Scariest thing you have found - page 8

What is the scariest thing that you have stumbled across after following someone else? I found that a Dopamine drip had been started and left on all weekend on my medical floor that had staffing... Read More

  1. by   NurseAngie
    I like your siggy line I had a nsg. supervisor in the ER tell me this.... A dumb nurse will ask questions and won't be dumb for long. A sorry nurse won't ask questions and WILL ALWAYS be sorry! I remember that each time I ask something that I don't know.

  2. by   mattsmom81
    Jan, I have found IV tubing backwards too and pulling blood!! Seems to me there should be a failsafe on the tubing or pumps!
    'specially with our smallest patients this could be fatal.

    It scares me too when I see a health care worker being deliberately mean to patients. Wonder what worse they are doing when nobody is watching...
  3. by   suzannasue
    Was working Peds one evening. had a floater nurse coming on at 2300, so I decided to stay late and help her become a little more oriented with the unit/routine...well...I had my purse over my shoulder and was ready to leave, feeling a bit,umm, tired, but also very anxious about leaving this gal with "my kids", I put my purse on the desk and found her in a pts room pushing liquid Tylenol into the IV line...I literally jumped to the bedside and clamped the IV tubing, called the other night nurse, DC'd the IV site and called the MD...had to work a was a "gut " feeling we get, you harm done but the potential was there...I asked her why she was giving Tylenol IV and she said "the kid is NPO" I informed her that he child had tylenol suppositories ordered, until able to take po's...she just said, lackadaisically "oh well"...
    Another situation that scared me to death was when working med/surg, we admitted a male and a female s/p MVA...both were highly positive for cannabis,cocaine, ETOH,amphetamines....the male was less injured than the female so he asked to keep her purse in his problem with that...he requested and was given his pain med and drifted off to sleep...she woke up and although a bit dreary from concussion, she asked about her purse. We told her that her male friend had it in his room, and she firmly yet politely asked for us to bring it to her...I got her purse for her, but on the way to her room, stopped at the desk.
    You see, her purse must have weighed 10 lbs or more...I just opened the top and looked in, expecting to see bricks or just a lot of make up or something benign that we women just have to have...LO and BEHOLD... the very first thing I saw was the hand grip of the biggest pistol I had ever seen !!!! I called the supervisor who immediately got angry at me for violating this woman's privacy...OK....beat me, spank me, whip me....we went to the female's room and I confessed what I had done and she said " that's OK...I wanted my purse because I know HE was going to use it on me for wrecking that car we were stealing, I mean taking to New Jersey"...we had to get the police involved, the pistol was locked up in the hospital safe and the supervisor remained furious with me for a long while...I guess she never expected a "shoot-out " on the floor...both pts were arrested upon discharge for possession of illegal substances with intenet to sell, grand theft auto, and possession of an unregistered firearm...and you know, this was not the last time I found a weapon amongst a pts belongings... I am a firm believer in metal detectors at every hospital entrance...
  4. by   nrw350
    I support you suzannasue!!! You did well. I don't believe you should have been punished for that action in that case. Basically for the most part if you are a patient in a hospital, you can expect to loose much of your privacy. But so long as this is done correctly, there should not be any harm done. JOB WELL DONE!!!
  5. by   NotReady4PrimeTime
    Originally posted by nrw350
    Personally I find it hard to believe than anyone with a bp of 40/20 could be stable.
    Of course she wasn't stable with a BP like that. I don't think in the six weeks we kept her alive that she was ever truly stable. Her BP never went above 70/40 (the epi incident nothwithstanding...) and she was on dopamine and vasopressin for most of her stay. She went back to the OR numerous times to have perforations of her small bowel repaired and never had her abdomen closed, she had five sumps inserted, the surgeon came in daily to change her dressing, we weren't able to extubate her... all in all a very sad case. She was conscious and aware until the moment she died.
  6. by   nrw350
    that is sad and scarry. I know I could not handle being a nurse with patients in that bad of shape.
  7. by   NotReady4PrimeTime
    Originally posted by nrw350
    that is sad and scarry. I know I could not handle being a nurse with patients in that bad of shape.
    You are too right about it being sad and scary. What makes it more sad and scary is that it was a seatbelt that caused her injuries. She and her family were very lovely people and I will remember them as long as I live. We know that we did everything humanly possible to keep her alive and only feel frustrated that we weren't able to do it. I feel humbled and privileged to have been involved in her care.
  8. by   mattsmom81
    <Big sigh> Those seatbelts prevent head trauma from the windshield but sure can cause other injuries can't they...also am seeing quite a few airbag injuries. Nothing keeps us perfectly safe anymore....

    Kudos for being able to work with critically injured kids...Jan...I can't. Adults are hard enough.

    And the gun story...OMG!!!!!
    Last edit by mattsmom81 on Jun 8, '03
  9. by   kidnurse57
    Long ago I worked with a nurse who diluted an aminophylline bolus with more aminophylline rather than saline. The baby didn't die, but seized and had terrible brain damage. The nurse eventually surrendered her license. The unit was horribly understaffed that day and dangerous for everyone.
  10. by   woodymic
    Once I found a 'very' deceased patient, I'm talking full rigor, after taking report from a nurse that had supposedly done rounds not 15 minites before. Another time, following the same nurse, I insisted we do rounds together (this was usually not done in this facility. They even allowed people to record report and leave when you got there.). Room after dismal room, with filthy linens and zero pericare given, we came upon a woman coding. When I ran to call the code, the other nurse said, "She always sleeps deeply". Another nurse in the same facility charted passing certain BP meds over a 12 hour shift, and we had none of this drug in the building. She then charted normal BP readings. Yep, you guessed it, for me, the patients BP was 200/106. It's so hard to limit myself to sharing just these few horror stories.
  11. by   mattsmom81
    We are supplied premix half liter heparin solutions in two for line system flushes and one for therapeutic heparin...I have found them interchanged numerous times even though we have a policy to double check the correct concentration is up.

    I had a nurse give a handful of hi dose cardiac meds to the wrong patient...and we ended up needing rescue ACLS meds to save him.

    Kidnurse, the stories of kids suffering from a nurses' errors are the most tragic of all. How awful. How can she live with herself.
  12. by   frann
    It was my first time mixing up CAPD solution (peritoneal dialysis)I was still on orientation. well we had a verbal to add heparin to the bags. I misunderstood and added 5,000 u to each, instead of the 500u is was supposed to. Pt only had one bag infused for 1/2 hr, before I discoverd me mistake and drained her.
    That doc was so mad
    I'm not sure if this is the worst thing I have seen,
    maybe its the worst thing I've done
  13. by   Nursebelle
    I am a new member to this discussion. I am relieved that I am not the only that has encountered nurses or doctors that are so unaware of their actions. Just taking the time to do the job that is put forth with effort can change outcomes. Anyway.
    I recently left hospital nursing do to the degree of shortage and overtime demands. I worked at a hospital where the population is 90% geriatric. One night, working 7p-7a, I was getting my 2100 meds together for my 5 patients, Now, I was also in charge and working on a tele unit with no secretary. when I noticed this poor man on a stretcher in the hallway. This poor guy was a nice shade of ashen gray. I dropped my clipboard and immediatley began to assess. Asking who he belonged to, and why is he out in the hall. He was diaphoretic, clammy, and had no IV... I was told by his nurse that he was being sent down for a picc because she couldn't find a line. (duh) His o2 sats were 78% on 4L, bp 76/40, hr48 lungs....Full. When I asked the nurse, if she had checked him before sending him down. I was informed that RT said he was fine on 4L.... This was all taking place as he was being taken back to his room. The MD ordered diuril and bumex plus dobutrx. And he was sent to the unit and later coded. All this nurse said was "Atleast he made it off the unit before he coded" This nurse had other lapses that night, gave 2 mg Ativan IV to an 80 pound geriatric who suddenly decided not to breath and had to be bagged..... She said I gave the ampule, (2mg/ml). .5mg was ordered....Horrible night......