Is this how all the "nurses eat their young" rumors start.? So what if its a homework assignment. They asked because they were not able to find the answer. I know we have not been taught what gets reported and to who, ramifications of the mistake from a disciplinary POV. would be great if you could answer those questions. I learned in another thread here that when asked to do something unethical or out of your scope of practice by an MD, you are not to chart that event but put it only in and incident report. So does the same apply here or do you need to change the given med to show the actual IV fluid used and make a notation in the chart. We are here to learn... BTW, do you think my answer was correct?
Thanks
Southpaw
Yess... THANK YOU SOUTHPAW!!
I asked it here bec I thought this site has members made up of kind, respectful, experienced, professional nurses who are more than happy to share what they know.
I just got curious of the story that I heard. I'm a nosy rosy sometimes. That's how I get in trouble and that's how I learn too.
If this was homework, I could search the net for answers. But I consulted here bec I wanted to hear from the seasoned nurses who would be more than happy to share what they know or if they have experienced similar situation.
Since I don't know what is the right answer either, I am not able to say if your reply was correct. But it is the most detailed, smart sounding answer and it looks like you really put your best knowledge. And your reply has a huge tone of respect and you have empathy.
Some answers make me appreciate your answer so much more! : )
But I am thankful just the same to everyone's input. The difference is that other answers get my respect and appreciation.
hmm..5% dextrose is more common than 0.5% and since its a grapevine story, I would say that maybe I heard 5% dextrose. I know this matters to your answer but I could not remember well.
Then the OP should have been specific about how the story actually came about, what was done about it and what were her thoughts on the matter. Then we could weigh in with what we agree with and what we disagree with.
That's a discussion. Just throwing out a random question with no thought process attached smells like homework. Before we contribute, we need some assurance that we're not just doing a lazy person's homework for him/her.
I can search many websites for answers to homework. I consulted here bec I thought members here have rich nursing experience and some may be more than happy to share their knowledge/experience.
Then the OP should have been specific about how the story actually came about, what was done about it and what were her thoughts on the matter. Then we could weigh in with what we agree with and what we disagree with.
That's a discussion. Just throwing out a random question with no thought process attached smells like homework. Before we contribute, we need some assurance that we're not just doing a lazy person's homework for him/her.
TriciaJ, RN, you can say this is homework and I will not argue anymore bec I know what I know. But please be aware, there are so many internet sites to get homework answers from.
The reason I asked it here is to get input from EXPERIENCED, PROFESSIONAL, RESPECTFUL NURSES who would be more than happy to share their actual experience or similar experience.
If I were after for theoretical answers, there's Google and much more. but I was after LIVED EXPERIENCES.
Now that I have a little more information. Using the fluid with Dextrose vs the NS fluid is a medication error. The nurse that discovered the error should definitely notify the provider, write an incident report, and clarify the fluids. Glucose finger sticks should be monitored, and have an order to check them since she is diabetic, at least I think you mentioned it.
Also, monitor Na levels. There may have been a reason why NS versus the 1/2NS used.
Now that I have a little more information. Using the fluid with Dextrose vs the NS fluid is a medication error. The nurse that discovered the error should definitely notify the provider, write an incident report, and clarify the fluids. Glucose finger sticks should be monitored, and have an order to check them since she is diabetic, at least I think you mentioned it.
Also, monitor Na levels. There may have been a reason why NS versus the 1/2NS used.
Thank you so much RNNPICU, BSN, RN! I appreciate your response and helpfulness! : )
I think people were asking if it was homework because most experienced nurses would see that it is a med error. At first it just screamed "homework assignment"
IVFs are medication. Giving the wrong med or dose is a med error. Plain and simple. Every facility has their own policy on how they deal with med errors. At the very least, stop the iv immediatley, assess the patient and then call md for further orders.
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You do realize in the last 26 or so posts, 18-19 of them are yours??? Twilight zone for sure.
wrst
48 Posts
Yess... THANK YOU SOUTHPAW!!
I asked it here bec I thought this site has members made up of kind, respectful, experienced, professional nurses who are more than happy to share what they know.
I just got curious of the story that I heard. I'm a nosy rosy sometimes. That's how I get in trouble and that's how I learn too.
If this was homework, I could search the net for answers. But I consulted here bec I wanted to hear from the seasoned nurses who would be more than happy to share what they know or if they have experienced similar situation.
Since I don't know what is the right answer either, I am not able to say if your reply was correct. But it is the most detailed, smart sounding answer and it looks like you really put your best knowledge. And your reply has a huge tone of respect and you have empathy.
Some answers make me appreciate your answer so much more! : )
But I am thankful just the same to everyone's input. The difference is that other answers get my respect and appreciation.