An OR nurse wanted to write up a unit nurse because the informed consent, signed by the MD and the patient had abbreviations that were written by the MD. Is it the witnessing RN's responsibility to inform the MD what and what he cannot write on hi...
Have you ever set a JP drain to wall suction- low intermittent? If so how? One nurse cut to plug off the JP bulb system, placed a connector where the plug was and set up tubing to wall suction. My concern when the physician d/c'd wall suction then t...
Thanks so much for your help! When you place the tubing where the bulb stopper is and set it to wall suction do you compress the JP bulb like you would normally or leave the bulb inflated while set to wall suction?
I've never seen it either......... MD order--- actually PACU reported 5 cc output prior to transfer & on unit hourly measured and reported at 30 cc.... then shift change.
I actually had an order yesterday, rectal tube with LIS! I used the Flexi-Seal and set up suction to the irrigation port. The MD wanted to decompress all of the abdominal gas. I was quite nervous, as I didn't want to damage the mucosal lining, nor...
Yesterday, at 1400 went to change TF and plan flush/residual check. Tube would do neither. Tried the Coke, ordered a PEG brush from central, repositioned patient. Nothing worked- Charge RN came in worked with the PEG- nothing. Called the MD- he could...
Thanks & glad to know our hospital runs 24/7 and has thus far been very accommodating to our patient's needs, no matter how big or small. A PICC RN was great about coming to the unit at 5pm on a Friday for a difficult IV stick and even off...
Great adivce above- I wear gloves when I open the package-- a few patients have mentioned they appreciate it, as they have seen others touch their pills & don't forget your patient education- the drug name, is this a home medication for you,what ...
Checked in and MD actually cut about 2 1/2 inches off tubing- he still can't explain why we could get a brush through, place H20 to a certain point, see no residue, etc, could not aspirate but hey it worked and so far saved having to undergo surgery!...
I simply state, " I will not jeopardzie my nursing licensure by providing care that I feel and know is substandard for the patient's care and safety" and walk away. I have also used, "The patient is the MD's patient and he was the right to make any d...
Thanks- tried that- the fluid would go about 2 inches into the tubing- so placed Coke for 20 minutes- the brush would go to the bumper and of course I did not go any further. At one point when the Charge RN was trying- about 2 inches closest to the s...
I write down everything!! But here are some others for you! MTPMedSurg (1).doc 1 patient Float.doc 5 Pt. Shift.doc FinalGraduateShiftReport.doc horshiftsheet.doc
One RN suggested, if pre-op meds are not given then just tell them in report the patient has questions, document the consent has not been witnessed, tell them in report the consent has not been witnessed b/c the patient has questions, and put the res...
On average, what amount of drainage is cause for alarm over an hour time frame for a new post-op? I know to monitor the patient + BP, fluid intake, foley output, however no one could give me an idea as to what amount I need to keep in mind and could ...
Hi all and thanks for the info in advance. For IVP, do you prefer to dilute the N/S to admin or do you flush, push meds, flush? Are they any meds you would not be able to dilute with N/S to admin? And my coach told me if I need to give Ativan,IVP, I ...