[Indy]

I liked what the article had to say about prevention, though. Turn on a light, follow lines to point of origin, label things, etc. Oh yeah. And don't carry PO liquid meds to the bedside in a syringe even if you measured it in a syringe. There was a local case I heard of where someone put Milk of Mag in a central line doing that; gives me shivers to think of it. I've gotten pretty OCD about my central lines: I line up syringes on the counter for the drugs and put needles by them. Then I look at it and put flushes before each drug syringe, in between them and after, then another syringe with needle at the end for heparin flush. THEN label 'em as I draw 'em up. I never label the salines unless I think I'm not giving the drugs right then. But it can get downright complicated if you expect to push drugs then draw blood, then change one or all of the needleless valves... I'd hate to have been the nurse who said, ok while I'm at it let's give him some MOM and then boom. Dead patient, bybye license. It would have been well worth it to take some extra time to squirt the MoM into a paper cup.

[subee]

[quote=HappyNurse2005]THis was printed and posted at my work.
My biggest OMG one was

Really, the port used to inflate/deflate the trach cuff is so close to the trach, how can you NOT know where it comes from when you go to hook up IVF??? yipes.

or


of course, the enteral feeding sets we use at my hospital aren't leur locks, so i dont know how you could do that......

IVF into a trach, tube feedings into a central line? How quickly are we trying to kill these people?

i agree w/ someone else-
you gotta be really stupid to do some of these. or maybe they don't know how to use the equipment but aren't willing to say so.[/QUO

I always theorize that these people are impaired while working. They're either high at the time that they flub it or are exhausted from the night before.

[Roy Fokker]

Originally Posted by earle58

wow. very scary stuff.
if i have pts who are hooked up to sev'l different lines, i always label them. it does take extra time but you really can't afford not to.

leslie

I do this even with my injections - especially when I'm drawing up pain meds and antibiotics. I usually just slap on a piece of tape and initial the drug in 'em. If I'm really pressed for time, I just slap a piece of tape on the "be careful" ones - opioids, certain antibiotics etc.

It is worth the 10 extra seconds...

[dorimar]

Umm...how bout the ventriculosotmy??? Frightening. Nothing like a little Ensure in your brain to perk you up hunh?

[heart05]

Is anyone being asked to do a risk assessment or set up programs on new tubing or catheter purchases in their hospitals to prevent this? Thanks.

[SueBee RN-BSN]

Interesting- Someone was not lucid while doing patient care. I wonder if the healthcare providers got screened for drug use?

[tridil2000]

Originally Posted by Undecided7

Gosh- this may sound mean but you have to be just plain STUPID or BLIND to connect a NIBP cuff or SCD to an IV or tube feeding to a CBI and so on. I mean, you would have to be paying NO ATTENTION whatsoever. In that case, maybe these people shouldn't be in nursing.

i have to completely agree. i can't fathom a registered professional nurse hooking up a ngt feed to an iv line??!!!

completely unacceptable and pure stupidity!!!!!!!

are these the kind of nurses they're putting through school in these 12 month fastrack programs??? in 20 years, i have never heard of such stupidity!!!!

[tridil2000]

Originally Posted by Indy

I liked what the article had to say about prevention, though. Turn on a light, follow lines to point of origin, label things, etc. Oh yeah. And don't carry PO liquid meds to the bedside in a syringe even if you measured it in a syringe. There was a local case I heard of where someone put Milk of Mag in a central line doing that; gives me shivers to think of it. I've gotten pretty OCD about my central lines: I line up syringes on the counter for the drugs and put needles by them. Then I look at it and put flushes before each drug syringe, in between them and after, then another syringe with needle at the end for heparin flush. THEN label 'em as I draw 'em up. I never label the salines unless I think I'm not giving the drugs right then. But it can get downright complicated if you expect to push drugs then draw blood, then change one or all of the needleless valves... I'd hate to have been the nurse who said, ok while I'm at it let's give him some MOM and then boom. Dead patient, bybye license. It would have been well worth it to take some extra time to squirt the MoM into a paper cup.

i'm speechless! someone put milk of mag into a cvp??????? what the hell did they think they were pushing???? it's white for crying out loud!!!!!

i wonder if these same idiots would go home and pour oj into their milk???? just stupid! plain stupid!

[rninme]

What in the world are these people THINKING??? Or, better yet, ARE THEY THINKING??

This scares me....I trace lines, I label lines, I label drugs. I constantly think of the "R's"....

[azhiker96]

Originally Posted by Undecided7

Gosh- this may sound mean but you have to be just plain STUPID or BLIND to connect a NIBP cuff or SCD to an IV or tube feeding to a CBI and so on. I mean, you would have to be paying NO ATTENTION whatsoever. In that case, maybe these people shouldn't be in nursing.

Agreed! Whether it's fatigue, drugs, or lack of grey matter, these folks are not firing on all cylinders. I sure would not want them to be my nurse or taking care of anyone I love.