I tried posting this before but there was a lot of confusion. Ill be more detailed this time. I am a new nurse work on a rehabilitation unit and we do not see many tracheostomies. Our doctor has written an order for the tracheostomie tube to be discontinued. None of the nurses on the floor including me do not want to remove it ourselves but the doctor who is here m-f 9-5 keeps insisting we remove it ourselves. I think that it might be beyond our scope of practice. Is it within a nurses scope of practice to discontinue a tracheostomie tube.
GRUNGE replied to CapeCodMermaid's topic in Geriatric
for the family it would hurt worse to have her die and not feel like they did everything they could than to have her suffer the therapy. when it comes to familys enough is never enough no matter if they have lived 200 years.
if he is having that much trouble he really needs a PEG tube. if the family refuses the tube there is not much we can do. he would more than likel do well with bolus feedings. it would be a lot of work but it would be better and cheaper than having to constantly treat for pneumonia.
Dont feel bad. You can definatly call a code if the pt has a pulse. Remember, its better to call a code and be wrong and a little humilated than not call a code and have the pt die and lose your licnce
As long as is does not have any patient information on it, it should not be a problem. However i find paper and pencil to work best. I just make a check list of all that needs to be done and check as i go.