jbresolin

Ahn- I found a patient in a geri-chair in the hallway with a tube feeding pulled up int her nose and noisy lungs. She had aspirated feeding. I got help to get her back to bed and suctioned her airway. She continued in respiratory distress and I called her doctor. The patient was a no code blue patient. I did not call a code and the doctor was upset when she arrived because the patient was getting worse. We eventually did code her and I asked why. The physician explained that because she had aspirated the tube feeding we should try to correct that. The patient was elderly with multiple problems and a poor prognosis. There is probably some liability for nosocomial problems regardless of code status.

application of o2 is supplementing room air but bagging is resuscitating. You are than breathing for the patient. I would not bag the patient unless supplenemtal to suctioning. If there is aspirate it is routine airway management to clear airway. That is different from breathing for them.

I just returned from the St. Capitol in Sacramento Cal. where labor leaders were going to meet with the governor to persuade him to sign prop 394 the "safe staffing" bill. Fill out ADO's and lobby for change, the only effective way to regulate the buisness people is with legislation at a state level. Nurses are working in a profit-driven industry. It is up to us to care and caring starts with yourself. 394 passed the state senate today.