jennrn01

no it is not a doctor's order.

Bill - no this is not an order it is what the RN wants for this full code patient. However the family (the Pt is nonverbal d/t brain damage) wants the Pt to have rescue breathes(via trach) and CPR. Canoehead - Pulomonlogist wants 24hr oximetry with alarm, according to this Pt's RN the doc did not give any parameters - which I find hard to believe as I have known and worked with this doc for many years. systoly - Pt used to receive suctioning every am when living at home now has order to only suction PRN. Pt is adequately hydrated with feeding tube. We do not have RT on staff so you were correct when you stated that humidification was set upon delivery.

if the government was so good at providing health care why is medicaid and medicare such a mess????? This has nothing to do with Dems vs Reps, it's the government as a whole! I am proud to be American but this is going to cost us America! We already owe everyone and their brother and this is going to make it that much worse.

Recently the LTC I work at admitted a person with a trach. Pt is on RA with humidity, is a FULL code. This PT has a diagnosis of recurrent respiratory distress and seizures. According to the care plan written by the RN the patient is not to be AMBU bagged until breathing stops or PT's o2 sat drops below 60. The RN does not feel 24hr Oximetry is necessary however there is no other way to ensure PT is stable because PT is checked on only every 30minutes at most. This is very concerning to the other RNs who work for this agency d/t on call duties. Not only that but what is the liability side of this situation and could there be criminal charges made if the PT should die?

I agree wait the 48 to 72 hrs....and do not itch it, rub it or anything else that could irritate it.