Allright my friends,
Here's one for the "legal eagles" out there.... Had a call on friday wanting me to place a PICC on someone who was dying and needing it STAT.Â After explaining to the caller that if the pt is a full code and needs a line, place a short term peripheral IV and call 911. The caller said no, we want her to die! After she dies we are going to give her IV antibitoics and IV reglan and hydrating fluids and then put down a NG and flood her stomach with peptoB and other ant-acids.Â She will then be sent to another state to be frozen in hopes that 30 years from now the technology will be such that she can be brought back to life and live the remainder of her days in "full life".Â (Pt is 83 and has a list of co-morbities and allergies longer than my arm).
I'm a LPN, the caller then declared, and said, "Can I give the medications IV push?"Â We then explained thatÂ here in Missouri, IV push medications can only be given by the LPN under life threatening circumstances.Â If she's dead,Â we said, "HowÂ is that life threatening?"
My concern with this is "should an RN be giving medications to a person once they have expired?" I know it won't result inÂ any further demise of the pt than what has already occurred, but is there anything that is contraindicatedÂ that I'm not thinking of?
I told the LPN that I would be there in the AM to place the PICC, but I would not place it, if she was already dead.
(P.S. PICC line placed successfully in the AM --- and yes, she was still breathing!)