Hi all!
Here's a good scenario for you….we have a pt that ever since accepted to our Home Infusion/home care services, we have had difficulties with the ordering MD, to the point that he doesn't want to sign the orders. We managed to get original orders signed, but now she has been running around with a PICC and off her antibiotics for 2 weeks. Every doc that has had any kind of involvement with her, either hospital, wound care clinic, surgeon, or IC doc…all refuse to give the order for PICC dc. Her family doc won't give it because he hasn't seen her in forever. We have suggested 'tripping' over the line and…'opps!'
I am not used to pulling a line without an order, but in this case am thinking it is a reasonable thing to do. We can't say the 'patient' is non-compliant…she is very compliant. But we need to get that line out before she develops complications from it. Yes, we have tried all the usual approaches, such as explaining to the docs WHY we need to remove it since it isn't being used, but WE seem to be the only ones wanting to take ownership of it!!
Any thoughts/suggestions? Just a typical Friday here! Hope you are all having a good one, and just remember the weekend is near….but we already have 3 going home tomorrow!! : (
Best, and thanks in advance!
ann
Ann Williams RN CRNI
Infusion Specialist
Deaconess Home Services
600 Mary St.
Evansville, IN 47747
812-450-3828
812-450-4665 FAX
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