I know the rules are different for home care, but
I would also have a tremendous problem with this
situation. The therapy is complete means to me
that the catheter can be removed. Frankly, I do
not see the need to have a written physician's
order to remove the PICC. This is one of those
incidences where the rules prohibit nurses from
practicing to the full extend of our license. I
would also be a patient advocate and pull it,
order or not. Lynn
At 7:43 PM -0400 9/29/06, Cindy Schrum wrote:
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
docall 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-compliantshe 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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Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
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