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Content by Triddin

  1. Triddin

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    Your story raises red flags with me, and I don't think it confirms the point you were trying to make, but its partially it's because we don't know your background and experience. Were you icu/ Er trauma trained at this point? Had you cared for vents/ post arrests before. If not, that was a very unsafe assignment to accept as you would have had a huge knowledge deficit. I disagree that you shouldn't move a patient before the ett is confirmed, but every hospital I've worked at has a portable X-ray team. Had the X-ray been done already? Why couldn't the Er doc have confirmed the X-ray then and there. I would argue that delaying the patients arrival to icu is far less safe than waiting for cxr placement. At least in icu, you are surrounded by resources and supports for your patients: nurses who are familiar with the drugs needed, intensivists etc. My experience is that even if the intensivists have written orders down in ER, unless it prevents the patient from crashing, ER just doesn't have time to implement the interventions, including targeted temperature management, I would be concerned about delaying interventions such as these. I agree that doctors will sometimes ask us to do things that are outside our scope of practice, or against policy. But often explaining what the policies are is enough. With this story, I don't think the resource nurse was outside her scope of practice to escort the patient. It as when she received an order for a medication she clearly wasn't familiar with and gave the wrong one and wasn't aware of the required monitoring afterwards that the nurse decided to practice beyond her scope and this event unfortunately happened. She made several errors including not doing the basic rights of medication.
  2. Triddin

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    It was a horrible event and the nurse screwed up, but I can guarantee you that every error made is from not doing checks or having a momentary lapse of judgment. You will make errors, which may or may not have severe consequences. Your level of anger towards this incident makes me feel uncomfortable, and I hope when you make a mistake, you are treated in a kinder fashion.
  3. Triddin

    I can't do it all (mom rant)

    I understand you want to give your son the best education, but what if what he needs is to have you at home more and not stressed to the max. Would you consider a public school, where you don't have to work as much it to afford the private and are able to spend that time to support him instead? Even just to give yourself a break from working so much OT
  4. Triddin

    Should I or Should I not?

    Why not? Go for it
  5. Triddin

    Powerful prayer that will help you pass your exam!

    Wouldn't studying guarantee a better result? I have nothing against spirituality but I have difficulties attributing successes like passing the nclex to a prayer rather than your hard work and knowledge from passing nursing school. I also though your post was meant as joke? Sorry
  6. Triddin

    Powerful prayer that will help you pass your exam!

    I though you were to rub a Buddha statue on the tummy three times then drink 5 pumpkin spice lattes in order to guarantee a pass?
  7. Triddin

    RN to LPN?

    Check with your board of nursing?
  8. Triddin

    How do you feel about B's?

    Bs get degrees
  9. Triddin

    So confused about IVPB

    Our orders almost never have rates included... we are expected to refer to the facility's electronic parenteral drug manual and get the rates from it.
  10. Triddin

    Worried sick that I may have caught MRSA?

    Well. If I'm caring for a known tb patient, I'm going to garb up too and wear my n95.
  11. Triddin

    Second needlestick in 2 weeks

    Don't your facilities needles have safety locks you can engage once you've given a medication via needle to prevent incidences like this? Also, your health is much more important than a job
  12. You could always do a late entry
  13. Triddin

    Worried sick that I may have caught MRSA?

    Our ID team follows cases of exposure and they've stated you would need ~24hours of constant exposure to be at risk.
  14. Triddin

    Worried sick that I may have caught MRSA?

    Many times, with vented patients. Still TB free. Tb is pretty hard to catch though, you need to be breathing their air for many hours
  15. Triddin

    Giving insulin late patient request

    I'd be curious why the patient wants the insulin later and would adjust my glucomter check times to closer when the patient wants to have insulin. I'd hazard you shouldn't get in trouble as long as you document conversations with the patient as to why you gave late, but it does seem that people get in trouble for everything these days so who knows?
  16. Triddin

    Help with the Strength & Weakness interview question.

    @guyinbabeland. I would disagree. It's definitely a weakness and would be seen as such, not a strength
  17. Triddin


    How to Become a Neonatologist
  18. Triddin

    New grad bedside nursing disappointment

    It might be that ICU isn't for you. I wouldn't give up in bedside. ICU is exhausting and a huge learning curve with experience. I can't even imagine going in as a brand new grad
  19. Triddin

    Blood specimen from iv sites.

    Our policy is to keep them in for as long as they work/ have no signs of infection/infiltration/ phlebitis based on the same evidence
  20. Triddin

    No Call, No Show

    Can't abandon a patient when you don't show up to get one. Job abandonment sire, but that's an employer problem, not a nursing board one.
  21. Triddin

    Post-test reviews

    We were allowed to review our tests, but generally we would approach the instructor after class hours to ask questions about a specific question and rationale
  22. Triddin

    Blood products simultaneously

    I've given 3 at a time, but we were also using rapid transfused so a unit of blood is in under 10 seconds. Yes, worry about transfusion reactions, but generally on these situations, the fact that the patient is bleeding out and will continue to do so until they've had their FFP, cryo and platelets means that we are prioritizing the hemorrhage and stopping it first
  23. Triddin

    RN tipping Botox

    For some reason my phone turned gift into bird. You know, never look a gift bird in the mouth
  24. Triddin

    RN tipping Botox

    I imagine tipping falls under the same category as birds so I imagine not, but you could always ask your BON
  25. Triddin

    IV pump alarms - am I the only one?

    Try going to the hospital as a visitor and not being allowed to silence/ stop the alarms. It's a definite circle of hell

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