SeaCat
Hey, my Halo is smoking
- Joined
- Sep 23, 2003
- Posts
- 15,378
Regulations in my hospital bar Aides/PCT's from doing things like I.V. Insertions and Catheterization regardless of training. (This is because of the laziness of some people as well as politics.) This can be a pain in the ass and sometimes it causes discomfort for the patients. Today was a case in point.
We had a male patient come in. His orders included him getting a Foley Catheter. Unfortunately for both him and the R.N. he had both an enlarged Prostate and Retraction. He also had shit for veins.
The R.N. attempted to get an I.V. started and couldn't. She then shifgted over to the catheter and couldn't get that in place either. Over the next hour every R.N. on the unit, including the Boss attempted to get the I.V. and the catheter going. None had any luck. Finally the patients M.D. was called in. I stood there watching as he tried it and shook my head as he had no luck as well. He noticed this as he washed his hands and pulled out the orders sheets to order a cut down and a surgical implantation of the catheter. He asked me why I was shaking my head and I told him that all of them had been going about things the wrong way. He asked what I meant and he didn't understand, instead he told me to show him and I told him I couldn't show him. It was against regulations. The boss was called in and informed of what I had said. She told me to either show the M.D. or appologize. I grinned and told her what I wanted/needed. A new Cath. Set as well as a New I.V. set. I also asked the M.D. to get the patient something for his pain.
When all was in readiness I again washed my hands and set things up. I worked on the patient for a couple of minutes, teasing his penis out of it's hiding place. (Something all of them had neglected to do. When I had it exposed I set up my sterile field, cleaned the paitent up and inserted the catheter. (I was using a much smaller diameter catheter than we normally use.) When it was in place I inflated the ballon and set the Cath. Secure in place. Total time needed? Five minutes. Done with this I again washed my hands and turned to the I.V.
I put the tourniqet in place and looked for a vein in the one place they hadn't bothered looking for one. On the outside of the arm. (There is a giant vein there but you have to find it. It is also rarely used by anyone other than Rescue.) I found it by feel, anchored it in case it was a roller then inserted the Sharps. Once more it had taken me all of a couple of minutes. Now the patient could begin their treatment.
The M.D. thanked me for my help and my boss stood there looking at me before telling me I had done a good job but not to expect anything to come from it. I just smiled at her while telling her I didn't expect anything. (I know where the majority of the politics comes from.)
Now the funny thing. Later in the day my boss asked me about putting in another Catheter. It seems we had another problem patient. I looked at her, smiled and told her it wasn't in my job description, I wasn't allowed to put in catheters. She wasn't happy with this answer but there is absolutely nothing she can do about it as she was the driving force behind the regulation barring Aides/P.C.T.'s from putting in catheters.
Cat
We had a male patient come in. His orders included him getting a Foley Catheter. Unfortunately for both him and the R.N. he had both an enlarged Prostate and Retraction. He also had shit for veins.
The R.N. attempted to get an I.V. started and couldn't. She then shifgted over to the catheter and couldn't get that in place either. Over the next hour every R.N. on the unit, including the Boss attempted to get the I.V. and the catheter going. None had any luck. Finally the patients M.D. was called in. I stood there watching as he tried it and shook my head as he had no luck as well. He noticed this as he washed his hands and pulled out the orders sheets to order a cut down and a surgical implantation of the catheter. He asked me why I was shaking my head and I told him that all of them had been going about things the wrong way. He asked what I meant and he didn't understand, instead he told me to show him and I told him I couldn't show him. It was against regulations. The boss was called in and informed of what I had said. She told me to either show the M.D. or appologize. I grinned and told her what I wanted/needed. A new Cath. Set as well as a New I.V. set. I also asked the M.D. to get the patient something for his pain.
When all was in readiness I again washed my hands and set things up. I worked on the patient for a couple of minutes, teasing his penis out of it's hiding place. (Something all of them had neglected to do. When I had it exposed I set up my sterile field, cleaned the paitent up and inserted the catheter. (I was using a much smaller diameter catheter than we normally use.) When it was in place I inflated the ballon and set the Cath. Secure in place. Total time needed? Five minutes. Done with this I again washed my hands and turned to the I.V.
I put the tourniqet in place and looked for a vein in the one place they hadn't bothered looking for one. On the outside of the arm. (There is a giant vein there but you have to find it. It is also rarely used by anyone other than Rescue.) I found it by feel, anchored it in case it was a roller then inserted the Sharps. Once more it had taken me all of a couple of minutes. Now the patient could begin their treatment.
The M.D. thanked me for my help and my boss stood there looking at me before telling me I had done a good job but not to expect anything to come from it. I just smiled at her while telling her I didn't expect anything. (I know where the majority of the politics comes from.)
Now the funny thing. Later in the day my boss asked me about putting in another Catheter. It seems we had another problem patient. I looked at her, smiled and told her it wasn't in my job description, I wasn't allowed to put in catheters. She wasn't happy with this answer but there is absolutely nothing she can do about it as she was the driving force behind the regulation barring Aides/P.C.T.'s from putting in catheters.
Cat
