Most shocking thing you've seen another nurse do? - page 3
by SuzieVN 49,829 Views | 171 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
- 1Apr 5, '13 by CalabriaDidn't see this happen, but I saw the immediate aftermath... An RN unscrewed one of the connections to a central line while it was connected to the baby, and walked away from it without reconnecting (I have no idea why this happened, as she wasn't changing out fluids). The baby started to bleed out. Another nurse saw blood on the floor next to the warmer and wound up alerting her, the charge nurse, and the medical team. Not only did the baby have to be transfused emergently, but the line had to be removed and replaced emergently as well.
- 19Apr 5, '13 by chicarnI was new grad 4 months on the floor, the doctor put order for me to insert ng tube for a woman with esophageal varices vomiting blood. I told the doctor that I won't execute your order it is unsafe, he was mad. glad I refused.
- 5Apr 5, '13 by AJJKRN[COLOR=#003366]Baubo516[/COLOR], Hopefully this helps answer your question and makes sense
In my facility we often get orders to replace the amount of a patients NG tube drainage. The order will say to replace 1/2 of the NG output with NS IVF over 8 hours and will show up in the MAR at 1400, 2200, and 0600 and Here's how it goes:
NG tube drainage was 600 cc over 8 hours
Divide the 600 cc in half and then divide by 8 hrs = 25 cc/hr
Titrate Pt 0.9 or NS IVF to 25 cc/hr to help replace fluids lost from GI system
*The replacement fluids may be the primary fuid or piggy-backed into the primary fluids in which case only the replacement fluid is titrated and if piggy-backed into a primary IVF, that IVF stays the same.Last edit by AJJKRN on Apr 5, '13 : Reason: Add information
- 11Quote from ktwlpnI was the LVN that the RN called for help- she's the one who killed the patient. I'm the one that was suspended, because they knew she was an incompetent mess from day one, and I as the polar opposite was thrown under the bus. I can run circles around lots of nurses- fact. But, NG tubes and TPN, are meant for 'professional nurses', as some like to be called- and their background in science, theory, A&P, etc. It can't be both ways- either the scope of LVNs is limited by their education, or it isn't. And if not, explain the constant pressure for RNs for 'more school', constantly? I'm relating what I have seen in 30 years, and why I make such comments. Hardly, am I denigrating anybody- much less myself. Not only that? In PN school I never even 'heard' of an NG tube, that was 'on the spot' training in a SNF. Uncool. Dangerous. Out of my scope, anyway- even by now I've inserted 1000 of them, maybe- but they are becoming as rare as the dinosaurs, fortunately. I hail from the Dark Ages- what, he won't eat? Shove an NG tube down his throat! We all have opinions, fine by me. Obviously the controversial ideas I create in here are being enjoyed by the audience. It's an educational process, called 'reality check'.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.
- 2Quote from Baubo516The tube is used to decompress his gut, maybe? And rather than return the stomach fluid back into the stomach, replace it with an equal amount of saline to prevent dehydration? I'm guessing there's something in his stomach they want to get out?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...
- 1Quote from chicarnI was new grad 4 months on the floor, the doctor put order for me to insert ng tube for a woman with esophageal varices vomiting blood. I told the doctor that I won't execute your order it is unsafe, he was mad. glad I refused.
Did he do it himself?
- 2Apr 6, '13 by jeannepaulduring my first and only hospital job, my charge nurse hung blood on the wrong patient. He didn't follow protocol, or it wouldn't have happened, but when he did realize what he did, he took it down and hung the same unit of blood on the correct pt. The first pt had a different blood type, but I think she was fine. He didn't tell anyone at first and tried to cover it up, that is what got him fired. Never saw him again.