msmiranda21

Sorry about your loss...losing someone dear to your heart is never easy. Just sorry as well that the little angel will never get to be with his mom.

Lacking more information to answer your question....

A bed pan-most likely, but not bedside commode on a tubed patient!

yeah, just clarify the order with the md next time.

I don't do finger prick to patients with art lines/cvc. Trying to avoid more pain related therapies to patients when I can.

In UK and Australia - if a patient is on inotropes then being hemodynamically unstable they need central line/s. We never run inotropes on peripheral lines unless at beginning of care where there isn't-then central lines are inserted. One lumen should be dedicated to these meds.

If your patient is on extubatable parameters...then sedation break applies to see how the patient is neuro wise.

Ther is no immediate need for a bronch if patient's airway is not obstructed and shows good oxygenation thru sats probe. Anyways, if that food particle has gone down the wrong way - the patient will continously cough/be irritated by this foreign body!

You can mark the cm. no where the ETT should stay in the mouth/edge of lip with a sleek/tape and tie the tube with ribbon like cloth tape where the mark is and tie it around the patient's head. One end longer than the other. The longer tape is goin' to pass his upper lip and put sleek about 1 inch on pt's cheek bone area-pull white tape over sleek and put another 1 inch sleek tape over the first one, pull the white tape around pt's upper ear w/tape all way round his head pass down the lower side of the other ear and connect and tie it with the other end on that side of pts face(use double knot) and leave 2 finger breaths. Don't forget to put another 1 inch sleek on pts skin where you will do the double knot then cover it with the same. Then you can cut the rest of the tape that dangles. In my unit, only 2 self extubation last year---those patients are the psyche ones.

The patient could actually be both on 5% Dextrose and half strength saline...if the doctor wanted to.

Next time dear...you can tell that nurse to ask the doctor who made the order if she is not satisfied with your answer.

I don't know what type of ABG machine you are refferring to but in my workplace i can decide to do hourly or even half hourly check pf blood gas if i reckon it is necessary(to check oxygenation-O2 and Co2 levels, electrolytes and even creatinine levels). If your doctors asked for it to be done hourly then he should have a good reason why it is being done. And as the nurse responsible for the patient, if you don't understand why you would have to do ABG check q hour-asked your doctors or your senior staff to explain as to why you have to do these test q hourly. A critical patient may need this type of monitoring in order to act quickly on changes that happens to your patient.

Congratulations on your job! It is but normal to have this anxiety of yours...I am sure your seniors at work will gladly help you out.

is there no agency of gov't where you can refer your friend in your country? co'z here in oz we have some numbers we can ring for that sort of poroblem if we see it.

do we really have a need for policies or studies for this? i mean-common sense should be applied after all....