Southgoing Zax

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1. Horrified: possible accidental arterial infusion

   Southgoing Zax replied to Southgoing Zax's topic in Medications

   I'm glad to learn all of this as well, although at this point, the thought of getting back on the horse and taking care of patients makes me want to 1) puke and 2) run and hide. This is THE WORST thing that has ever happened to me, and I'm petrified ...

2. Horrified: possible accidental arterial infusion

   Southgoing Zax replied to Southgoing Zax's topic in Medications

   So...just to clarify one more time. I understand that tissue damage from an extravasation or and infiltrate may not show up for weeks, but what about tissue damage related to an accidental arterial infusion? Given that this is not the same as an extr...

3. Horrified: possible accidental arterial infusion

   Southgoing Zax replied to Southgoing Zax's topic in Medications

   Is it possible that there was infiltration despite NO EDEMA, disappearance of all symptoms and no pain/swelling/edema/ discoloration or any problems, now nearly 24 hours after? I have seen infiltrates and extrav's before, and never such a delay in sy...

4. Horrified: possible accidental arterial infusion

   Southgoing Zax replied to Southgoing Zax's topic in Medications

   Ah, that makes sense. It definitely was never cool or pale. The line was previously saline-locked and was able to be flushed without pain, discoloration, resistance, flushing/blanching, etc. believe it or not, we don't stock SL glucose(!) but that's ...

5. Horrified: possible accidental arterial infusion

   Southgoing Zax replied to Southgoing Zax's topic in Medications

   Well, I stand by my decision to continue the infusion if it was in fact a venous line. It flushed and drew, and was showing gradual improvement. Continuing the infusion was the lesser of two evils- my patient had no neuro issues yet, but given her gl...

6. Horrified: possible accidental arterial infusion

   Southgoing Zax posted a topic in Medications

   I had a patient yesterday who was hypoglycemic. Previously, I'd placed her IV in that diagonal vein in the AC that I've used 100x... Or so I thought. She had an episode of hypoglycemia and had to get D25%. I started slow pushing it, but she complaine...

7. smart move or unprofessional?

   Southgoing Zax replied to Southgoing Zax's topic in Career Support

   Well, I was planning on working 2-4 shifts per month and staying for the first 2 years of school. I didn't mention how many shifts per month in my letter, but I did say I plan to stay for 2 years. I'm prepared for the "you won't have time, therefore ...

8. Transitioning to adult ICU from PICU/peds ED?

   Southgoing Zax replied to Southgoing Zax's topic in MICU

   That's great to know! I would always joke with my SANE friends (most of whom are adult ED) that adults scare me because one minute they're all happy go-lucky... and then they're just dead! Yikes LOL! I can spot a sick kid in a nanosecond, but those...

9. smart move or unprofessional?

   Southgoing Zax posted a topic in Career Support

   Hi all, I'm new-ish around here. I've been a pediatric critical care nurse for the past 6 years (my whole nursing career) and will be starting medical school in a few short weeks. YAY! Now, here's the thing: originally, I'd planned on switching to PR...

10. Transitioning to adult ICU from PICU/peds ED?

    Southgoing Zax replied to Southgoing Zax's topic in MICU

    Thanks guys! At the moment, I'm waiting for a PRN position to appear at my current facility. There are lots of weird stipulations due to the union, so if something doesn't manifest within a few weeks, the decision will be made for me! I'm pretty set ...

11. Transitioning to adult ICU from PICU/peds ED?

    Southgoing Zax posted a topic in MICU

    Hi guys! I have been an infrequent flier on the boards since the start of my nursing career 6 years ago. I have worked at the same Children's hospital the whole time and have exclusively done PICU/peds ED. So other than school and the random waywa...