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Tracheostomy   Message List  
Reply | Forward Message #4362 of 5113 |
RE: Tracheostomy

The “official” policy where I work is 14 days, but we rarely trach someone at my facility until it’s been closer to 3 weeks….sometimes longer, depending on other situation.  For instance right now we have a patient who’s been intubated for close to three weeks, but his blood pressure is still unstable, so the surgeons won’t take him to surgery for a trach.

 

Hope that helps,

Cassi

Hi All… when do most of you trach your intubated patients? The literature varies 7-14 days and longer. We are trying to facilitate bed movement but some Pulmonologists won’t discuss with their patients till they’ve been intubated over 14 days… thanks, Carolyn



Mon Mar 10, 2008 7:17 pm

CassiLee30
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Message #4362 of 5113 |
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Hi All... when do most of you trach your intubated patients? The literature varies 7-14 days and longer. We are trying to facilitate bed movement but some...
Engel, Carolyn
laujen.3475
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Mar 10, 2008
7:09 pm

The "official" policy where I work is 14 days, but we rarely trach someone at my facility until it's been closer to 3 weeks..sometimes longer, depending on...
Cassi
CassiLee30
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Mar 10, 2008
7:17 pm

The longest we will leave someone is 14days however if we know that they are not going to wean easily then we promote traching earlier Tracey Melhuish, MSN, RN...
tracey melhuish
traceymelhuish
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Mar 10, 2008
8:35 pm

Usually our docs don't wait more than 3-4 days and then approach patient and family. We've had good success with this and patient ICU days have markedly...
Haswell, Debbie
haswelldebbie
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Mar 12, 2008
2:14 am

hi all .... will i think its the same rules here with me at the hospetal i work in, we do not track someone unless we failed extubating them for several times...
tahra abul
tahra_abul4
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Mar 12, 2008
2:15 am

Hi, Cassie, Why don't they do a bedside trach? Mary _____ From: nursebob@yahoogroups.com [mailto:nursebob@yahoogroups.com] On Behalf Of Cassi Sent: Monday,...
Mary Kendra, RN PhD
mommytazeh
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Mar 13, 2008
3:09 pm

I don't know. We don't do those..I didn't even know that they were done at bedsides..we do peg lines PICC lines, central lines, etc at bedside, but I've never...
Cassi
CassiLee30
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Mar 14, 2008
3:16 am

There are some trachs that are done at the bedside and also for EMS to use in the field. They are supose to be easier and less time consuming. While taking...
chris_rn2006
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Mar 14, 2008
7:42 am

How weird..when I took ACLS, we didn't practice trachs..we did practice intubating people. I take PALS next month for the first time, so maybe they do it...
Cassi
CassiLee30
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Mar 14, 2008
12:54 pm

I answered this earlier but I haven't seen it go through. I worked in an SICU for 6 years and we did trachs at the bedside routinely on patients who had been...
Angie
ang_2
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Mar 16, 2008
2:18 am

yes it can be at bedsides the they call it barcotanuse ... From: Cassi <cassilee30@...> To: nursebob@yahoogroups.com Sent: Friday, March 14, 2008...
Sameer albadh
sameericu
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Mar 15, 2008
2:14 am

Excuse my ignorance. Define "barcotanuse" please. Thank You, Evangeline De Luna, BS, RRT-NPS, RCP Respiratory Care Technology Program Instructional Coordinator...
De Luna, Evangelina (...
edeluna3@...
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Mar 17, 2008
3:42 pm

Well its percutaneous and it means cutting throgh the skin "De Luna, Evangelina (Vangie)" <edeluna3@...> wrote: Excuse my ignorance. Define...
tahra abul
tahra_abul4
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Mar 18, 2008
7:09 pm

Are you possibly talking about the emergency trach where a 16 gauge needle is put on the end of a 60 cc syringe and placed directly into the trachea? It is...
rjarvis57
rjarvis57@...
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Mar 15, 2008
2:15 am

I work in a level one trauma for 15 years SICU, OR, PACU Ive only seen bedside trach in horrific emergencies.(pt to unstable to move)    Any bedside surgery...
babtp@...
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Mar 15, 2008
2:16 am

I'm sorry but I meant that this was used in emergency situations. With the method that I am refering to you begin with making a downward incision with a...
chris_rn2006
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Mar 15, 2008
3:07 pm

Our Intensivists do Trachs at the bedside. They are called Percutaeous(sp) Trachs. they also do PICS and Pegs at the bedside. It is great less travel time for...
Candy Benton
bentoncandy
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Mar 15, 2008
8:46 pm

Yes...if patient is too unstable to travel, bedside trache should an option. ... From: Candy Benton Date: Saturday, March 15, 2008 3:46 pm Subject: Re:...
ogie@...
cbprnpdn
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Mar 17, 2008
11:19 pm

or they are calling it mien trach ____________________________________________________________________________________ Be a better friend, newshound, and ...
Sameer albadh
sameericu
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Mar 16, 2008
12:23 am

Hi, yes percutaneous tracheostomies are also known as mini- tracheostomies and are excellent for the removal of secretions, we have ventilated patients'...
Christine Stevenson
christineste...
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Mar 16, 2008
2:11 am

I worked in an ICU for 6 years. We had a doctor do bedside trachs all the time on patients who had been on the vent more then two weeks. Granted an OR team...
Angie
ang_2
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Mar 16, 2008
2:16 am
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