GingerSue 27,158 Views
Joined: Oct 20, '04;
Posts: 1,975 (9% Liked)
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You should keep your mouth shut about the actress with the flesh eating wound though.
If the med was indeed the correct med, then there was no med error.
There was, however, a procedural error on your part that could have stung you badly. You know this by your own admission, so you've already learned a valuable lesson.
Sometimes a good scare is a highly effective teaching tool.
BTW, don't let yourself be pushed around by more experienced nurses or other staff who take shortcuts. Develop a reputation as someone who does it by the book, and eventually they'll get the idea that they shouldn't even ask.
Be especially careful with wasting meds. if you don't get a look at the med and actually see it being wasted, don't co-sign. Again, make that part of your standard operating procedure, and you might become known as an old stick in the mud, but you'll be a stick in the mud who still has her license.
both responses are correct. it is YOUR license on the line since you GAVE the med. There are 3 rules I follow being a new student that i have learned are most important to avoid med errors, DO NOT GIVE OUT MEDS YOU DONT TAKE OUT, Do not document for anyone and check 3 times and check your 5 rights ALWAYS! She cannot and will not cover for you when asked WHY you gave that medication. Always remember, the things you do have to stand up in a court of law and a lawyer will eat you to pieces saying, SHE TOLD ME TO GIVE IT! Do not feel bad, use it as a learning curve and never do it again. It may be a standard order, but you have no clue what she gave! Good job for recognizing it was wrong though, some just dont care! You have EVERY right to say i am not comfortable doing that, you give the med, and she can not be upset with you! They are teaching you BAD habits! Good luck and congrats on the new career!
1. identify abnormal lab values and specify whether it is low or high, slightly or critically.
2. give specific names for deficiency or excess of the values.
i would honestly just tell her because some people really don't know they are offending people.
i'm not that good with psych, but i do know how to put together a care plan. diagnoses are determined by the signs and symptoms the patient has. every nursing diagnosis has a set of signs and symptoms that your patient must match.
someone who burns a bible and money to get rid of it is not coping effectively. how many things do you light up and burn when you want to get rid of them? none, i hope! this is ineffective coping r/t unrealistic perceptions and disturbed thought processes. i think it also makes her a danger to herself and others. the diagnosis for that would be risk for injury or risk for trauma r/t hallucinations and effects of cocaine.
hearing voices (god talks to her) is hallucinatory and is disturbed sensory perception r/t chemical imbalance and substance intoxication (due to the schizophrenia and presence of cocaine in her system).
i think you should also consider the nursing diagnosis of anxiety. look at the symptoms (defining characteristics) of anxiety listed on this webpage and see if this patient doesn't have some of them: anxiety. the anxiety will be r/t her conflict with reality.
so, there are several good ideas for diagnoses for this patient. this website also has information of psych diagnoses that may help you in wording you might need for the diagnoses you do end up using:
Both Selegeline and Eldepryl are listed as current in the BNF (British National Formulary
I was able to find it in my Nurse's Drug Guide 2008. Let me know if you need the infomation.
GI bleed really IS as bad as they say!!! Learned this after throwing up in my mouth WITH a mask on. Not fun. Smearing mint toothpaste in a mask is supposed to help. Haven't tried it yet, but I carry a small travel size with me to clinical. Lesson learned!
When burping Colostomy bags, Vick's Vapor rub is your friend.
Learn to touch people
Never turn your back on any patient (learned that one the hard way-Elderly man attacked me, Alzheimers)
I have a question. I am currently an STNA on a hospital floor, and am working on my nursing pre-requisites. Today, a nurse approaches me, and eyeing my full bookbag, says that I wouldn't be able to get a nursing license because I am over 55. Well, slightly over, but still. She said this with a completely straight face, and insisted that she was not joking. I wonder if this is true. I doubt it, but who knows. I know a few nurses who graduated after 55, and that was years ago. But she insisted that this was true, and added that because of nurses' shortage, I might get licensed even though I am 57 now, so when I graduate, I'll be closer to 60. So... what do you think? Have you ever heard of this?
All answers are greatly appreciated. Thank you all and have a nice day.
This is why you should always know how to contact your CI in an emergency. As soon as I felt that suspicion was falling on me, you bet your bootie that I would have been the one calling in my senior personnel (CI) to start documenting what is going on BEFORE ANYONE, including the Doc., leaves the room. I certainly wouldn't have waited until the end of the procedure (and everyone had gone home) before they heard from me. I would have been the one threatening to raise H..L in a situation like this. You can't be passive when it comes to stuff like this! Cover your butt, everyone else would have been if those narcs had not turned up.
At the very least I would write up a re-cap of the way things happened including the names of everyone in the room and present a copy of it to someone in power at your school. I do hope that the reason they didn't file an incident report is because they are checking him out but that would not be good enough for me. I'd want to make sure and cover my butt. What a shame this happened to you. I'd be furious.
This reminds me of when I first became a pharmacy technician about 5 years ago.... The overnight Pharm would count the controls and kept coming up short on one of them.... My step mother was the pharmacy manager (nobody new we were family) and so the overnight pharm told my step mother that she thought I was stealing the meds (of course I was new so I was the obvious suspect). My step mother came to speak to me to tell me they would be turning ont he cameras because of the stolen meds (she obviously thought it was me also). What really worried me is if she were to tell others and then the meds stoped disappearing it would definitely seem like I was the culprit. I was very upset because I don't like drugs and don't like to feel high (did too much of that in my teen years). But a few weeks later they caught a PHARMACIST pocketing the drugs.... they called in the DEA and took her out. Me and the night time pharmacist (and my step mother) have been laughing about it ever since.... I know this doesn't help but I know how you feel.... HELPLESS... Try to be safe and make sure your instructor is always around when narcotics are involved becuase drug abusers always need a scape goat
*hugs* I'm so sorry you had to go through this. You did the right thing telling your instructor. Those surgeons were completely out of line. Please, make sure somebody holds those surgeons accountable for their actions.
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