We are a skilled nursing facility and have taken dobutamine drips in the past, we monitored vs q shift unless condition warranted more often, we followed policy provided by pharmacy provider for care and monitoring, nurses were inserviced by pharmacy nurse. We didn’t have a problem as resident had previously been at home with hers.

 

-----Original Message-----
From: Peggy Pringle [mailto:[EMAIL PROTECTED]
Sent: Friday, May 21, 2004 7:48 PM
To: [EMAIL PROTECTED]
Subject: Dobutamine gtts

 

Does any one out their take patients on Dobutamine drips?

 

We are a hospital based unit and we have been asked to consider 2 patients in the last 2 days. 

 

If the patient were stronger, apparently they would be able to go home w/ HHC on this drip without any telemetry monitoring. We don't do telemetry monitoring on our unit.  We are looking at the feasability of taking these types of patients without telemetry monitoring, but would require some revision of some of our policies.

 

If you take these types of patients, do you do telemetry monitoring, how frequent do you check vital signs, what criteria do you use to determine if the patient is stable enough to admit without telemetry? What written policies do you have in place regarding care and monitoring?

 

Please email me if you take these patients and let me know your experiences?

 

Peggy Pringle, RN, NHA

Covenant HealthCare -TCU

 

 

 

 

 

 

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