melabonic

Lms911, Thanks for your reply. I am glad you enjoy working there. It is good to hear positives things about a facility from someone who works there. Thanks again.

Does anyone know how the hospital in Klamath Falls is to work for? I might be moving to the area and am wondering. Thanks in advance.

No we do not have a policy for every medication. I am fairly new to nursing and have never run K+. With the other nurses not willing to run it I want to make sure I am doing the right thing for my patient and my licence.

We use allscripts in our clinic setting and it is a pain!! It is not user friendly or easy to navigate. This is in a clinic setting. I imagine it would be worse in the ER. We have been using it for a year and still are trying to figure it out. My advice is to go with another program.:)

Esme, you are right, the pt is dehydrated. Netglow, I work in a rural clinic, no pyxis available. We just have to call the pharmacy and they bring you what you need. We usually will run a bolus of fluids for pt. or medication like reclast as well. My main concern is the safety of the patient and the lack of a policy to cover me. With the K+ infusion.

The port was accessed by a nurse from the hospital. The potassium was available because our clinic is attached to a LTC facility and a hospital. There is hospital policy with regards to running the K+ but can the policy work in the clinic? I think you both you and Esme are right I need to call other clinics. Thanks for your help.

Hi all, I have a question. I am a new nurse and I work in a rural doctors office. Recently we were asked to start fluids for a pt. that has cancer. This pt. has a porta-cath so no peripheral IV was needed. Pt. was low on K+ his level was 3.2 and the orders were to give 1L of NS with 10mEq of K+ over 1 hour. I work with nurses that have lots of experience and they refused to give this pt. fluid in the clinic. Their reasoning, because we have no policy on running K+ in the clinic as well as their skill level in using a porta-cath were not up to date. Was their reasoning justified? Why or why not. If I were to gain the skills with the porta-cath is this something that should be done in a doctor's office? Thanks for your help in advance