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TJ'sMOM 3,311 Views

Joined: Sep 17, '12; Posts: 16 (44% Liked) ; Likes: 20

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  • May 20

    I agree that this warrants an incident report, but I too would be hesitant if I was concerned about the repercussions for my coworker. However, she deserves to be made aware of the mistake so she can improve her practice, because this is clearly a medication error that had potential for harm. And the facility should be made aware so they can take a look at their dispensing system. Maybe they shouldn't have multiple types of IVF, all almost identical to a passing glance, sharing the same pyxis drawer or shelf space.

    I never understood why the damn bags weren't color coded with big stickers or something.

    Yes, proper med admin is our responsibility, full stop. But human error is easier to avoid if your system is built with that in mind. And administrative response to mistakes should focus on the actual goal- patient safety and employee well being. And not to mention a bit of kindness and grace for the caregiver who made the mistake. Glass houses, right?



    It really grinds my gears that in so many facilities, nurses are conditioned to be hesitant about reporting mistakes due to fear of punitive action. We are human, and we are absolutely going to make mistakes. Because of the nature of our work, sometimes our mistakes can cause harm to a patient, or even kill them. Therefore, it is critically important that providers feel comfortable reporting errors, whether benign or harmful. That is how we identify problems and (hopefully) improve our systems and protocols to make errors less likely.

  • May 18

    [QUOTE=Buckeye.nurse;983427...And in my darkest moment, fetal and weeping
    The moon tells me a secret - my confidant
    As full and bright as I am
    This light is not my own and
    A million light reflections pass over me

    Its source is bright and endless
    She resuscitates the hopeless
    Without her, we are lifeless satellites drifting

    I don't want to argue with you Have Nurse. I just want to point out that there are many different interpretations of the light, and many different paths to inner peace.[/QUOTE]

    Thank you Buckeye.nurse...my dad was stationed in Guadalcanal during WW2. One of the few things he shared with me about that experience was that he would stare at the moon and receive comfort knowing his wife, my future mom, was safe at home and could see the same moon he was looking at; very powerful and spiritual according to any religion or belief or non-belief.

    He was not a religious man but a man of high honor and integrity and I don't know if he accepted Jesus as his personal savior or not. I do know I expect to see him in the afterlife regardless...not offering rationale or explanation or anything to back up my statement.

    Good post...as Davey stated way back...we won't know until we get there - until then Faith is what my wagon is hitched to.

  • May 18

    Elkpark can certainly speak for her/himself, but I just had to say something after your last post Have Nurse. I respect your journey, the story you shared, and the spiritual peace you have achieved after troubled years earlier in your life.

    I've noticed though, over the years, that many Christians (not all, but many) assume that *THEIR* path to spiritual peace is the only path. Some people are Buddhists, Muslims, practice Hinduism, or are simply most at peace meditating in the middle of nature.

    To quote Maynard James Keenan from the band Tool~~ And in my darkest moment, fetal and weeping
    The moon tells me a secret - my confidant
    As full and bright as I am
    This light is not my own and
    A million light reflections pass over me

    Its source is bright and endless
    She resuscitates the hopeless
    Without her, we are lifeless satellites drifting

    And as I pull my head out I am without one doubt
    Don't wanna be down here soothing my narcissism.
    I must crucify the ego before it's far too late
    I pray the light lifts me out
    Before I pine away.

    So crucify the ego, before it's far too late
    To leave behind this place so negative and blind and cynical,
    And you will come to find that we are all one mind
    Capable of all that's imagined and all conceivable.
    Just let the light touch you
    And let the words spill through
    And let them pass right through
    Bringing out our hope and reason...
    before we pine away.

    I don't want to argue with you Have Nurse. I just want to point out that there are many different interpretations of the light, and many different paths to inner peace.

  • May 18

    Quote from elkpark
    Don't waste your breath. That kind of condescending tripe is soooo offensive. Do you realize that you're turning off a lot more people with that then you are reaching?
    I woke up thinking about you this morning and hoped that you could get past your anger and frustration.

    I don't believe what you said above and it doesn't really bother me.

    When the evil in this world senses conflict with Him they will put up a fuss. No, I don't mean you.

    If you will re-read the story, slowly, you will see that you missed some things. You mentioned that "Joe was dying," when, in fact he was not. His vitals were stable, his color was good, his lungs, though diminished were clear. There was no crepitus regarding the chest tube he had previous. He was alert, oriented up in a chair with standby assist only, and on room air. His sats were in the high 90's. If you ask me why I remember that, the events with him that evening are planted in my mind forever. You don't forget your first code, especially when you are a student.

    He was stable and to be discharged the next morning. He was in tele, merely as OVERFLOW Med/Surg. He wasn't hooked up to a monitor because he didn't need it.

    And you missed one important point. The sun had gone down, we were up several stories and I SAW THE LIGHT TOO.

    In your rebuttal you completely ignored addressing those facts. But that aside, I can sense your unsettled spirit and hope that in time, you will be able to understand one day what is really being shared.

    I hope that you will not have to endure what I did in life, for Him to get your attention.

    I have lived a long time. I have served my country twice, lived in 4 countries, and saw waaay too much. My life losses have been off the charts. I did not think that the human heart could survive that kind of pain, and live.

    When I think of the arrogance, pride, intellectual bargaining, rationalizing and just plain idiocy I committed in my life to justify myself, I can see how wrong I was and how The Lord really had no choice but allow me such pain before He could finally touch me and rescue my soul and my life.

    Sometimes a Sheperd has to break the legs of the lamb to save it from wandering too far. When He does, He then carries that lamb around His neck so they can heal and He can love them.

    I don't know if you will ever understand, Elkpark. I am sad that this is so hard for you, but I sincerely want you to know that you are a person with wonderful potential for His glory and I hope that one day you too will "Meet Me At The Wall." Best, Cynthia

  • Jan 23

    I had ACLS but it all went out the window the first time my patient coded. I was a deer in headlights and so freaked out, I didn't even know how to call for help. Thankfully, we brought him back him back quickly. I don't care who you are or how much you know, the first time you experience that, it is a shock. I failed miserably, but have never had a issue since!!! To this day, when I have pt who has the potential to code, I am always more aware of who is working near me and what I need to do be on top of the worst. I am a far better nurse today for being a failure in the past.

  • Jan 15

    I had no idea what the OP was talking about. The only "Chucks" I know of are Converse shoes.

    It wasn't until the second post in the thread that I realized s/he was referring to chux.

  • Jan 15

    I love Chux. I would buy Chux a drink if I could. Chux has saved many an ass, including mine!

  • Jan 15

    Whatever.... they are your friend. Double up.

  • Jan 15

    The name often used for an absorbent or waterproof pad is "chux" which comes from a brand name for these products.

  • Dec 15 '17
  • Dec 15 '17

    Thanks for your reply! No unfortantely we do not sign meds. Just IV fluids and tubing we sign.

    And that is smart about Pyxis. I wouldn't know how to go about doing that and everytime I seemed to ask questions regarding the situation it was brushed off as it's fine it's not a big deal but to me and for me it is. My confidence is already at a low because I'm a new grad I don't need something else knocking me down farther if it isn't true.

    But yes they had no idea even room numbers. I had a good idea based on what I remember from the patient who would have probably received that medication but she was already discharged and I'm not sure if I would have remembered her name to look. So without managements help I'm pretty helpless in ever finding out.

  • Dec 15 '17

    Quote from Jedrnurse
    While I don't agree that the OP provided examples of it, I do agree that there is such thing as a stupid question...
    Why? Please do be specific and don't cut your reply short because I really don't understand how you determine a question to be stupid or not.

  • Dec 15 '17

    I had to ask a CNA yesterday where to put the lab label on a urine tube. It doesn't make me dumb for not knowing. Our lab is picky about where the label goes on certain tests my CNAs are so wonderful I've never had to label the urine tubes before. It's pretty crappy to think that some people might think me an idiot for not k owing something so "simple".

    OP, get over yourself. He asked a few questions that you found dumb. But no patient harm was done and these are not questions that depict what kind of nurse he is in my mind.

  • Dec 15 '17

    True story.
    I am checking in my assignment. I see for 1 pt CHG Vitals q shift. I think and I think and I think. What the heck are CHG vitals? I have 32 years experience. I finally ask the day charge nurse (I was working evenings) , she less experience than me. I say "what are CHG vitals?"
    She looks at me and says " I have no idea"
    So together, we look,thru the orders,
    The order? Change vitals to q shift! Duh!
    But there I was a very experienced nurses, asking a stupid question, but ask it I did.
    So the moral of my story is that sometimes you just have to ask the stupid question!

  • Dec 15 '17

    Quote from Aunt Slappy
    Let's use a little critical thinking here. If you need a sample of pulmonary sputum for testing, and it now includes gastric contents, is that a valid sample?
    Stop trying to be clever and answer the question

    Given how vicous sputum is I suspect its easy to extract the for the culture.

    But then again I'm an RN going into my sixth year since graduation and I would be the first one picking up the phone to the lab and asking them because i have no idea


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