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Curious - Absolute No-No's



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  #81  
Old Dec 10, 2007, 10:25 AM
Drysolong (Female)
Senior Member
Join Date: May 2004
Re: Absolute No-No's

Today was the first time I'd had a chance to read responses to my question. This information is SO VERY HELPFUL!!! Thanks to all of you.


Last edited by Drysolong : Dec 10, 2007 at 11:22 AM.
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  #82  
Old Dec 10, 2007, 11:46 AM
Registered User
Join Date: Sep 2007
Re: Absolute No-No's

Swee2000- Aprilhere was simply saying do not assume. Nothing was said about LPN's not knowing their job. Quite frankly- If I was signing off on an LPN's medications- I would double check too.---> This has been the policy in a few of the facilities where I have worked.

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  #83  
Old Dec 10, 2007, 11:49 AM
Registered User
Join Date: Sep 2007
Re: Absolute No-No's

By the way-
Always give protamine very, very, very slowly- when trying to reverse heparin.
AND make sure your patient is on a monitor being watched. I thought I was giving it slowly enough once- then was horrified when my pt. went into an agonal rhythm- luckily she spontaneously regained her rhythm and conciousness. I still feel sick to my stomach thinking about that day. Yikes.

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  #84  
Old Dec 10, 2007, 02:03 PM
all4schwa (Female)
Registered User
Join Date: Oct 2005
Re: Absolute No-No's

haldol doesnt mix with anything

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  #85  
Old Dec 10, 2007, 02:06 PM
Chloe'sinNYNow (Female)
Registered User
Join Date: Aug 2005
Re: Absolute No-No's

Ooh, here' s one. Lantus cannot be mixed w/ any insulin!

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  #86  
Old Dec 10, 2007, 02:20 PM
Aprilhere (Female)
Senior Member
Join Date: Jul 2007
Re: Absolute No-No's

Originally Posted by swee2000 View Post
I don't dispute that nurses, both RN & LPN, make mistakes during medication administration, such as not verifying BPs prior to administering antihypertensive meds. But that is not what the poster said, nor why I responded in the first place and in the way I did. Personally, I didn't appreciate or care for her generalized opinion of LPNs. Even now as I read her comments, she appears to be implying, and in 2 seperate postings(!!), that LPNs don't have the where-with-all to safely administer medications, particularly those requiring
pre-administration assessments such as verifying a patient's HR & BP. That's an unfair assumption to make, in my opinion. Had her comments referred to ALL nurses in general, both RNs and LPNs, then I would've kept quiet. Instead, it seems like she's singling out LPNs just because their LPNs. And I'm not trying to start an RN vs LPN debate on this, as that was not my intention or the point to my post. But I don't think LPNs should be viewed as incompetent, or not competent enough, when they get the same exact info and education that RNs are given. That's all.

I apologize. I truly, honestly did NOT mean any offense here. It was just a quote based on an experience I had. And...honestly...the emphasis wasn't meant to be towards LPN's specifically...it was on the word new. I simply forgot how sensitive some people can be. I've learned so much from LPN's on my floor. My point was in not assuming a new nurse will remember to take vitals first. It just happened to have been an LPN. I wasn't saying anything about your education. I learned many things in school...that doesn't mean I remembered them all once I was on the floor. Thank GOODNESS the nurses I worked with in the beginning didn't assume I remembered everything. My point was I should remember the same...not to assume other new nurses remember everything they learned in school.

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  #87  
Old Dec 10, 2007, 03:10 PM
P_RN's Avatar
Super Moderator
Join Date: May 2000
Re: Absolute No-No's

OK 2nd reminder.

This isn't a licensing thread.

This is a do not DO THIS (aka no-no).

There are many, many , many other places to mention educational options etc. Let's stick to the topic. Let's not allow this great thread to go skidding to a full stop OK? OK?

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  #88  
Old Dec 10, 2007, 03:51 PM
Chloe'sinNYNow (Female)
Registered User
Join Date: Aug 2005
Re: Absolute No-No's

Originally Posted by muhaha View Post
Giving Potassum directly into an IV - instant cardiac arrest...not good!
This was drilled into us in N.S. But probably not enough and can always stand to be reiterated. Good Muhaha!!

Chloe

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  #89  
Old Dec 10, 2007, 03:56 PM
Dolce (Female)
Registered User
Join Date: Feb 2007
Re: Absolute No-No's

Never do colostomy care bare-handed! I saw a nurse do this once and almost threw up. How gross can you get?

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  #90  
Old Dec 10, 2007, 04:22 PM
Registered User
Join Date: Nov 2007
Re: Absolute No-No's

Originally Posted by mjlrn97 View Post
There is NO "5-second rule" in medication administration. If you drop a pill on the floor---GET A NEW PILL.

I don't even take pills that fall on the floor in my own home. Blech!
This is not always possible in unit dose situations, where only exactly enough pills for a certain time period have been provided by the pharmacist and there is no pharmacist on duty and no way to get a replacement except to borrow from another patient, which is illegal, I think, or call the pharmacist in from home, which could take quite a while. I agree, it would be nice to be able to get a clean pill but I have see too many times where this is just not feasible. I hate unit dose and long for the days when we had stock bottles available for most meds.

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Curious - Absolute No-No's

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