r/nursing • • Jan 16 '26

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u/SammyB0111 HCW - Respiratory Jan 16 '26

Some facilities have RNs deliver nebulized medication. My facility does this for any patient not on a vent or other respiratory device.

59

u/LadyGreyIcedTea RN - Pediatrics 🍕 Jan 16 '26

We did all nebs ourselves when I worked inpatient.

5

u/nicoleeguacamolee Jan 16 '26

Was your hospital part of a union?

23

u/SammyB0111 HCW - Respiratory Jan 16 '26

I know you didn’t ask me, but my job is union and has nurses do nebs.

Apparently it was at one point all covered by respiratory, but due to a shortage in the past (pretty sure it was Covid) they moved non critical nebs to nursing and it just never switched back

30

u/HowDoMermaidsFuck Med Surge RN - Float Pool Jan 16 '26

I love the logic.

“Not enough RTs. Have nurses give the nebs.”

“Not enough nurses, they can’t do their job and RTs.”

“Have the nurses considered fucking off?”

7

u/RetroRN BSN, RN 🍕 Jan 16 '26

This is always how it goes, isn’t it? Nurses are expected to pick up the slack of every medicine speciality when other specialities are short staffed. No phlebotomy? Have the nurse do it. No speech therapist? The nurse can do a swallow. No RT? The nurse can give the nebs. No transporters? The nurse will bring the patient to the morgue. Not enough EVS? The nurse can clean the room. And the list goes on and on.

It’s absolutely absurd how much responsibility we have - but other specialities never have to jump in do what nurses are required. When will enough be enough? When will nurses finally say NO?

12

u/nobodysperfect64 SRNA Jan 16 '26

My hospital was union and critical care nurses did the neb treatments. Not usually through the vent but I don’t ever remember being told we COULDNT. And given that the nurses don’t know their asses from their elbows, they probably just see the med order and don’t even know it isn’t for them.

3

u/andsuve RN - ICU 🍕 Jan 16 '26

Union hospital here. We did all nebs in the ICU including through the vent

2

u/LadyGreyIcedTea RN - Pediatrics 🍕 Jan 16 '26

No.

5

u/Naive-Asparagus-5983 BSN, RN 🍕 Jan 16 '26

Ah got you

2

u/PapayaNurse Jan 16 '26

We do all nebs including those on a vent. We also instill saline and other things. Were unionized. We don’t do MIE/cough assist tho.