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Generally, in a nursing facility where I'm at, more
than 75% of the residents are at least partially demented, and cannot be left
alone with the nebulizer running. I'm in the Metro Detroit Michigan
area. It ends up on the top of their head, on the bedspread, hanging off
the side rail, etc., etc., etc. Usually the nurse must stay in sight of
the resident and give cues: Take deep breaths;, no - put the mask back
over your nose and face; hold the mask up straight, LET GO OF THE MASK,
Please?!, etc., etc.,
----- Original Message -----
Sent: Monday, February 02, 2004 12:27
PM
Subject: Re: Respiratory Therapy
Corey, I'm not sure how you get by with counting
the time the treatment is running. We are only counting the time the nurse is
doing the assessment as they do not sit with the resident during the
treatament itself. Is it allowable to count the time the treatment is
running? I live in ND.
>>> [EMAIL PROTECTED] 01/30/04 06:27PM
>>>
I'm not certain about three treatments a day to
get 15 minutes, because we usually get 15 minutes to 20 minutes with each neb.
tx, depending on the amount of wahtever solution they're using. We
usually attach an Excel spreadsheet with the meds & minutes, etc.
I'll attach a copy here, but if you are long term care, it's a LOT easier to
have the pharmacy include the information on the MAR:
Name of med:
Time of
Administration:
Minutes given:
Ox Sat pre / post
For some reason, if it's printed on the MAR by
pharmacy. If not, it's a struggle to routinely get them done &
recorded.
Corey
----- Original Message -----
Sent: Friday, January 30, 2004 5:06
PM
Subject: Re: Respiratory Therapy
In our facility for the 7 day assessment period we have an
assessment form they complete with each neb treatment during this time
frame. They need to be getting treatments at least 3 times a day in order
for you to get enough minutes as it has to be 15 min per day. The assessment
includes lung sounds, oxygen sats, # of respirations per min, pulse, c/o
SOB, use of accessory muscles. The nurse does the assessment before and
after each treatment. Linda
>>> [EMAIL PROTECTED]
01/30/04 02:15PM >>>
How do you guys capture Respiratory Therapy on
Section P - do the nurses in your facilities document actual minutes spent
administering Respiratory Treatments?
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