+ Reply to Thread
Results 1 to 10 of 10

Thread: nursing ques.

  1. #1
    Junior Member Fran is an unknown quantity at this point
    Join Date
    Jun 2002
    Posts
    7

    nursing ques.

    In LTC does a nurse need a Dr's order to disimpact a resident prn?

  2. #2
    Senior Member Marie_LPN is on a distinguished road Marie_LPN's Avatar
    Join Date
    Jan 2007
    Posts
    273

    Re: nursing ques.

    When i was an aide in LTC, the nurse had to have Drs.orders.

    The orders were written for "if no BM after _____ days"
    Marie, RN in O.R, pursuing BSN, semester ? of ?

    Supposedly 8 out of 10 people suffer from hemorrhoids. Does that mean that the other 2 people enjoy them???:confused:

    My little peapod has arrived .

  3. #3
    Super Moderator cougarnurse has a reputation beyond reputecougarnurse has a reputation beyond reputecougarnurse has a reputation beyond reputecougarnurse has a reputation beyond reputecougarnurse has a reputation beyond reputecougarnurse has a reputation beyond reputecougarnurse has a reputation beyond reputecougarnurse has a reputation beyond reputecougarnurse has a reputation beyond reputecougarnurse has a reputation beyond reputecougarnurse has a reputation beyond repute cougarnurse's Avatar
    Join Date
    Oct 2006
    Location
    Parked in front of the computer when I am not working
    Posts
    11,691

    Re: nursing ques.

    We have Standing Orders for M.O.M. and Mylanta, but not disimpaction. May depend on facility/M.D.

    'Cat'

  4. #4
    Banned justatraveler is on a distinguished road
    Join Date
    Feb 2007
    Posts
    110

    Re: nursing ques.

    Quote Originally Posted by cougarnurse View Post
    We have Standing Orders for M.O.M. and Mylanta, but not disimpaction. May depend on facility/M.D.

    'Cat'
    Please don't give M.O.M. to a patient on dialysis or with ESRD. They cannot clear the mag from their systems. Thanks. Many PCP's are not aware of that fact nor are orthopods.......

  5. #5
    Super Moderator cougarnurse has a reputation beyond reputecougarnurse has a reputation beyond reputecougarnurse has a reputation beyond reputecougarnurse has a reputation beyond reputecougarnurse has a reputation beyond reputecougarnurse has a reputation beyond reputecougarnurse has a reputation beyond reputecougarnurse has a reputation beyond reputecougarnurse has a reputation beyond reputecougarnurse has a reputation beyond reputecougarnurse has a reputation beyond repute cougarnurse's Avatar
    Join Date
    Oct 2006
    Location
    Parked in front of the computer when I am not working
    Posts
    11,691

    Re: nursing ques.

    Note I mentioned MD/facility standing orders. Of course, MD would also take into consideration the patient's dx.

    'Cat'

    PS.....I work LTC; have had only ONE dialysis patient in the 8 + years I have worked there.

  6. #6
    Banned justatraveler is on a distinguished road
    Join Date
    Feb 2007
    Posts
    110

    Re: nursing ques.

    Quote Originally Posted by cougarnurse View Post
    Note I mentioned MD/facility standing orders. Of course, MD would also take into consideration the patient's dx.

    'Cat'

    PS.....I work LTC; have had only ONE dialysis patient in the 8 + years I have worked there.

    Most nurses tend to follow standing orders. Do your's say do not give to dialysis patients.

    I know you work long term care. Some LTC's are adding on dialysis units. Rather than transport patient out. ERSD is on the rise.

    As I mentioned previously many PCP's don't know about M.O.M. so how would they take the patient's dx into consideration. As I said the orthopods didn't know it when I worked in the hospital. I had to educate them.

  7. #7

    Re: nursing ques.

    I didn't realize you had to have an order for disempaction until a little while ago, but it makes sense since you have to have an order for things like ice packs. This came up recently at the hospital I work at, a dr refused to order it and said it was 'illegal'.

  8. #8
    Member Extraordinaire AmandaWIRN is an unknown quantity at this point
    Join Date
    Feb 2005
    Posts
    1,789

    Re: nursing ques.

    Quote Originally Posted by disholicious View Post
    I didn't realize you had to have an order for disempaction until a little while ago, but it makes sense since you have to have an order for things like ice packs. This came up recently at the hospital I work at, a dr refused to order it and said it was 'illegal'.
    Illegal???? I've never heard that before- that's kind of funny- I WISH it was illegal- because it's one of the nastiest nursing tasks there is........ Thank god I don't have to do it that often in the ER...... But in all seriousness, yes, you should have an order before doing digital disimpaction.

  9. #9

    Re: nursing ques.

    When i hear disempaction i think VAGAL NERVE STIMULATION!!! DR.'s order PLEASE!!!!! But an order for ice packs??? Interesting...
    J. Smith, L.P.N

  10. #10
    Senior Member hsieh is on a distinguished road hsieh's Avatar
    Join Date
    Jun 2006
    Posts
    231

    Re: nursing ques.

    i would WANT an order. that's not something i would choose to do.
    in order to really enjoy a dog, one doesn't mearly try to train him to be semi-human. the point is to open oneself to the possibility of becoming partly dog. :o

+ Reply to Thread

Similar Threads

  1. importaan Ques ?
    By icunurses in forum Critical Care Nursing
    Replies: 0
    Last Post: 11-02-2006, 02:04 PM
  2. Replies: 0
    Last Post: 10-10-2005, 11:59 PM
  3. ques for nurse
    By Anonymous in forum Questions and Answers for NURSES
    Replies: 0
    Last Post: 02-01-2005, 02:55 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts