0.9%NormalSarah replied to pharmanurse11's topic in General Nursing
Oh dear this is all very terrible! I second Emergent's suggestion to take this to a regulatory body. I have a friend that worked in hospice for a long time and she told me they have to be super careful about referrals and how it looks, I'm surprised ...
0.9%NormalSarah replied to ShipleyRN's topic in General Nursing
My facility does this and has been doing so for more than a couple years. It's just the first draw the first time the patient comes to the hospital. Also they're really annoying about it, they have to have a phleb draw it or in ICU we are allowed to...
0.9%NormalSarah replied to Nurse Beth's topic in General Nursing
Yes, a second chance. ONE human error, or a couple...how many times would you like one person to say that in a given shift? 8 times? 10 times? That is in the ballpark of the number of times RV bypassed a common safety check that is hammered into us a...
0.9%NormalSarah replied to Neuronurse88's topic in General Nursing
Holy crap, what a cluster.
1. Night RN couldn't get a lab draw in 12 hours and didn't bother to attempt to titrate the drip? Big problem, and was not caused by you.
2. Lab was a little crazy on this one, they could totally have sent you back ...
0.9%NormalSarah replied to Laura-Lee Nuttall's topic in General Nursing
Nice article! Coffee is definitely my friend. I've tried to quit caffeine a few times in my life including when I was in basic military training where we had to quit, but I've always gone back. I'd say it's just my main vice, but I try not to overdo ...
0.9%NormalSarah replied to Nurse Beth's topic in General Nursing
Ahhh the reasons I love night shift ❤️. We still get a lot of this turbulence, but at least it's tempered a little bit with less visitors and less staff walking around. I would feel so bad after a busy day because I'd be in the middle of something im...
0.9%NormalSarah replied to Nurse Beth's topic in General Nursing
No. I have overridden vecuronium so far 3 times in my career and it was urgent and necessary every time to prevent a patient from breathing in a very dangerous pattern so as to compromise his or her own airway. The patients already had advanced airwa...
0.9%NormalSarah replied to Nurse Beth's topic in General Nursing
I'm sure that goes over great when you need an urgent Med in a pinch. I don't think the solution is to remove responsibility from prudent nurses and make the system more difficult. The solution is to bring nurses in line with prudent practice. What d...
0.9%NormalSarah replied to Nurse Beth's topic in General Nursing
Because you don't want to be challenged on your line of thinking or statements? See below. My point was that someone who can't follow a simple routine we all do many times every shift, ON TOP OF making multiple bypasses of known safety features while...
0.9%NormalSarah replied to Nurse Beth's topic in General Nursing
With this line of thinking, you might be okay with her screwing up someone's important insurance claim or work comp case etc. Just because a nurse isn't giving medications that could instantly kill someone doesn't mean that they can be trusted to do ...
0.9%NormalSarah replied to Nurse Beth's topic in General Nursing
I find that ridiculous. Any good training program in the ICU teaches about procedural sedation and we do it fairly frequently on the unit. I'd be very surprised if one didn't know they need to monitor for procedural sedation. But anyway, it was a sma...
0.9%NormalSarah replied to Nurse Beth's topic in General Nursing
I'm seeing where your opinion of new grad nurses is coming from. Not all of us went to programs that so poorly prepared us. I'm sure there was plenty lacking in my program, but medication administration was very heavy because they had to know we woul...
0.9%NormalSarah replied to Nurse Beth's topic in General Nursing
You keep saying "a nurse that has only been practicing for 2 years.” Well I worked in a procedural area at a little over 2 years where it was the same: no Med scanner, so we used a paper MAR. I still pulled correct meds, administered them appropriate...
0.9%NormalSarah replied to Nurse Beth's topic in General Nursing
What? A 2 year nurse should definitely be able to practice safety with medication admin. In fact I'm pretty sure we had to be able to do that before getting out of nursing school. Like others have said, a policy wouldn't have helped if there were one...
0.9%NormalSarah replied to Nurse Beth's topic in General Nursing
Yes the social media "influencer" thing is so annoying! I got totally off social media this past year just because it was so bad for my mental health to see all these people suddenly become medical experts and the politicization of our career. I was ...