kanashe

i work in mostly an outpatient area. it's always the same group of physicians that do the procedures. my question is, do you need an separate order to obtain a surgical consent if you already have an order for the procedure. for example, the patient comes in with an order for a "right lung biopsy". do i need an order stating obtain consent for "biopsy of right lung" by "dr. smith". or does the order for the procedure suffice? i can certainly understand if the procedure was a hyst why you would need a separate order, because the surgery could involve taking out or leaving in the ovaries and other organs. but just for a straight forward procedure, i 'm unsure of why a separate order would be needed. thanks as always for all of your expert input. beth

If Spread the legs a little bit;It helps keep the urine in the pan and not shoot up in the air or over the rolls.

:redbeathe A patient had just finished a MRI of the knee. She felt a little dizzy after the test. A MRI support associate brought her to the nurses station for an evaulation. My co-worker took her blood pressure with an automatic machine. It was 180/100, P-76. Dizziness had resolved, and she felt fine. No history of hypertension. She had been to the doctors several times in the past month and had her B/P taken with no mention of hypertension. She rested for about 20 mins and her pressure was retaken. She still felt fine. This time it was 150/110. My co-worker called me over to convince this patient to go the ER for treatment. I couldn't. I told the patient that the descision was up to her. I strongly suggested she follow up with her primary doctor and gave her some tips on diet and exercise. I did not feel this pressure was worthy of an ER visit. My co-worker was obviously perturbed with me. She told the woman she could drop dead with a stroke at any moment with a pressure that high. Then she escorted the woman to triage where they told her to take a seat out side. Any comments on this? Should I have been a little more aggresive in coaxing the woman to ER? Thanks

Is there anyway a patient can shower with a permacath?