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Had my first mechanical thrombectomy for DVT. Wondering about complications of this procedure? The bleeding/CMS changes make sense. The patient’s leg was still red with edema after the procedure, this is how the patient presented. Wondering if this is normal and for how long can this happen? Any other common complications you’ve seen? I asked several nurses on the floor but no one really had experience with this. I tried to look up as much as I could but I find personal experience helps me learn best. Thank you in advance!

Hello, had a pt with a new GJ placed. It was to gravity for a few hours and then was supposed to be clamped after. It had 75 mL of dark brownish/red output for the several hours it was to gravity, is this normal? Should I have reported to the doctor? I figured there would be some output since it was to gravity, but the oncoming nurse seemed confused by it. The GJ flushed great and had no issues after, but now I’m concerned about the output. It was not bright red blood and wasn’t quickly coming out or anything. Thanks for your advice in advance!

Hello! Quick question here about chest pain. As a part of my assessment on every patient, I ask about chest pain. However, sometimes I struggle to know what needs to be paged out to the doctor. Normally I always caution on the safe side but for instance, if a patient only has chest pain when they cough and they have a deep, productive cough, would you page out just to be safe? Also, with covid this seems to be more common for patients because of coughing so I find it comes up a lot. Thanks in advance!

Hello everyone! Looking for advice on a med error I just realized I made 2 days ago. I randomly start thinking about work and just realized I made a mistake. To make a long story short, there was a situation where I needed to give IV ativan. Not realizing, I gave it without diluting it. I gave it through a peripheral IV and y-sited it with NS running which should have diluted it some. It was a very small amount (.25 mL) but I feel awful and just stupid that I didn't look at the administration instructions better. I am a new nurse and pride myself on how carefully I look at medication instructions. The patient is definitely fine because I had them the whole shift and had them yesterday as well. I was researching the medication and found that the reason it should be diluted is because of how viscous it is - but it did not seem viscous at all when I was administering, probably because it was such a small amount. Any advice on what steps to do here? I don't want to make it seem like I am covering it up because I just noticed now.

New nurse here, pt became physically violent towards staff. I was in the midst of giving the pt medications when I got an order for restraints. The charge nurse grabbed the restraints which included wrist and vest restraints. We got the pt in them, did my charting and went on for the night. 3 hours later I was looking at the actual order for the restraints and the order just said “soft limb restraints” no vest restraint. I immediately told the charge nurse and she did not make a big deal out of it and just said we would get an order (it was the end of my shift). I asked if I should write myself up for this and she also said no. I’m not sure if I am having an irrational fear or if I could lose my job and license over something like this. Any guidance would be appreciated.