What are some questionable/old-fashioned nursing interventions?

[DarkestSamus]

Hello all,

What are some questionable/controversial/old-fashioned Nursing actions currently in use right now? I need to find a topic to write about. I don't have a lot of clinical experiences and really don't have the ability to tell if something is old or incorrect.

The examples that I was given to help direct my search are:

1. The use of chlorahexadine vs. betadine

2. Saline flushes vs. herparin for IV locks

3. The use of saline bullets for trach/ET suctioning

As you can see, the kind of topics I need are "this vs. that" or "do vs. do not". I'm having a very hard time with my private searching and thought I would ask more experienced nurses.

Thanks!

- Brad

[enchantmentdis, BSN, RN]

Changing the patients bed every single day. Giving the patient a bath every single day. And are intakes and outputs ever really accurate? Does the CNA really know how much the patient peed and drank. Come on folks, you know the I and Os are not accurate, but hush, hush, now.

[jjjoy, LPN]

And are intakes and outputs ever really accurate? Does the CNA really know how much the patient peed and drank. Come on folks, you know the I and Os are not accurate, but hush, hush, now.

:lol2:

[steelydanfan]

Hello all,

What are some questionable/controversial/old-fashioned Nursing actions currently in use right now? I need to find a topic to write about. I don't have a lot of clinical experiences and really don't have the ability to tell if something is old or incorrect.

The examples that I was given to help direct my search are:

1. The use of chlorahexadine vs. betadine

2. Saline flushes vs. herparin for IV locks

3. The use of saline bullets for trach/ET suctioning

As you can see, the kind of topics I need are "this vs. that" or "do vs. do not". I'm having a very hard time with my private searching and thought I would ask more experienced nurses.

Thanks!

Well, as far as #2 & 3 goes, just get on to the AACN website, and you will find the studes published there.

[neuroms]

Plenty of good ones have been listed here. No more Homan's sign: no evidence for power. No more Foley balloon inflation: unnecessary, risk for trauma. No more air auscultation for NG tube placement: deceptive, clinically unreliable. Leave air in Lovenox: manufacturer instruction, N seals injection. This thread is great.

[K+MgSO4, BSN]

Intersting thread. We have currently been at our wits ends with a pts PEG site which was extermly red and excoriated and nothing we were doing was fixing this problem. 6 months and multiple wound nurse consultant reviews we were still nowhere except with a patient in pain.

Our parenteral/ enteral feeding CNC was reviewing the pt for a new tube (long complicated story as to why she had Foley's in for 6 months for feeding) and she suggested Mylanta dressings with mepilex to cover (we had been dressing with mepilex boarder to protect her skin but it wasn't working).

Well WOW!!! 5 days of TDS Mylanta and the pt pain requirements are right down, the stoma site is pink and not an angry excoriated red and she is much happier and more willing to care for her feeds herself. Sometimes the old stuff does work where technology fails!