1. Never personally hit an artery, but had a new nurse that did and couldn't understand why the blood kept going up the IV tubing.
2. Sent a Little Old Lady to the floor with a butterfly in a scalp artery; she was contracted and had absolutly no veins. Physician tried a central line X 3 with no success. LOL had only a few wisps of hair and had several great veins showing. The doc put it in and up to the floor she went. The med/surg nurses were not amused.
3. Have several frequent flyer IVDA's with serious health problems. A couple have left one vein along specifically for medical treatment. Have 2 that are quite competent at starting their own. Of course it would be inappropriate to allow them to do so (Hey, how did that line get started??I didn't see anything!!!)
4. Only time I've ever seen a stop-cock bleed out is when the patient was playing with it.
5. Had a patient show up in the ER (he drove himself) from a physicians office with IV lidocaine running. Not taking many chances there, were they? We did report this as a sentinel (Serious) event to risk management.The doc was given a slap on the wrist.
6. Had another patient show up with an IV of 0.9NS running. She had been in a different hospital and felt that her treatment was taking to long so she left with IV intact and drove to our ER. Her reason? "I didn't want to be stuck again" Patient stated that she was having back pain and they weren't giving her the appropriate doses of Demerol. They only gave her 50mgs of Demerol IV over a two hour period. Did I note that she drove herself???
She said that she always gets 100mg of Demerol IV.
7. Had a patient that didn't want us to start any IV's in his forearms because he didn't want us to mess up any of his tatoo's. His problem?? He was having an acute MI and needed TPA which meant he needed 3 IV lines. Let's see Death vrs Tatoo, what would you do?
8. Oh yes, than there was a code patient. Full cardio/pulm. arrest. The cause? Overdose of morphine. He was a CA patient on a PCA pump at home. We revived him with ACLS and narcan (yes he was a full code), but guess what, we couldn't turn his PCA pump off, it was locked. We disconected it and let it run out in the trash can. Turns out the Morphine mixture had been mixed wrong and was 10 times stronger than ordered. Risk Management was upset that we couldn't account for all the morphine mixture. I offered them the red bag out of the trash can. They too were not amused. P.S. We also managed to put the poor man into withdrawl. Not a good night.