ICU ERRORS

Nurses Safety

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RN45RN45

2 Posts

The Amiodarone and Cardizem are being placed because the nurses are messing with the swan ganz. When it is against the wall of the r ventricle or coiled it causes irritation therefore at times leads to Afib or Svt, etc... I would be mortified if something happened to a patient. This is why I am on this site to find out what I should do as the management seems not to care. They condone such behavior and these nurses are now going into management themselves. 2 are now day shift house supervisors and 1 works for the CV surgeon ie: his NP and another is working with the cardiologist coordinating their patients. It is very far into management in this facility. It is a giant corporation with a lot of hospitals around the country.

Sunnysleeper

8 Posts

I would send an anonymous letter outlining instances you've seen (no mention of date or pt or else they might track it back to you) to the unit manager/director, the CCU/ICU RN Educator, top RN & top DR & top administrator in your hospital, and also the hospital's lawyer (sorry, my brain is fried and just not coming up with the proper titles for each of these). You might copy all of them at one time, or individually (you decide in what order), but I would say that you are prepared to inform JCAHO and other hospital quality agencies, if you haven't already, though that might be perceived as a threat.

Good thing you're no longer doing hearts there yourself, but if problems exist in one type of patient, are the rest of the patients any safer? Scary situation and disgraceful professionalism. Definitely the educator needs to get to work!!

ANnot4me

442 Posts

Specializes in Psych.

You will not win no matter. Find another job quick step.

jadelpn, LPN, EMT-B

9 Articles; 4,800 Posts

I would discuss this with risk management. I would discuss this with risk management at the corporate level if no response. Make sure you have policies in hand that back up what you are observing.

Make sure that when you do your initial assessment, that any errors (tubes misplaced, etc) are corrected and documented accordingly "per MD order" I have also seen the policy and procedure added to the chart so everyone is on the same page.

I am not an ICU nurse. The thought gives me stress. Not my cup of tea. Great admiration for those who are. BUT I am a type A to the book kind of a nurse, who gets nuts when someone puts in a tube, whistle, wire---then just sorta leaves it--never to be thought about again beyond "yup, it's there".

Management heavy facilities, when management have not one clue about ICU nursing is indeed difficult. And these seem to be critical errors that can cause a patient harm. So it needs to be reported to QA/risk management.

DoeRN

941 Posts

One clue you gave is a huge health system that have facilities across the country. You need to get out of there quick! And yes all of this needs to be reported to the state.

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