lucy8686
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Hello! so for a patient with UTI symptoms, who provides a microscopic UA. What on the UA indicates a + UTI? Or warrants needing a culture and sensitivity? It seems some Dr. will start antibiotics based on symptoms right away, then get a UA and culture, while others get a UA and then wait for a reflex culture to come back before initiating treatment. I’m just confused on the diagnosis and treatment. I work on an inpatient psych unit and when patients are admitted they are ordered a microscopic UA but then I feel like it’s the nurses responsibility to call the house Dr. if the UA indicated a UTI. I feel like whenever anything is off on the UA and the patient c/o burning, I am calling and half the time they treat and half the time they say there is no infection based on the UA
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If a psych patient is trying the doors, attempting to leave and isn’t responding to redirection and hospital police have to come and physically remove them from the area while they flail and and try to push past staff Tao get to the door, would you consider this “imminent risk” and consider an IM injection?
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If a pt complains of bladder pain with a Foley catheter they have had a few days (and I know it could be bladder spasms but just to troubleshoot..)...my thoughts are to bladder scan and make sure the catheter is draining urine and that the urine is normal and not clotty or bloody then if that’s OK check the cc’s in the balloon to make sure it’s not lost any fluid and is asymmetrical and causing discomfort from that and refill the balloon to the fill cc’s recommended by the manufacturer ...if the balloon is OK then maybe reposition tubing to the other leg and make sure catheter is secured. Anything else you’d do or not do?
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At my last facility, if a patient ended up in 4 point restraints for violent behaviors, we would release one arm and opposite leg to “trial” how the patient responded before removing all restraints. At this new facility, it says if you go from 4 limbs restrained down to 2 limbs restrained, you need a new order. How is it done where you are?