What is the most incompetent thing you seen a fellow nurse do? - page 9
by okihusker | 15,122 Views | 100 Comments
There were two patients in a double room on a 38 bed tele floor. One was an old fart with a sick heart an the other was a 35 year old male who was in an MVA being observed for a myocardial contusion. The old fart coded and... Read More
- 0Jun 15, '02 by Amy ER NurseFor the record, this pt was in for chest pain, but his anxiety level was high. MD stated that anxiety was a major contributor to his pain. I have always used Ativan in this case, though. At the time the ER doc asked me to get the med, I had just walked in the door, not even clocked in yet, much less gotten report on the pt. You would have to know how hyper this doc is! I told her to wait and let me get report on the pt, and she said, "ok, but go ahead and call to get pharmacy to send it so it will be ready." The report I got from the off going nurse was that the pt, 45yr old male , anxiety, chest pain, NSR on monitor, no ectopy. Pain at 3 on pain scale. V/S WNL, etc.....When I told off going nurse about the rx ordered, she acted like she was not suprised. I guess she must not have known what it was either!
- 0Jun 15, '02 by Brownms46Beleive me Army ER nurse, my post was not pointing to any fault of yours what so ever! It was pointing to the ER MD, who took the order from the PMD, and didn't realize what the drug was! As Triavil was totally countraindicated in the present of someone complaining of chest pain....even if the EKG was normal. Since I'm guessing that Cardiac panels hadn't been completed. And I'm also sure you would have looked the drug up...no matter what form it came in.... Also..I felt pharmacy would have wondered why a drug, that requires a cumlative dosage to reach effectiveness(and is an antipsychotic.)..would need to be given in the ER, especailly stat.
Please believe me ...as I have worked with hyper docs before....and I know they can be a pain. I was merely stated that once the drug arrived...you would have known this was the wrong drug to give this pt....even if the ER MD didn't. I also believe you would have questioned why the PMD would order such a drug...because as you stated you would have usually used Ativan in this case. That is why I stated this wouldn't have really been a problem... But I have to believe that the ER MD would have known something was wrong also...at least I'm hoping so.
And well...maybe it could have been a problem...if no one checked out the drug and determined what it was before giving it....that is...if you haven't been there. I'm referring to your relief who showed no signs of knowing the difference either. But I tend to believe she too would have looked up this drug...
I hope this makes sense..
- 0Jun 15, '02 by Amy ER NurseYes, I would have to look it up because it is not something that we have ever given in the ER. It is not an emergency drug, and I would have to look up any med that I am not familiar with. I didn't get why the ER doc was so adamant that it HAD to be done NOW, but she can be like that. When I called pharmacy, he was puzzled about the drug being used in ther ER, and told me to just check with the 1st doc about it first, which is exactly what I intended to do. It did worry me that the nurse reporting off to me didn't seem to question the order. I hope she would have looked it up as well. This doc does some pretty bizarre things. She was going to have me start an IV on a 22 day old baby that had no hx of N/V/D, and was in for colic! The mother asked why the IV since she thought the baby had gas pain. I told her she had a right to refuse(and I hoped that she would, because I wouldn't want my child stuck for such a silly thing). The mom refused, and I told the doc. We gave Levsin gtts, and the baby was well relieved. She does some bizarre things in codes as well. We always try to direct the more serious things to the other doc on duty. LOL
- 0Jun 15, '02 by Brownms46Originally posted by Amy ER Nurse
[B. She was going to have me start an IV on a 22 day old baby that had no hx of N/V/D, and was in for colic! The mother asked why the IV since she thought the baby had gas pain. I told her she had a right to refuse(and I hoped that she would, because I wouldn't want my child stuck for such a silly thing). The mom refused, and I told the doc. We gave Levsin gtts, and the baby was well relieved. She does some bizarre things in codes as well. We always try to direct the more serious things to the other doc on duty. LOL [/B]
Well you sure did the right thing in protecting your pt., from an totally unneccesary, and unsettling event!! WOw...I don't blame you guys for steering the real stuff elsewhere...:chuckle:
- 0Jun 16, '02 by OBNURSEHEATHEROriginally posted by outbackannie
Most incomptetant thing I ever saw a nurse do was to lick an IV catheter like it was a sewing needle before inserting it into a vein. I swear!!!
:chuckle Just trying to REALLY gross Nick out!