Most shocking thing you've seen another nurse do? - page 2

by SuzieVN

31,717 Unique Views | 120 Comments

SNF. RN supervisor summoned (overhead, at about 0300) me to one of her rooms. She was attempting to insert an NG tube in an alert man, about 40, alcoholic, with varices. Told me she felt a 'blockage'. She was holding the tube as... Read More


  1. 17
    An RN asking me to admit her patient. When asked why, she replied "Had a one night stand with him last week".

    Uhm, keep your sex life out of my work load.
    Kipahni, tcvnurse, jadelpn, and 14 others like this.
  2. 8
    Quote from SuzieVN
    BTW- I don't think an LVN should insert NG tubes, it's as crazy as giving TPN. Out of bounds, my opinion.
    This is why I hate threads like this-they always go down that road........I worked with an RN once who saw me flying into our patient's room with the crash cart and kept walking to the breakroom to apply lipstick after her lunch.Now what do her credentials have to do with anything? We have ALL worked with people who have done really dumb and dangerous stuff..Maybe I misunderstood your post-were you the RN supe or was the evildoer the RN supe? Why make the comment denigrating LVN's/LPN's? I think I'm done with this type of thread.Life is too short.
  3. 8
    Quote from ktwlpn
    This is why I hate threads like this-they always go down that road........I worked with an RN once who saw me flying into our patient's room with the crash cart and kept walking to the breakroom to apply lipstick after her lunch.Now what do her credentials have to do with anything? We have ALL worked with people who have done really dumb and dangerous stuff..Maybe I misunderstood your post-were you the RN supe or was the evildoer the RN supe? Why make the comment denigrating LVN's/LPN's? I think I'm done with this type of thread.Life is too short.
    OP is an LVN...
    In many states insertion of an NG tube is out of the scope of practice of an LPN.
  4. 0
    I am a nursing student and I'm happy that I understand most of the stories in this thread... but what does this mean?

    "replace NG drainage IV q4h with NS"

    I would read that as "replace nasogastric drainage tube every 4 hours with normal saline." I know what a nasogastric tube is, and I know that it can be used to drain secretions from the stomach... what does it mean to replace it with normal saline? Or does this mean something else completely? Just curious...
  5. 5
    Quote from Baubo516
    I am a nursing student and I'm happy that I understand most of the stories in this thread... but what does this mean?

    "replace NG drainage IV q4h with NS"

    I would read that as "replace nasogastric drainage tube every 4 hours with normal saline." I know what a nasogastric tube is, and I know that it can be used to drain secretions from the stomach... what does it mean to replace it with normal saline? Or does this mean something else completely? Just curious...
    It means the replace the AMOUNT of NG drainage (usually between 150-300mls with the NG's I see per 8 hr shift) with an equivalent amout of NS. You dispose of the NG drainage wherever the bio-hazards for your unit go, DO NOT try to replace the goo that you drained from the pt back into the pt.
    metal_m0nk, nrsang97, twinmommy+2, and 2 others like this.
  6. 0
    I worked on a psych floor for a short time. Patient was on a hunger strike and had a Gt inserted. They then found out she had SBO and put in CVL for TPN. The nurse took the meds meant for the Gt in those brown syringes and inserted them into the IV. Pt died instantly. Nurse lost her lisence. Still don't think the pt should've been on a psych floor.
  7. 5
    jmdRN - Thanks for the explanation! I did NOT think it meant putting nasty drainage back into a patient , but I wanted to know what it DID mean. So far the only NG instruction I have had is that NG tubes are sometimes flushed with saline - the example amount we were given (for an I & O exercise) was 30 mL.

    I am a beginner but I would definitely not try to put yucky drainage back into a patient!
    1feistymama, seanynjboy, arrie, and 2 others like this.
  8. 16
    I'm a LPN who has inserted NG tubes under the supervision of a RN who had no clue, and I did a pretty good job of it. I know many RNs who I wouldn't let treat my cat, many LPNs who I wonder how they even got out of grade school, and many CNAs who are more competent than many nurses (RNs and LPNs) I know. There will always be those who think they are more skilled and competent just because of some letters behind their name, no matter how clueless and inexperienced they are.
  9. 30
    Can I ask that this thread not turn into a RN vs LPN ordeal? We get it. There's good and bad RNs and good and bad LPNs.
  10. 1
    Quote from nrsang97
    I was working ICU and was called to our stepdown unit so I could assist with a drip. This was a drip they were totally capable of running. I get there and under the Alaris they can't find it under secondary. I told them it is a drip. Three nurses looking at me like I have a third eye in the middle of my head. I told them drips are PRIMARY. They had it on IVPB tubing too. I made them go get primary tubing. They were having a hard time getting a BP. It was high on the machine. I listened and was getting somewhere around 160 for the top number. We didn't hang the drip, but I was scared that three stepdown nurses couldn't figure out how to hang a Cardene drip.

    We had one nurse give a whole insulin drip thinking it was the pt dilantin. Denies that it was insulin. The pt was fine.

    We had one nurse who hung blood with D5, same nurse put atropine drops in the eyes of a pt and didn't tell anyone. The drops were to go sublingual to control secretions. This pt suddenly had non reactive pupils and had to go to STAT CT, and ended up with an unnecessary EVD. When confronted about the situation she never owned up to it.

    We had another nurse infuse a whole bag of fentanyl into a patient. Didn't report to the doc tried self treating with narcan. This pt ended up dying.
    Oh, that's scary!

    Anne, RNC
    nrsang97 likes this.


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