay went up with experience it had the same effect as rewarding us for more skills.