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cafecreme's Latest Activity

  1. cafecreme

    What can we do to change this to prevent errors?

    I totally agree with you on the need for changes with increased acuity and that bar code scanners should not be relied on 100%. What I am saying is-- we are the ones that are out there doling out the meds under these conditions and we know they are not going to change (the conditions) anytime soon. I am trying to look at physically, practice wise, is there anything we can do to push for to help protect us. As I stated in the examples: Why are all IV drug bags labeled with the same color? Why do they not label some with different colors to at least designate importance of drug classification? I know it is still up to us to check that label and a pharmacist or tech could use the wrong color label etc-- but just one more safety net under emergent or stressful conditions could make you take one extra look or prevent someone from getting a sedative vs and antibiotic? We just blindly accept this and put the blame back on ourselves or fellow nurses cuz they should have checked!!!! What if the nurse before you hung the wrong bag-- I am just looking for ideas to help us. Hope this explains that.
  2. We have all noted, an example on News even on this board, of some major error that has impacted lives. None of us can imagine purposely making a mistake that could kill someone, but under the right stressful conditions- it can happen. The ones noted are dealing with drugs given way above dose, the wrong drug given, and even a few caught before happening but have cost nurses their jobs. This is our career, license, our livlihood, pays the morgtage etc. So I am asking -- is their other things WE as NURSES can ask to have changed to put one more safety net out there? Think about this--- vancomycin is in about the same shaped bag and same color label as insulin gtt. Versed, diltiazem and antibiotics all about the same size bag and same color label. These are only a few examples. Our institution keeps saying they are going to get the drug scanners and that hasn't happened yet. :angryfire I know it is our FIRST and most Important step to dothe the 5 STEP CHECK. Under stress and the right kind of day (or I should say just a zillion things impacting you at once), or day after day high stress load, and the increasing complicated loads that are happening- errors can be made!! NO ONE is PERFECT:o !!! What should we start to think collaberatively about, for more saftey nets, that would help to protect us or help us catch a mistake from happening? Would be interested in ideas. THink about your institution and what drugs you give-
  3. Any oncology nurses got ideas here? I am a nurse also but will be having bilateral mastectomy done soon and there are others out there wondering if any tips for us as patients. I also want to know to deal with in my own practice. Please respond.
  4. Where do you do blood draws on recent (2-3 months or even within first five years) bilateral mastectomy patients and do there blood pressures? Also if they are a single mastectomy and have horrible veins on the non-affected side, where do you go for blood draws? What if these patients are needing these blood draws for chemo treatments and you are having a horrible time to non-existent veins? Is there anything you tell them to do ie hydrate very well if possible the day before blood draws? Do many of you use lido or butterfly needles to cut down on pain associated with sensitivity due to frequent sticks? Thanks, the info will help myself and others.
  5. I tried the oncology board for a response and got none, not many hits there. Question is: Where do you draw blood from a patient or do blood pressures, if they have had bilateral mastecomies? Also, if they have horrible veins on their non-affected sides( mastecomy only on one side), do any oncologists state you can draw blood only (no BP) from affected side. If not then where do you go on them to get blood. I know the fear is lymphedema, which is very painful for them. If any of you nurses that deal with cancer patients alot and especially breast cancer , would you respond please. Thank You.
  6. cafecreme

    post mastectomy/work question

    I am seeing a surgeon tommorrow to look at my options, have DCIS, with strong family history. One of those considerations of course is a mastectomy. Do any of you ONC RN's know the recovery time and how long before you can go back to work lifting patients. (am an RN) Scary stuff and am trying to get as much info from all sources. Please let me know what you know.
  7. cafecreme


    The 85 year old husband asked his wife why she made an appointment when she learned he had gotten a prescription for Viagra. She stated " I need to get a tetanus shot if you are going to start using that rusty, old thing." (told to me by a 86 year old woman patient)