Amio in a Code

[WonderRN]

Documenting a code today.

Full arrest, kept going into pulseless vtach, vfib.

Drug pusher mixed the 300mg of amio to hang PB over a few minutes...... ?!?

Don't you just push this in a code situation?

[brillohead, ADN, RN]

For example: all IV infusions must be put on a pump. Even a NS bolus They expect us to do this with an insufficient amount of pumps.

That's because they can bill more for an IV on a pump than they can for an IV not on a pump.

Money is the name of this game, people.

[WonderRN]

yep i cant stand those nit-picky littel orders that er docs do, dont they realise they are gumming up the works..i got a doc that orders 2mg mso4 iv for everything from a h/a, backpain to help with a i&d of abcess. now i dont mind given the pain med put havin to put in a ******* iv just to have to d/c it in about 1 hr is a pain in the orifice after about 10 per day! whenever the doc from uab is on the schedule we always stock the iv trays well.

OH, YEAH- He also orders....

2.5 mg of morphine on EVERYONE- we only have 5mg and 10mg vials. So i have to waste 2.5mg on EVERYONE..... and then I have to go back in there in an hour and give another 2.5mg because whaddya know, the first 2.5mg didnt work!

500mg bolus on everyone then 100ml/hr infusion- NOT A LITER, god forbid. (And these are all people that DONT have renal failure or CHF.) SO if I am going to be anal, then i will hang a half liter, and then gotta go BACK in and hang another bag in 20 mins.

Its all this little stuff that takes up time that I don't have!

just venting....

[Roy Fokker, BSN, RN]

(Mostly its annoying because he gives you admission orders, you start to get the patient ready to go up, and he orders 5 more things. Don't get me wrong, i will always do whats right for my patients, but he is a little order happy)

Especially if the order will have ZERO difference in pt. outcome if it is done STAT or 3 hours from now...

Some of out admit docs are good, but some are notorious for writing 40000 STAT orders.

I mean, it's one thing to order STAT Kayexelate for a K+ of 6 but e.g. "STAT CT of Abd/Pelvis with PO and IV contrast. Reason - abd. pain" - why STAT? Are you suspecting surgical abdomen? (No surgery consult) Ischemic bowel or something? (No lactate or anything else ordered) Is the pt. outcome going to be any different if they had CT 4 hours from now? No.

So I'll have an admitted patient, with a bed waiting that I can't move (never mind the 3 hour wait time in the ER) because of these stupid STAT orders....

[Medic2RN, BSN, RN, EMT-P]

Code = IVP amiodarone then maintenance drip

no code = mini bag drip over 10 minutes then maintenance drip if ordered.