@dr.nicole.vangroningen: NPO past midnight culture is tough to change! Has anyone successfully done it at their hospital? We’re trying here but it hasn’t always been the easiest. I’m guessing it’s an issue at many hospitals. #hospitalistlife #hospitaltiktoks #hospitalistmedicine #internalmedicine #doctorsoftiktok #nursesoftiktok

Nicole Van Groningen, MD
Nicole Van Groningen, MD
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Region: US
Wednesday 24 May 2023 03:08:25 GMT
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wfliwin
wfl iwin :
And then that 4 pm procedure gets delayed 🥺
2023-05-24 04:46:51
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amandagarcia236
Amanda G :
then the procedure gets delayed and it’s too late to order dinner trays. I’ve seen these poor pts go NPO for DAYS because of this cycle!
2023-05-24 05:52:54
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pitterpatter87
Amanda :
My last surgery, the anesthesiologist told me to chug a glass of apple juice 2hr before I show up. I felt so much better with that sugar spike
2023-05-24 04:33:05
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tikdoc93
Donnie :
That’s because the nurses will be confused. It’s just easier to make everyone NPO at the same time before a procedure
2023-05-24 11:54:38
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spectacularlysapphic
sapphicsoul🌈 :
I agree!!!! NPO p MN is so archaic. Makes the procedure so much harder in the body. I would love this 2 change!
2023-05-24 03:44:59
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cyrus_norr
Cyrus Norr :
is it terribly difficult for patients to fast until 5pm? if you're not active then there must not be much demand for calories
2023-05-24 05:01:03
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gaspass2
user904014417074 :
And then there are cancellations and the 4pm procedure is now 9am. But whoops they just ate.
2023-05-28 14:52:43
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fairy.floss.does.it.all
Florence :
IM Attending MD glaring at me in front of residents when I confirmed with IR my DM pt could eat half a sammich 🤣🤣
2023-05-25 06:33:51
0
savage_amaryllis
Savage Amaryllis :
Diagnosed with pots, vagal response everytime i get an iv or blood test. Never fainted though. Then I had to get surgery for the first time. Got the
2023-05-24 04:49:58
1
madisonpls
Madisonpls :
So I have pretty severe Gastroparesis so it is actually one rule I follow and if I have a procedure early in the morning I make sure to fast at
2023-05-24 05:36:18
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dustinryan1
Dustin Ryan :
The problem isn't that for nursing staff, it isn't realistic to enforce patient specific NPO times.
2023-05-24 07:13:26
1
allymac08
Ally :
To be fair, in the Cath Lab we cling to it because we might bump your procedure up
2023-05-24 20:09:15
0
hxcnubpwner420
user9771365650003 :
My hospital is 8hrs prior to w 8oz clear liquid up to 3hr before 🙂
2023-05-24 05:02:40
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rhiannnnnnnnnnin
Rhianin :
tbf that would mean we couldn't pull someone in early if a spot opens up
2023-05-25 16:00:44
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rachaelskye8
Rachael Skye :
I feel like it’s just more convenient Day shift nurses don’t have time to make sure npo at a random time in the middle of day.
2023-05-24 06:51:26
1
kimberlyrnbsn
KimBerLy :
That’s nice and all but we never know when OR actually wants to pull the patient for surgery. Communication would be nice
2023-05-30 04:40:34
0
emifran13
emifran :
but for ultrasound wise we need patients to be truly npo for 8 hours! well for abdomen ultrasounds, mesenteric artery studies and renal artery studies
2023-05-24 08:33:17
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lorenzodocx
lorenzo docx :
but then there is a change in schedule and the surgery can happen earlier, now what
2023-05-25 06:46:58
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standing0nbidness
Mr.everything :
So can I hit up my anesthesiologist to ask if my patient is allowed to have clear liquids 2 hours before Sx ?
2023-05-24 04:28:38
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nurse_ginger
GingerElle :
Word. I've had so many things thrown at me because an MD/DO decided NPO after MN was best for surgery after 12noon.
2023-05-29 14:23:21
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gle22
G Le :
It's more because breakfast comes out around 7-9 and there are numerous times patients eat if that NPO sign isn't there. A after bfast order can fail
2023-05-26 05:51:52
2
albyyasmeen
Alby-Yasmeen Sumague :
We had to cancel a surgery cause our patient stole his roommates lunch and ate it when I got there to bring him to pre-op
2023-05-24 03:37:57
4
roxylynne2
Roxanne :
In 1993 for my third child we went to be induced and I ate fried chicken in the parking lot of the hospital. I know the studies and they don’t make
2023-05-25 14:47:09
0
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