SafetyNurse1968 ADN, BSN, MSN, PhD

Oncology, Home Health, Patient Safety

If I were in charge of the universe, there would be staffing ratio laws and unions in every state and you'd get written up for NOT taking your breaks.

Patient Safety Columnist / Educator

About SafetyNurse1968

SafetyNurse1968 has 20 years experience as a ADN, BSN, MSN, PhD and specializes in Oncology, Home Health, Patient Safety.


Kristi Sanborn Miller RN, PhD, CPPS, HNB-BC is A Patient Safety Specialist. She just finished her doctorate in nursing at East Tennessee State University. She is an Assistant Professor at the University of South Carolina -Upstate. She is also a mother of 4 and loves being in the woods of Western North Carolina, when she's not obsessing over patient safety research. Kristi is a board certified professional in patient safety, and a published author. She has over 10 years of experience in nursing in areas like oncology, integrative health and home health with over 20 years of experience in education.

Latest Activity

  1. SafetyNurse1968

    The Wrong Dose - A True Story of Medication Error

    I wish I could! I no longer pay for the podcast support. Thanks for reading.
  2. SafetyNurse1968

    Four Days of Nausea, Vomiting and Fever

    FINAL POST This patient has Diabetic Ketoacidosis (DKA) likely brought on by a urinary tract infection. DKA develops when your body doesn’t have enough insulin to allow blood sugar into your cells for use as energy. Instead, your liver breaks do...
  3. SafetyNurse1968

    Next Generation NCLEX - What Is a Bow Tie Question?

    So nice to get some positive feedback -thank you!
  4. SafetyNurse1968

    Next Generation NCLEX - What Is a Bow Tie Question?

    The NCSBON is phasing in the next GEN NCLEX in the Spring of 2023 for entry into practice. So this will be the test nursing students will take after they graduate from nursing school. I wrote an article about their reasoning, which has to do with ide...
  5. SafetyNurse1968

    Next Generation NCLEX - What Is a Bow Tie Question?

    Thank you for bringing this up. I definitely should revise it-she has a fever so that is one sign infection so that is a mistake on my part -I shouldn’t have said no signs of infection, however assessing for infection in the toes does not mean that s...
  6. SafetyNurse1968

    Four Days of Nausea, Vomiting and Fever

    My apologies, the PaO2 is supposed to be 95! PaO2 is 95, somehow it got deleted by the computer gremlins
  7. SafetyNurse1968

    Four Days of Nausea, Vomiting and Fever

    Check comments for FIRST RESPONSE
  8. SafetyNurse1968

    Four Days of Nausea, Vomiting and Fever

    Please don’t leave your diagnosis here- post it in admin. The responses are for questions and for sharing your nurse brain with new nurses/students. What assessment details are most important and why? What is your priority intervention and why? Thank...
  9. SafetyNurse1968

    Four Days of Nausea, Vomiting and Fever

    FIRST FOLLOW UP POST: Excellent observations and questions – thank you for the rationale! Here are the medicines she is taking: bitter melon (Momordica charantia), often called bitter gourd (kho qua in Vietnamese), tea from guava leaves (Ps...
  10. I hope you've read my article about the Next Gen NCLEX, Next Generation NCLEX - Are You Ready?, which debuts in the Spring of 2023. One new component includes stand-alone items. Two stand-alone items will be offered: the bow-tie and the trend. Candid...
  11. Chief Complaint 70 y/o Asian American female is brought to the Emergency room by her spouse and daughter with nausea and vomiting. The daughter states, "Her fever has been over 102°F for the last few days and she won't eat or drink or take her me...
  12. SafetyNurse1968

    Next Generation NCLEX: Are You Ready?

    Safe staffing laws are a must! I do think we could do a better job as educators with clinical judgment skills. I don’t think more clinical hours is the answer- higher quality clinical is…more/better simulation will also help.
  13. Yes! I’ve had pelvic floor PT and it’s incredible what they can do. It’s fairly invasive- the PT had her hands in some places this young lady wasn’t open to. It’s a difficult proposition for someone so young. I know gymnasts routinely get this therap...
  14. SafetyNurse1968

    I'm Dizzy, Tired and Can't Remember What I Ate for Lunch

    You didn’t offend- thanks for the feedback.
  15. SafetyNurse1968

    I'm Dizzy, Tired and Can't Remember What I Ate for Lunch

    FINAL POST An MRI with contrast and diffusion weighting revealed multiple foci of acute infarction in the left Posterior Cerebral Artery (PCA) distribution. Subacute or chronic infarct involving the anterior left temporal lobe in the left MCA di...