I personally do not have a problem with a well trained unlicensed assistant doing dressing changes, but many Boards of nursing do...so if this is what we want, we had better start petitioning the boards of nursing to allow it. Chris Cavanaugh [EMAIL PROTECTED] EarthLink Revolves Around You
..... Original Message ....... On Thu, 02 Mar 2006 11:08:38 -0700 "Kokotis, Kathy" <[EMAIL PROTECTED]> wrote: >Why my vision > >The average age of the RN is 49. We will not be inventing more soon enough as >there are no instructors. RN magazine this month talks about the thousands of >qualified candidates being turned away due to not enough slots. I know one >personally that is on the list for 50 schools and does not have a slot and she >got a two year associate degree in another field while she has waited > >Medicare is going to pay for performance and catheter related infections is on >their list. > >The next wave of nurses is coming from China but I don't know how soon. > >Hospitals are short staffed, catheter related infections are increasing and >they cannot pull take more staff nurses away from patient care duties. There >are not enough beds, not enough staffing, not soon not enough money. > >We need technicians. > >Kathy > >________________________________ > >From: Lynn Hadaway [mailto:[EMAIL PROTECTED] >Sent: Wed 3/1/2006 5:29 PM >To: Kokotis, Kathy; Henderson, Karin; Ratz, Karen; Helen lazeration; [EMAIL >PROTECTED] >Subject: RE: dressing changes and protocol/procedures for DVT in PICC Arm > > > >Kathy, I can think of a few reasons why I am >hoping that your vision for the future is not >realized. I don't think this is coming to your >two alternatives. Why must we assume that there >will be staff nurses who never do dressings or >site inspections? I would also suggest that these >technicians would not be "competency trained." I >would call it task-trained. Competency includes >critical thinking and I am not sure that simple >task performance will include the level of >critical thinking that is often required. Lynn > >At 3:57 PM -0700 3/1/06, Kokotis, Kathy wrote: >>Technicians have been used in the battlefield >>for years. We could teach them to assess better >>than the staff RN's for redness, drainage, >>swelling etc. Would you rather have staff >>nurses never do dressings or site inspections or >>techs that are competency trained. I like the >>idea of techs. It fits with the hospital >>re-design I see for the future >>Kathy >> >>________________________________ >> >>From: Henderson, Karin [mailto:[EMAIL PROTECTED] >>Sent: Tue 2/28/2006 2:19 PM >>To: Kokotis, Kathy; Ratz, Karen; Helen lazeration; [EMAIL PROTECTED] >>Subject: RE: dressing changes and protocol/procedures for DVT in PICC Arm >> >> >> >>I'm very interested in the idea...just wondering, since "assessment" is not >>in the "scope of practice" for techs, if this is an issue? >> >>-----Original Message----- >>From: [EMAIL PROTECTED] >>[mailto:[EMAIL PROTECTED] Behalf Of Kokotis, Kathy >>Sent: Tuesday, February 28, 2006 1:45 PM >>To: Ratz, Karen; Helen lazeration; [EMAIL PROTECTED] >>Subject: RE: dressing changes and protocol/procedures for DVT in PICC >>Arm >> >> >>This is the future - talked about this same concept today in my lecure >>This is how we reduce CVC infections - line teams with technicians reporting >>to the vascular access service >>Flow process control at its best >>I love this!!! >>Kathy >> >>________________________________ >> >>From: [EMAIL PROTECTED] on behalf of Ratz, Karen >>Sent: Tue 2/28/2006 5:36 AM >>To: Helen lazeration; [EMAIL PROTECTED] >>Subject: RE: dressing changes and protocol/procedures for DVT in PICC Arm >> >> >>We have a line care team that is responsible for all the dressing changes to >>subclavian, jugular, arterial , Hickman and PICC lines. They are nursing >>technicians that perform this task. We have 1 full time and 2 others that >>are part time. They perform the dressing change with sterile gown,sterile >>gloves and the large sterile drape,chloraprep, and the biopatch. They also >>wear the mask and hair bonnet. We had 1 PICC infection last year and 0 >>central line infections. The technicians also assist us with PICC insertions >>if not busy with dressing changes. >> >> >> >>________________________________ >> >>From: [EMAIL PROTECTED] on behalf of Helen lazeration >>Sent: Sat 2/25/2006 2:18 PM >>To: [EMAIL PROTECTED] >>Subject: dressing changes and protocol/procedures for DVT in PICC Arm >> >> >>Need some help with two items: >> Just need an informal survey on how many facilities have their IV/PICC >>Teams do the routine dressing changes or if the nursing staff do the changes >>and how everyone feels about the nursing staff on the floors doing the >>routine dressing changes. >> >> Also, if there are any facilities out there who have physicians leave a >>PICC in place with a DVT and anti-coagulate the patient to try and break >>down the DVT? If so, do you have a policy/procedure in place for this >>scenario that you would be willing to share? >> >>Helen Lazeration, CRNI >>Fairbanks Memorial Hospital >>Fairbanks, Alaska >> >> >> >> ******************************************** >> >>This message and accompanying documents are covered by the >>Electronic Communications Privacy Act, 18 U.S.C. ยงยง 2510-2521, >>and contain information intended for the specified individual(s) only. >>This information is confidential. If you are not the intended recipient >>or an agent responsible for delivering it to the intended recipient, you >>are hereby notified that you have received this document in error and >>that any review, dissemination, copying, or the taking of any action >>based on the contents of this information is strictly prohibited. If you >>have received this communication in error, please notify us immediately >>by e-mail, and delete the original message. >> >> ********************************************* > > >-- >Lynn Hadaway, M.Ed., RNC, CRNI >Lynn Hadaway Associates, Inc. >126 Main Street, PO Box 10 >Milner, GA 30257 >http://www.hadawayassociates.com >office 770-358-7861 > > >
