Most shocking thing you've seen another nurse do? - page 5
by SuzieVN 49,888 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
- 0Apr 6, '13 by Baubo516Quote from AJJKRNThanks, 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.
- 2Apr 6, '13 by 1DreamerWorked with a Surgeon several years ago who would place foley catheter into abdominal wound site and have staff place contents back into stomach via NGT. One of the most Asinine things I ever saw. I totally agree never place NG secretions back into pt.
- 0Apr 6, '13 by neliztaneeWhen i was a nursing student back in my home country, I had my duty at the medical surgical ward. My patient has a stab wound on his abdomen. Due to the limited amount of supplies to stop the bleeding from the surgery to repair his wound, they had to put a sanitary napkin on his incision instead of a gauze.
- 0Apr 6, '13 by LTCNSThis isn't so shocking as it is dangerous and presumptuous. My last job was as a wound care/hyperbaric nurse with a wound healing clinic. We had a patient who had been getting wound care for weeks for a diabetic ulcer. One particular day I happened to be assigned to this patient to do her wound care when I noticed, in big letters on the front of her chart, that she was allergic to silver. When I removed her dressings I noted that she did indeed have a silver alginate dressing, so I checked previous orders and not one time did the doc order silver alginate for this patient.
I reported to the doctor what I found and he looked stunned. Turns out the Nurse manager took it upon herself to apply silver alginate to the wound and had been doing so for weeks. When she was questioned about it she simply stated "I thought it was the best option for her and she hasn't been harmed so what's the big deal?" The "big deal" is that the woman could have had serious issues! You just don't experiement on people like that because you think you know best.
Needless to say I was extremely embarrassed and ticked off to have to explain to the patient's son why I wasn't using the same dressing the NM used. Thankfully he was very nice and understanding about the whole thing. I quit shortly after when I kept noticing, among other problems, the NM telling the doctors how to do their jobs, yelling at them and taking matters into her own hands and treating wounds against doctor's orders.
- 4Apr 6, '13 by NJnewRNTruthfully, I was already sick to my stomach before reading this thread. It's been 4 yrs since I graduated and I'm still not comfortable in the clinical setting. Working as a nurse gives me horrible anxiety. Hospitals are dangerous. The ratios does not give me enough time to feel like I'm give adequate care. Honestly, my plan is to leave the profession. I just can't live with the thought of thinking I'm reason someone was harmed. Good luck to everyone.
- 2Apr 6, '13 by SuzieVNQuote from 1DreamerWorked with a Surgeon several years ago who would place foley catheter into abdominal wound site and have staff place contents back into stomach via NGT. One of the most Asinine things I ever saw. I totally agree never place NG secretions back into pt.
No. Way. Jose. Say It Ain't So.