Triddin

Triddin

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All Content by Triddin

  1. Forgot to restart my patients fluids

    Might not have been compatible? Barring the patient being a fresh DKA or active sepsis, I don't think you harmed the patient in any way. I disagree that it is a med error. I would just call the next...
  2. 9years later

    Will you be safe to be a nurse
  3. Needlestick Error

    he should tell the patient. I would want to know and it's part of our code of ethics to do so. He needs to tell the supervisor and both should have blood work
  4. Epi Spritzers

    We do it sometimes in pre code
  5. Feelings about first injection

    It's ok. My first injection, I was so surprised when it went in so easily, I pulled the needle out without giving the meds and had to draw up a new
  6. Wants to Leave Toxic Job After One Month

    Have you tried talking to those members about their attitude? I've done it (and had someone tell me) with positive results in both cases. Or you could ignore those workers and not take part in the...
  7. Peer Review at work...advice please!!

    Have you been able to find a common denominator with these errors (trying to work too fast, knowledg3 deficit, not paying attention etc?) If you can figure out the root of these errors, it gives you a...
  8. Wheelchair and IV Pole

    If the patient is aware enough to grip the pole, that's what we
  9. New RN Grad Need Guidance Please :()

    I agree with this. Again, with only what you've said, we are guessing at what's going on. However, I know when I'm learning a new task, I'm initially focussed on the mechanics of how to do things and...
  10. First clinical nightmare

    I find it shocking you're allowed in clinical and administering medications without having learned assessments. This school sounds kind of
  11. I don't like my unit, what should I do?

    I disagree with this statement. I think what the OP is experiencing is common with almost all new grad nurses, the honeymoon phase has worn off and it's a reality check to realize what nursing is...
  12. Help with CIWA & RASS

    So I'll give you my take, but understand I don't have access to your hospital policies so refer to those when determining how to medicate a patient. RASS only measures consciousness whereas CIWA is...
  13. conscious sedation in New outpatient Clinic

    I also wouldnt give a patient o2 for conscious sedation unless they needed it. We keep out crash cart inv the ward, not the room and are frequently monitoring bp throughout. We also tend to prepare...
  14. PEG tube

    Are you giving the med via the peg tube? If so, if you immediately decompress ( I am assuming you are connecting the tube to suction) the med will just be sucked out immediately. Not to mention if the...
  15. Offer Dilemma

    I would think dialysis would offer more critical thinking challenges. That patient population can decompensate quickly. I also know dialysis nurses who have gone to ICU from working in dialysis. I...
  16. CRRT

    Were you running anticoagulation with the run? If not, were you running any post filter replacement? Generally if the patient is clotting the filters once/shift it warrants a discussion if something...
  17. New Grad wanting a Specialty Switch

    I don't think you'd get fired but it worries me that as a new grad that you're bored. You honestly don't know what you don't know and three weeks off orientation isn't enough to be competent. Even on...
  18. Try suctioning or checking the tube for kinks. Make sure the alarms are appropriate for the patient and change them if need be. Did you have an RT to consult
  19. Gi bleed? HELP!

    As for what you do, have multiple IV access, administer blood (anticipate all types), prep for potential scope to see if the bleed is cauterized, possibly a Minnesota tube (if esophageal varices)....
  20. Instead of just studying the assessments, do them over and over. I practiced on my partner so much that he could ask all the questions I was going to ask him. The more you practice, the more...
  21. Am I overreacting?

    I get changing the assignment for non CRRT trained nurses. We have to do an extra days worth of classes to take a CRRT assignment. CRRT is far more involved than monitoring an epidural with a greater...
  22. Am I overreacting?

    Sounds fine to me. Eventually you have to gain experience. If you're uncertain, look up thr hospitals policy regarding caring for epidurals (many years in and I still always do this when I can't...
  23. Out of attempts for NCLEX

    You can work in any job that requires a
  24. Blood pressure

    It gives you an idea how high to go. I was taught to feel the radial when pumping the first time. Whenever I felt the pulse stop, I added 20mmhg to the pressure I felt the pulse stop, then auscultated...
  25. As a RN, which would you choose?

    I don't believe it counts as a legal DNR. There was a case recently where the patient had a DNR tattoo but I believe the consensus was that on its own, it wasnt specific enough to not warrant