Miss RNC

RN's and LPN's have been removing Jackson Pratt, Duvol, Penrose, Hemovac, Constavac and T-tube drains for years.

This week I have been asked to remove a heimlich valve and a urostomy drain. The MD told me that our CCU nurses have been removing chest tubes for a long time. Are any floor nurses doing these 2 procedures. Our house supervisor told me not to do either of these until they approved it through our Board of Nursing.

I did not even know that IV teams still existed

The words got moved around a bit when posted Basically you have the 4 things with blanks beside them in the top left corner and there is a blank on the top right corner for the pts addressograph. Then everything is on the left side of the page with 4 columns to allow for 4 days. There is a column on the right for writing nursing notes with initials and signature spaces at the bottom of that. [This message has been edited by Miss RNC (edited March 09, 1999).] [This message has been edited by Miss RNC (edited March 09, 1999).]

ok here it is (top left corner) Diagnosis Allergies Surgery Referred By Date (4 columns are here) Progress Notes Course/Day (1 column) Premedications Hydration Chemotherapy Transfusions Antibiotics Other Radiation Y/N Pain scale 0-5 IV site VAD/Comments Temp P/R B/P HT/WT BSA WBC RBC HGB HCT MVC SEGS MID/BANDS LYMPHS PLTS ANC GLUCOSE BUN/CREAT NA/K CL/CAL T.PROTEIN ALBUMIN SGOT TBILI CEA CA 27.29 PSA PROTIME OTHER SCANS REFERRAL TO: CONSULTS: JD Jane Doe RN I hope this helps you. [This message has been edited by Miss RNC (edited March 09, 1999).]

Thanks that helps. We have a brand new cancer center at our hospital. I do not know what types of charting forms or flowsheets that they use, but I will certainly ask for you.

My unit includes oncology pts. I may be able to help, we have several flowsheets. Can you be a little more specific in what you are looking for... Thanks