Hi, Two thoughts: might this be some sort of yeast that adhered to the cath? He could have some asymptomatic yeast that migrated with insertion up the PICC. Or...
what about Betadine did any cultures come back + ... From: Mary Kendra, RN PhD <mkendra@...> Subject: RE: Please help identify cheesy, tan residue on...
These might fibrin (plaque). The body was treating the catheter like it would any other foreign object that was causing turbulence In the vessel, attaching...
George Gallen
g_gallen@...
Jan 3, 2009 5:26 am
4654
I've pulled a few PICC lines I don't remember seeing the kind of residue you described. I would culture it and if it comes back negative look at issues with...
sounds like fibrin clot in response to foreign body in the vessel! Thank goodness this patient has you taking care of him, as you are taking the time to check...
Hello...My question is about Am labs...We draw labs in the morning and Im always have a question about what abnormals need to be called to the doctor and which...
Larry Brown
jessiesdad57@...
Jan 3, 2009 7:21 pm
4657
this sound to me as though he was infussing iv medication that was not compatible with each other and the pic was not properly flushed after each use, so...
Larry, Obviously any panic values always need to be reported immediately not only to your Charge, but also the PCP and appropriate consults. However, the ...
Where I work if the lab value falls in the "critical" range the MD needs to be notified. The value varies per hospital, but I know that the hospitals in my...
Yes you are so right Susan, I work in an ICU and for example if the patients PCO2 is better than the previous blood gas I don't call it. Each patient is ...
LaPointerobyn@...
Jan 3, 2009 8:18 pm
4661
Protocols would tell you need to notify any abnormal outside the critical range..but If the value has already been in that range, and hasn't changed over the ...
George Gallen
g_gallen@...
Jan 3, 2009 8:25 pm
4662
Amen George! I called the Dr. about a lab and he said oh yes I seen this patient in the ER and I put that in my notes. I quickly said "OK" "Thank you Sir"...
LaPointerobyn@...
Jan 3, 2009 8:34 pm
4663
Depends on a lot of different things. Criticals always call. When I was starting out I'd ask more experienced nurses quite a lot and I worked in one place that...
Canada has a bit of a different system with labwork so specific number are not applicable in the US and I'm not sure about UK or Australia. So be careful in an...
At our hospital in Newport News VA. there is a hospital wide policy, we will get a call from the lab with the critical results( they will include our name...
fast of all you have to know the normal value for the investgation which you are sending than if any abnormalty in life thretning you have to call emeditly . ...
We have a written policy that you must call any panic values. Lab follows up and it must be in your documentation (we use computer charting). The other night...
Robin Jarvis
rjarvis57@...
Jan 4, 2009 10:37 pm
4668
... We have a written policy that requires all criticals be called to the MD within 30 minutes. There's a bright green sticker that goes on the order sheet on...
... and Im always have a question about what abnormals need to be called to the doctor and which can wait for him to round a few hours later...Thanks Hi I...
marivp
marivp@...
Jan 5, 2009 2:55 am
4670
... cath? .... was not easily removable or easily "squished", and no odor... and didn't look like yeast.... thanks for the idea, tho, all this info helps me in...
blue_ox87
blue_ox87@...
Jan 5, 2009 2:55 am
4671
... dear john, the substance was unlike any betadine-type infiltration, and no cultures were sent, as this was not possible due to the circumstances. thanks...
blue_ox87
blue_ox87@...
Jan 5, 2009 2:55 am
4672
... dear george, i'm so glad i posted this question in this forum. your response goes a long way to dispelling any lingering doubts about fibrin as the ...
blue_ox87
blue_ox87@...
Jan 5, 2009 2:56 am
4673
... residue you described. I would culture it and if it comes back negative look at issues with plaque or other substances you mentioned. Also it may be my...
blue_ox87
blue_ox87@...
Jan 5, 2009 2:56 am
4674
... that's how it seems, following yours, george's and a few other posts (-: thanks for your reply! ... that is so sweet of you to say, i appreciate it. i...
blue_ox87
blue_ox87@...
Jan 5, 2009 2:56 am
4675
... dear bill, thanks for your response (-: the scenario you describe below fortunately does not apply to my patient (-: take care, d ... not compatible with...
blue_ox87
blue_ox87@...
Jan 5, 2009 2:56 am
4676
Every hospital does have a policy which are put by the department of Labatory Medicine.So if your lab Results falls into that Criteria ,then need to notify...
We have dedicated (and dedicated too!! :) ) physicians 24/7 in our ICU so we be lucky! However I worked at one ICU that had pre printed area on the daily lab...
I live in Canada. I've not worked acute care in the US in over 20 years, so I wasn't sure if that was true there. I found early on when I moved here you cannot...
And because I did not want to second guess their needs, I politely asked what lab values they wanted to be called for from the morning labs ordered and they...
Having problems with message search?
Fill out this form to ensure your group is one of the first to be migrated to the new message search system.
