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  1. The nurse that gave me report was there when I caught the error, it was a mistake, she felt awful about it.
  2. Yup, I was being careful, as I mentioned, the previous nurse programmed it incorrectly and when I received the patient I went in right away to check the drip rates and noticed it was programmed wrong.
  3. The rate was set at 40meq/hr. Total dose in bag was 60meq/500 mls and it was programmed to run over 90 minutes. I caught it after it had already been running for 45 minutes.
  4. I am an experienced nurse and need feedback on a med error I caught. I received a patient who had a potassium level of 2.3, in checking the pump settings during handoff, I saw that the potassium was programmed to run in over 90 minutes, the patient had received half the bag, 30meq in 45 minutes in a peripheral IV. I stopped the drip, checked her tele rhythm and notified the Md. I work at a teaching hospital, the doctor (an intern) and later the oncoming nurse seemed to not be concerned. The nurse that incorrectly programmed the pump, myself and another colleague were very concerned about arrhythmias and phlebitis. I suppose experience level could be a factor in the differencing reactions but I am wondering what you all think. Thanks so much!
  5. I am an experienced nurse and am curious as to what you all think about this. If a patient is complaining of pain and they are specifically requesting IV pain meds but they are tolerating PO and have oral meds ordered, what do you do? If you don't want to read the whole post, long story short, are we required as nurses to treat the pain based on what we think is appropriate given our professional judgement or are we required to give them the specific pain medication they ask for? I tend to think it is the former but in the absense of safety concerns, I will do the latter. Had a patient last week that complained of knee pain, was admitted for an unrelated reason. Hx of sleep apnea, was supposed to wear CPAP at night and during all naps and refused. Pt received IV pain meds just prior to me coming on and was sleeping soundly for the first 4 hours of shift, woke during assessment, drowsy and fell back asleep, sleeping through machines beeping, staff coming into the room to fix them, per report often falling asleep during conversation when doctors are in room. VSS but this is when patient is woken, I wouldn't be surprised if he was desatting during periods of sleep. Midway through shift, resting comfortably when I walked by room and dramatic display of pain when I entered room to assess. I gave him PO pain meds when he asked for IV pain medication because he was tolerating PO, they last longer and I was concerned about his level of sedation, I explained all of this to him. He was not happy about this and complained to the charge nurse about it. I kept titrating up his oral pain meds through shift, reevaled him every 30-45 minutes and he was comfortable and sleeping though waking much more easily than with IV pain meds. I got the impression that the charge nurse wanted me to just give the IV meds to make him happy despite my concerns with his sedation level. I let her know that I didn't think it was the safest approach given previous level of sedation, hx sleep apnea and refusal to wear CPAP and that if she felt it was appropriate that she was free to give him IV medication. She did not. When there are no safety concerns and patients request IV pain meds over po, I strongly encourage them to take the PO because it will provide longer lasting pain relief and generally most of them are going home in the next day or two and need to make sure their pain is controlled with PO pain meds. If they want IV pain meds, I will give them a dose now and closely monitor pain through the shift and titrate up oral pain meds so they are satisfied with their level of pain control. I appreciate your thoughts on this, thanks so much.
  6. VegRN

    If you make over 100k/year as a nurse

    I make very close to 100k a year. 98k to be exact last year and will be right at 100 this year with recent raise. No overtime, 3-12 hr shifts a week, pacific nw. Night shift, float pool. Have been an RN around 10 years, BSN.
  7. VegRN

    Sleeping on lunch break

    I would have to agree with the poster that said you may have a coworker that developed a resentment against you. Since you are agency staff, sometimes people assume you make more money and automatically hold you to a higher standard than core staff. How else would the nursing supervisor know you were in the chapel napping unless she was tipped off by someone else? I really appreciate that you chose the chapel though. I work nights and am not someone that wants to or even can nap at night. I really dislike it when I finally get to take my lunch break, I enter the breakroom and there are people with all the lights off sleeping in the breakroom. Where else am I supposed to eat?? And of course there are sometimes multiple people that mash all of their breaks together into a full one hour nap which makes it hard on the non sleepers.
  8. VegRN

    Should I become a nurse?

    Think twice before continuing nursing school. If you already don't like it, that is a red flag. On the other hand, it can be a vehicle to help you get you to where you want to be so think about what you want to get out of it. I went into it for a lot of the same reasons that you did, good pay, benefit and a stable job. I grew up dirt poor and didn't want to be financially struggling like my parents did, I didn't know what I wanted to do so I became a nurse because it seemed flexible career wise . Nearly a decade into it, it is safe to say I almost resent my job and feel trapped by working only 3 days a week for nearly 100K a year, hard to leave that. I guess a lot of people would love to have my problems now so I can't complain that much. The thing is, it is stressful, nurses have all the responsibility and none of the authority and anytime something goes wrong, the nurse is the first to get blamed. I guess I just feel like it is such a disempowered profession and it eats away after awhile, you can try to be assertive but it gets tiring going against the grain so much. The good thing is that that you can always drop down to part time and work towards something you really want to do. That is my plan anyway.
  9. VegRN

    Been Living A Sendentary Life

    Good for you on your desire to change! I would check out websites such as shape.com to determine what to bring on the first day. It also depends a lot on what you will be doing at the gym, cardio, strength training, classes etc. Asking at the gym might be a good idea as well. Good luck
  10. VegRN

    "Borrowing" one patient's med for another.

    I would have to disagree with you, at least in the work situation that I used to work in, I did not see a problem with it. In this situation, all the meds were individually barcoded and in a patient drawer, they were sent up from a central pharmacy. Patients were not charged for meds until they were scanned by the nurse. If one patient did not have a med then we sometimes borrowed it from another drawer since the patients were not yet charged for it and all meds were barcoded which verified that the med was correct prior to administering it to the patient. Now, if it was not barcoded, was a patients own or there wasn't a scanner to verify that it was correct, then I see what you mean about it being questionable.
  11. VegRN

    UAP acting as "nurse" in doctors office!

    This needs to be reported to the BON. Can't you report while remaining anonymous so that it will not affect your job? Perhaps you could give information to the BON which is general enough (or a limited number of specific situations) so that they could investigate. I agree with the other posters, this is way illegal. Trying to give you orders? Wow. I also can't believe that someone with no formal training can give injections after they are "trained" by a doctor but I guess if the state allows that, that is another story. Seems risky on the Dr's license and potentially unsafe for patients.
  12. I have years of experience and am having trouble finding a job. This is not just a new grad issue.
  13. Why not see this experience as an opportunity to get past some of the fears of being around men? I think it would be an injustice for you to drop out of nursing school because of this. That would mean your abusive father is still controlling your life. As previous posters indicated, check out the student health services to see about mental health help.
  14. Thanks all for the comments. Yes, I also learned to take shifts whenever they are offered. I also casually wondered if the agency punishes nurses who decline a shift by canceling you first for x amount of days later. I looked into other agencies in the area and it seems that they all staff at the same 2 hospitals and the one I do most of my shifts with has some type of contract for the hospitals in where they get the shifts first. I live in an area with much higher than average unemployment rates and pickens seem to be slim. I am hoping they will pick up in January. Thanks again!
  15. VegRN

    RN in 2 states?

    yup, this is true. I have several nursing licenses and all it takes is filling out the required paperwork, $$$ and waiting. Some of the states require you to submit fingerprints for a background check so that adds on the dollars and wait time too.