Dumb things new nurses do.... - page 7
Drew routine labs from a PICC that was STILL infusing TPN.. Got a call from lab with a critical Blood Glucose of 900. Learned my lesson, turned off TPN, FLUUUUUSHHHHED the line, re-draw... Read More
May 3, '12Patient this week with an NG tube. Offspring of said patient is a nurse on the floor below me. For whatever reason this made me really high strung. Came in to give meds via NG tube. Found the port.....figured I would assess the insertion site while I was down there, so started pulling up the patient's gown to expose the abdomen to make sure skin was okay etc. Searched and searched and searched.....muttering to self about "where is it..usually here on the left...mumble mumble...." Could not find the insertion site, so finally take the tube, getting it out from under the patient's arm and half stuck under sheets and etc etc......following with my fingertips until I realize....idiot. It's an NG tube. Where do you THINK the insertion site is????? You've been looking at it for 15 minutes now. I just somehow was stuck on thinking of a peg tube and was going to be really really thorough, thinking ahead to skin care and dressing change etc. What's funny is the patient was....well....so patient! Never said a word, just let me hunt around like a buffoon. I'm already sheepishly laughing at myself over that one.
I have also shot a patient in the eye with a flush syringe. Yay me.
May 5, '12I sure hope the lab didn't seriously believe that glucose result. On our chemistry analyzers, we will see a sharp increase in the potassium, glucose, total protein, and usually either see the specimen is grossly lipemic, or if we don't get to see the specimen, we will get a supressed high lipemia index. This is a hallmark of TPN contamination and any lab scientist worth their salt would just call for a recollect. I would NEVER give a result like that to a nurse!
Quote from ohiostudent'RNDrew routine labs from a PICC that was STILL infusing TPN..
Got a call from lab with a critical Blood Glucose of 900.
Learned my lesson, turned off TPN, FLUUUUUSHHHHED the line, re-draw labs...
May 5, '12Good Lord, don't these techs investigate before reporting the "panic" value? Anytime I get a result that could be intepreted as a critical, I first check with the nurse to see if that patient is receiving heparin, find out how the specimen was collected to rule out contamination, and get a recollect if there is doubt. Cheers.
Quote from noyesno
I did the same thing with heparin. Drew a PTT and got a buzz from the lab reporting a panic high.
May 13, '12Omg this thread rocks. I was cracking up with you all. I've done a lot of these including pulling back on the syringe too hard causing the med I'm pulling up to dump all over the place. Thanks so much for the laughs. This is great!
May 13, '12Haha, yes I have given myself a NS shower before. It was during my ICU rotation when I was changing the primary. Oh boy was I red in the face. Thank God it was just me and pt in the room and he was intubated and on propofol LOL!
Aug 21, '12It never fails that every single time I do an admission I ask the things they came in for on the history.
Ex: pt comes IBM with CP and HTN, I proceed to ask if there is a problem with their current meds. Hwy l look at me like an idiot while saying that yes... their bp isn't controlled. I profusely apologize while banging my head inside my head. Lol.
They're so repetitive I just spurt it without thought. Ugh. Lol.
Aug 27, '12Awesome thread! First thing I thought of for me was the morphine vial. So glad that others have done that too! When that piece popped off the bottom, it was so loud that it scared the living daylights out of me!
The first time I hung platelets without supervision: Used the double tubing with one going into my platelets and the other going to the bag of NS. I think I had all of the clamps open at the same time when I tried to prime the platelets tube. I think I was priming wrong to begin with! Well, my entire bag of platelets emptied into the NS bag. It looked like it was about to burst!
Aug 27, '12I am just starting on an Intermediate Care Unit, I hope I get a preceptor that has the light-heartedness yours did. We are bound to make mistakes, and laughing makes it easier to deal with!!! Thanks for the great story!
Aug 27, '12Thanks for the funny story. I am a new grad starting on an Intermediate Care Unit. I hope I get a preceptor with a sense of humor as you did. We are all going to make mistakes, as I am sure they did too, so being able to laugh about it with your preceptor is great. Great story!!!!
Jul 22, '13Ok gotta share this one......
I have a pt on continuos bladder irrigation. (You know those gigantic bags with the hose tubing?)
Well, my pt is completely awake and well aware of this irrigant and watching the copious amounts of urine I'm dumping out of his foley.
I start to lower the head of his bed down, and I didn't see that the irrigation tubing was hooked onto the head of the bed, and it pulled out the spiked end which started a huge gushing waterfall that splashed down onto the flat IV pump and DIRECTLY into his face!!!!! ( it was a brand new huge bag of it too... Couldn't have been worse..)
Then he starts yelling as he's choking on the fluids shooting into face, "OH MY GOD IS IT URINE??!!!!!"
I couldn't help but laugh, it was absolutely insane! I was like "no no! It's just water!" I have a nervous laugh to boot which was difficult to contain.
To make matters worse, I'm 4 feet 11 inches tall and it took me a minute to lower the pole as I'm sliding all around the floor in the pool of fluids to take down the bag.
Oh yeah, did I mention I was a new grad? And he was the husband of another nurse I worked with but did not know personally?
Really the whole thing still seems like a hallucination. I will never forget that scene in my head of him trying to turn his face away from the torrent of what he thought was urine flying in face, barely able to scream "IS IT URINE!?" A look of total horror and disgust!
Jul 22, '13When I was a student I started priming piggyback IV tubing with antibiotic, but I started with the tubing unclamped. The entire bag of antibiotics ran into the trash before I realized my mistake. Fortunately, my instructor was really nice when i explained what happened.
I have also popped the end off of a vile of morphine and had it run all over my hands.
Dec 5, '13Okay, this is similar to the "saline shower" but if I'm hanging a new antibiotic ivpb, I usually connect the piggyback to the maint. fluid and lower the piggyback bag to backflow ns into the piggyback to prime it rather than risk losing any antibiotic into the trash. Well one day I forgot to connect the ivpb. So I'm standing here wondering why the ns isn't back flowing and the I realize the antibiotic is soaking my pants.
Dec 5, '13Quote from sommeilThe same thing happened to me with Cefepime! I said I would waste the one abx that smells like cat urine down my pants. Needless to say security brought me some OR for the rest of my shift.Okay, this is similar to the "saline shower" but if I'm hanging a new antibiotic ivpb, I usually connect the piggyback to the maint. fluid and lower the piggyback bag to backflow ns into the piggyback to prime it rather than risk losing any antibiotic into the trash. Well one day I forgot to connect the ivpb. So I'm standing here wondering why the ns isn't back flowing and the I realize the antibiotic is soaking my pants.
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