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You better fire me to then, cause I'm right with ya Cindy. I would have pulled the line too. We (the Vascular Access Team) here at the big ole U are the only ones in the hospital that can pull a line without a doc's order, but we better have a darn good reason to back it up. Sounds like Ann had that reason to me. Whats really weird though is that this is usually the other way around. ;-)
Heather Nichols RN BSN CRNI
Infusion Services University of Louisville Trauma Institute 530 S. Jackson St. Lou. Ky. 40202 (502)562-3530 >>> "Cindy Schrum" <[EMAIL PROTECTED]> 9/29/2006 7:43 PM >>> 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. >
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BEGIN:VCARD VERSION:2.1 X-GWTYPE:USER FN:Nichols, Heather TEL;WORK:562-3530 ORG:;IV specialist EMAIL;WORK;PREF;NGW:[EMAIL PROTECTED] N:Nichols;Heather TITLE:RN END:VCARD
