Scope of Practice

Cass I just think when the patient is not ours and we are not on "duty" we should butt out.. If we can't maybe we shouldn't be in the room... JMHO.......I think we are too close and can't think logically.. And throwing clots is not a "mild cornary" ..When was the last time you even heard that term?? Did you use a nitro drip on them???


WR,,, three commas for Becca

The first time the doctor had asked me to silence the pump I would have told him to get the nurse..Just who I am. I guess.... And ya know administration is gonna be right here no matter what.. This nurse was not on DUTY at the time. It was NOT her patient. She wasn't working in PACU.. That's the issue here.

[cassioo]

Did you use a nitro drip on them

well heck no we didn't use any drip 2 died right away at home just after discharge the other we got out of there. If someone has chest pain they are gone just like we had a woman on a vent with us cause ICU wasn't going to deliver a baby either.
I won't do anything with my daughter just have a hard time keeping my mouth shut especially if she has one of the nurses I know who are there just to be warm bodies. But there really shouldn't be a problem she did fine last time but I don't like her doctor. He's one that doesn't tell her anything and you ask and she says I don't know he didn't say..I tell her you have to ask. My docs do lots of teaching/information giving.

[butterjazz]

The practice I work for has multi-specialties, Family, OB/GYN, Cardiology, Urology,I have been fortunate not to have dealt with coronaries, as it were,just L & D and the asociated risks, but to my knowledge, and I did ask, the ER attending was a urologist. I was told, small hospital, not equipped to handle major problems. Majors are air lifted to a larger facility about another 90 minutes away.

[cassioo]

I've thought it strange at our hospital they will do cardiac caths but don't do open hearts...call me stupid but can't you block the only blood flow during a cath and have to go right to open heart?

[SweetHeartNursie]

Cath's that are only diagnostic don't need OR standby, but if they are doing any interventions, then they should have an OR readily available in case an artery starts to disect, then that patient will need to be in the OR STAT! Or if they find unstable left main, then they need immediate surgery and that patient may or may not be able to be shipped. --SHN

[PACU RN]

As a PACU RN , I never leave family unattended at the bedside in PACU. There always seem to questions regarding vital signs,what all the monitors are, what the transfer (to floor/ICU) plans are..etc..It is my duty to monitor everything regarding the patient...I&O included, especially a surgical drain. It's too bad your father's nurse was too busy(?) to notice that it was full or that she wasn't around to empty it. As for scope of practice..in Orlando we send patients home with Jp's and teach them how to empty them!Your dad was lucky to have you care enough to visit, and to be invlolved. good job.

[Ian Carey]

Originally Posted by cassioo

Did you use a nitro drip on them

well heck no we didn't use any drip 2 died right away at home just after discharge the other we got out of there. If someone has chest pain they are gone just like we had a woman on a vent with us cause ICU wasn't going to deliver a baby either.
I won't do anything with my daughter just have a hard time keeping my mouth shut especially if she has one of the nurses I know who are there just to be warm bodies. But there really shouldn't be a problem she did fine last time but I don't like her doctor. He's one that doesn't tell her anything and you ask and she says I don't know he didn't say..I tell her you have to ask. My docs do lots of teaching/information giving.

Can we all just get along, Nobody is perfect and often people do things that we do not agree with. A nurse is a professional so respect everyone. Ian.

[bleucloud]

I never realised that you needed special training to empty a JP!hahahahaha
I think she was probably grumpy because he was fresh post op and she wanted to assess it herself. But to say you are out of your scope makes her look like one of those nurses that work in an area so long they forget about that the rest of the floors and nurses are trained to empty these drains and stuff!