Radiology scanner

Tip: If You Need to Extubate Patient, Send to Radiology

PITTSBURGH, PA – Hope Mercy ICU is starting a new policy that if you need your patient extubated just send them to radiology.

Radiology scanner
An extubation just waiting to happen

“Usually when your patient doesn’t quite meet extubation criteria but you have a feeling that they would do well without an endotracheal tube, just send them to radiology,” Dr. Wichman, a critical care physician, told GomerBlog.

“This policy works great, I don’t have to worry about being sued later because I extubated my patient when these arbitrary marks were not met.  No more long paragraphs in my notes about why I was going on clinical intuition.  Just send them downstairs and let it ride.”

For many years it was well known that an intubated patient sent to get a scan would lose their breathing tube somewhere along transport or in the scanner.  About 40% of the time they would also lose their IV.  “I would always report that the patient coughed out the tube or the IV got snagged; now there is this understanding that patients are coming down because they need their lines and tubes removed.”

No need to write an order for extubation or do weaning protocols.  In fact if you don’t want your patient to receive any extra radiation, order an ultrasound or just ask for the off the menu item of “requesting radiologist to review the films with the patient.”

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  • Lord Lockwell

    Lord Vincent Lockwell, a medival surgeon, started Gomerblog in 1388. He went for a walk in the alps to get away from the bubonic plague in what is now considered southren Germany when a tragic acident occured. The avalanche did not kill him but froze him for over 500 years. He was thawed and now continues to report on medical news.

  • Show Comments

  • Avatar
    GamerDoctor

    Wow… you are dumb

  • Avatar
    Casca

    Mochiro !

  • Avatar
    Casca

    Satire detector fail….

  • Avatar
    Casca

    They managed to pull out a chest tube I had just put in…..

  • Avatar
    Rishi

    Bane of every anesthesiologist’s existence, lol.

  • Avatar
    Debjoti Sensharma

    Lol

  • Avatar
    Gregory Turner

    As a radiology nurse I do what I can for my fellow nurses

  • Avatar
    Nicole Wickoren

    Also works if you want your ventric out!

  • Avatar
    Damon Shearer

    How about don’t have a diagnosis for your patient, use the shotgun approach and order a CT CAP to see if the radiologist can tell you what’s going on.

  • Avatar
    Chris Rowe

    Not sure what kind of training these transport people have, but our hospital has specific critical transport teams for intubated patients to procedure areas, and very well trained Radiology nurses in all areas of Radiology. Not sure of our stats, but am damn sure it’s not 40% extubation rate. That’s ridiculous. Obviously many hospitals need to wake up and pay for more training and better staff in Radiology areas. Ours does and patient safety is paramount!!!!

  • Avatar
    Jonathan Vergara

    I know! These incidents happen everytime! As soon as the R.N. who by the way, is the primary individual responsible for the patient, arrives to the scanner and as soon the patient is transferred from the bed to the CT table, plops his or her ass on the chair behind the control screen and has his or her face buried on the iphone. Especially when the patient is moving in and out of a scanner, while the respiratory therapist is bagging and trying to keep up with the patient moving in and out of the gantry

  • Avatar
    Nathaniel Allen

    Or a Foley catheter , or IV that was extremely difficult to put in.

  • Avatar
    Lisa Abrahamson-Holst

    I always breathed a sigh of relief when the intubated pt I took down to CT Scan was still intubated when I brought him back up to ICU !!!

  • Avatar
    Kelsei Bezerra Maia

    Kkkk mas foi engraçado…. Davi Sa Leitao

  • Avatar
    Kelsei Bezerra Maia

    Que marmota!!! Kkkkkkk de fato eles tem mania de acordarem no meio do caminho quando a gente pede uma TC por rebaix de sensório kkkkk
    Mas perder tubo… Nunca acontece não rs… Esse povo deve estar com tubo sem necessidade rs

  • Avatar
    Ron M Whaley

    Yep…

  • Avatar
    Courtney Robertson

    Dannielle Bennink

  • Avatar
    Sven Gunther

    Haha truth.

  • Avatar
    Davi Sa Leitao

    Kelsei Bezerra Maia, acontece isso ai?

  • Avatar
    Ginny Moullet

    LOL wasn’t me!! haha

  • Avatar
    Lucas Urlacher

    That’s funny cuz I just had contrast spray all over me and a pt because the nurse didn’t tighten the hub ;)

  • Avatar
    Ginny Moullet

    Serena Delgadillo Schroeder Lucas Urlacher lol

  • Avatar
    Sarah Dawkins
  • Avatar
    Margarita Cunningham

    Lol, or just turn the propofol to KVO

  • Avatar
    Diana Rabade

    Margarita Cunningham Nicole Grahl

  • Avatar
    Lisa Hunsicker

    Not intrathoracic aortic clamps though! Lol

  • Avatar
    Marianne Williams

    Or take out their I.V.!

  • Avatar
    Amy Evans Widmeyer

    Or a central line or foley…lol

  • Avatar
    Lori Robinson Smith

    ROFL….

  • Avatar
    Stephen D. Dille

    Did I forget to tie those restraints? My bad ;-)

  • Avatar
    Dana Charlee

    Too funny!

  • Avatar
    Cynthia Almy Savage

    Removing freshly placed chest tubes, too.

  • Avatar
    Kim Stache

    Hey don’t you date! Lol

  • Avatar
    Cristóbal Lanchero

    Our dirty secret :)

  • Avatar
    Emily Louise King
  • Avatar
    Cristóbal Lanchero

    Emily Louise King

  • Avatar
    Colleen Lai Taylor

    At least I make up a great story to go with the pulled IV!! Lol

  • Avatar
    James M Wilson

    Ben Kemp

  • Avatar
    Mary Turner

    Total truth!! Glad they mentioned IV stats as well, lol!! Awesome!!

  • Avatar
    Yassi Nasio

    Lol true

  • Avatar
    Todd Kreisler

    Really hilarious.

  • Avatar
    Leanne Skidmore

    Valerie Paul

  • Avatar
    Jason Freeland

    True that

  • Avatar
    Becky Brown

    Haha awesome

  • Avatar
    Ilona Parks

    Hahahaha

  • Avatar
    Mary Farrell

    Lol, this is a riot!!

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