snowstamper

I am currently working on my Senior Capstone Project. I am focusing on lack of criteria/ protocol for when to pull PICC access. Current practice at my facility and from my research is to either pull access "when it is no longer needed" or at discharge. I am working to theoretically implement a protocol that would the nurse could follow that would facilitate initiating communication with primary care providers to remove access. This is what I have come up with and I was hoping to receive some feedback. Thank you. P- Patient Status I- Intravenous Antibiotics C- Concluded PN/TPN C- Clearance for Discharge Patient Status is assessing whether the patient is currently stable or unstable Intravenous Antibiotics is if the patient is currently receiving more than one IV antibiotic Concluded PN/TPN is that the patient is either on a PO diet or a PEG tube is in place Clearance for Discharge is if the patient is scheduled to be discharged in 48 hours or less If the patient is Stable, receiving no more than one IV antibiotic, is on a PO or tube feed protocol, and is scheduled for discharge in less than 48 hours, then the nurse could contact the physician and inquire about PICC removal. What do you guys think? Thank you!

I thought you couldn't use a medical diagnoses for a nursing diadnoses... that would make it much easier...lol. Thank you.

I have an elderly patient that has been recently diagnosised with anorexia. I am trying to write a nursing diagnosis for her and am having a hard time with the related to part. Here what I have come up with so far: Disturbed body image r/t psychosocial adjustment AEB pt stating,"I am too fat" and previous refusal to eat. It just doesn't sound right to me. Any help that you could provide would be greatly appreciated. Winter LPN Student Graduate June 2011