Ann, I'm afraid the temptation to put the patient first and pull the stinking line before she developed a CRBSI would be overwhelming for me. It's not only reasonable, but prudent and just plain the 'right thing to do'.
Can't believe the doc would desert his patient like that. OK, I can. Fire me. On 9/29/06, Ann Williams <[EMAIL PROTECTED]> wrote:
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 -------------------------------------------------------------------------------------------------------------------- This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the originator of the message. Any views expressed in this message are those of the individual sender, except where the sender specifies and with authority, states them to be the views of Deaconess Health System.
