Tuesday, May 23, 2006
Protocol VS. Scope of Practice
Here is something for you to wrap your head around.
You are called to transport Joe a 67 year old cancer pt to his radiation appointment.
The skinny on Joe is.
SP02 93% with trach o2 mask set at 4 lpm.
Non-communicative, has trach, requires frequent suctioning.
The catch to this senerio is your a basic crew and according to your company protocol you are not allowed to trach suction. Your "state" guidelines say you can, but your company protocol does not have a provision for it.
You are 20 minutes into your transport and Joe starts to grab at his trach site and he appears to be turning blue. You immediately contact your dispatcher and ask for an ALS intercept and head for the closest facility that can handle Joe.
Joe is breathing on his own, but it's very noisy and you can hear obvious obstructions with his airway. A yankur suction device is not doing the trick. Joe's SPO2 drops into the 80's, you are 15 minutes out of a hospital and your intercept is at least 10 minutes away.
The question I have for you is. Do you suction Joe as you have been trained by your state? This would go completely against your companies policy. Do you wait for your intercept and hope for the best?
Posted by Zer0 at 6:35 PM