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Hello, my name is Katherine. I have been an LPN for 10 years. I am an experienced clinition and have won awards for my excellence in clinical practice. I worked in an office for 10 years which gave me a vast amount of experience, from family practice,internal medicine,pre-op teaching,pediatric nursing to urgent care. I take pride in my skills and am dedicated to doing it right for the benefit of my patient. I loved my job but felt it was time for a change so I took a new job in a pediatric office, this office served patients from birth to 18 years old. When I discovered the nurses in this office were giving IM injections with a 5/8" needle I requested that they order some 1" needles, which they did. When the nurse who was orienting me told me that she "tapes syringes together" to give immunizations I almost fell over! I told her that was not clinically appropriate and I would not be doing that. I worked there for two weeks and was brought into the office managers office after work one evening and told that it wasn't working out and they would have to let me go. When I asked why she told me it was because I was too set in my ways and obviously was not willing to do things their way. As difficult as this has been for me, I feel proud that I stood my ground and refused to do it wrong to just keep my job. From what I understand the department of health got word of this and has since gone in to correct the situation. Unfortunately it was at the expence of my job but at least I know the children are being properly immunized because of my sacrifice. Now I'm off to the trenches again to find a job that appreciates a skilled and dedicated nurse!
Okay, so I've been sitting here for a while, trying to figure out what kind of utter moron thinks it's faster to tape two syringes together than simply to give two injections. Then it finally dawned on me--peds. They only want to stick the kid one time. I'm not saying it's even remotely right, but at least it makes some semblance of sense.
It does make sense to give two shots at the same time, but there's a much safer way to do it. Two nurses, one on each side, giving the shots in opposite limbs on the count of three is MUCH better. That's how we do it in the NICU when we have to give our little ones their slew of vaccinations. Just like when they pierce kids' ears - they do both at the same time.
But taped together...sooooo wrong! And those short needles scare me, too. How many years have they unknowingly been giving IM shots SQ????
When she gives immunizations such as DTaP and say Hep B....she tapes the syringes together to give two injections at the same time. This makes it so two injections are given less than a 1/2 inch apart...clearly inappropriate landmarks.
Good God! Who taught her to do that??
Get yourself a lawyer, hun. Standards and Practice are clearly on your side...and not hers! :angryfire
RN92
265 Posts
Great Idea!! Cant wait to try that one!