Irishgirl

Irishgirl

ER, Research

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All Content by Irishgirl

  1. Blood Transfusion Question

    Irishgirl replied to Irishgirl's topic in General Nursing

    It was an outpatient and she only had a little bit of blood left to transfuse. I was just doing a favor for another nurse, but in hindsight I should have put in a 20. Can hemolyzed RBC's do any harm...

  2. Venting & Advice

    Irishgirl replied to Irishgirl's topic in General Nursing

    Would it be my fault if this lady became septic? I did tell the nurse that it was contaminated & I saw her changing the tubing over, I just didn't see if she re-primed the blood or back-primed it....

  3. Venting & Advice

    Irishgirl posted a topic in General Nursing

    Okay, for anyone who has ever read my posts, it's no secret, I have OCD. It sucks. But for my piece of mind (and until my meds become therapeutic-I just started today) I need some words of wisdom. I...

  4. Heeellppp

    Irishgirl replied to Irishgirl's topic in General Nursing

    I called a Dr. I know, and he said it's probably a spasm of my muscle. I just thought it was too small of a lump to be that, but it was by my bicep. I thought it was a vein b/c of the shape, but when...

  5. Heeellppp

    Irishgirl posted a topic in General Nursing

    I had a hard lump in my upper arm, it looked like a vein that was spasming, then it went away and now I have some very very mild discomfort in my underarm. What the hell is that? I'm FREAKING OUT;...

  6. Heeellppp

    Irishgirl replied to Irishgirl's topic in General Nursing

    I was just scared it was an embolus or something like that. But the pain in my neck and hand says it my have been a muscle/nerve spasm or something like that. I think I might be dead by now if it were...

  7. Infection

    Irishgirl posted a topic in General Nursing

    I was wondering, I had a pt admitted who has a Hickman Cath; he had some vague neuro c/o and shaking chills on admission. I drew blood cx on admit and they were neg. Less than 2 days later he had his...

  8. Infection

    Irishgirl replied to Irishgirl's topic in General Nursing

    The pt is not an oncology, but a hematology pt; no chemo. I used aseptic technique on his central line. I don't think I caused the infection b/c of the time from the original negative bc and the pos...

  9. Infection

    Irishgirl replied to Irishgirl's topic in General Nursing

    Yes, one of the first cx was from the port and it was negative. Less than 2 days later, it showed Staph...I was told it couldn't have shown up that quickly if it was nosocomial, but I just wanted a...

  10. Sub Q Butterfly

    Irishgirl posted a topic in Hospice, Palliative

    I was wondering, there is a debate among nurses in the Hospice I just started working for. Sub Q butterflies are put in bevel up, right? I've only given sub Q injections w/ the needle bevel up. The...

  11. Sub Q Butterfly

    Irishgirl replied to Irishgirl's topic in Hospice, Palliative

    P.S., what the hell is this icon about :trout: ???? Sooo

  12. Sub Q Butterfly

    Irishgirl replied to Irishgirl's topic in Hospice, Palliative

    But...I'm wondering, if it doesn't occlude, b/c it's sub q, so I don't think occlusion would be a problem...it wouldn't affect the absorption of the medication, right? I mean, it's still going into...

  13. Final Gifts

    Irishgirl posted a topic in Hospice, Palliative

    Has anyone read Final Gifts? I'm starting with hospice, and would like to know how informative this book is. I want to buy it, but want to know if I'll reference it more than

  14. Preceptor Oops

    Irishgirl replied to Irishgirl's topic in General Nursing

    What if an air embolus happened, I would have known right away, right? Would the symptoms be the same if the pt had gotten the air in his/her lungs and heart? Can it cause a PE instead of an air...

  15. Preceptor Oops

    Irishgirl posted a topic in General Nursing

    When I was a brand new nurse, my preceptor taught me how to access ports. However, she never primed the line and instead injected air into the port. I did this the same way until I was taught better,...

  16. Preceptor Oops

    Irishgirl replied to Irishgirl's topic in General Nursing

    P.S., PANurse, you're 100% right. I learned my lesson (the hard way). This was years ago. I just recalled it b/c I've been accessing a lot of ports lately. Thank God nobody got injured during that...

  17. Preceptor Oops

    Irishgirl replied to Irishgirl's topic in General Nursing

    Triage RN, that is one of the funniest stories I ever heard. Good thing you didn't get that job, b/c who would want to work w/ that lady?? I think back to my preceptor, and just hope she changed her...

  18. I'm Injection Mistake

    Irishgirl replied to Irishgirl's topic in General Nursing

    Thanks Eric, that was really helpful in relieving my fears. Sometimes it freaks me out if I don't think I'm doing the best for my patients. I gave That Td, and even felt like it went deep and scraped...

  19. I'm Injection Mistake

    Irishgirl replied to Irishgirl's topic in General Nursing

    I hope I would have known within minutes, it was Tetorifice/diptheria. Will he get tetorifice or diptheria if it went into a vesesel? It looked okay afterward, actually I pulled back a bit b/c it was...

  20. "Coulda, Woulda, Shoulda"

    Irishgirl posted a topic in General Nursing

    Does anyone else agonize over what they possibly did wrong, or how they could have done something better? Does anyone else fear for a patient's outcome and feel miserable, like it's their fault, if...

  21. Air Embolus?

    Irishgirl posted a topic in General Nursing

    How long do the symptoms of an air embolus take to show up? I've heard nurses say not to worry about air in IV tubing b/c it takes a lot to harm a patient. Is this true. Is this a big risk w/ PICC...

  22. Air Embolus?

    Irishgirl replied to Irishgirl's topic in General Nursing

    What happened to that nurse intern?? She must have been devestated. Did she quit? (I assume she did). I don't think I could live w/ myself if a patient died b/c of me. I don't know how a person could...

  23. PICC lines

    Irishgirl posted a topic in General Nursing

    I have a question w/ PICC lines. How easy is it for a patient to get an infection from these? I'm new with them. I saw a nurse draw blood from it, after having the vacutainer sitting on the bedside...

  24. PICC lines

    Irishgirl replied to Irishgirl's topic in General Nursing

    Can a patient get a systemic infection, or a heart infection if aseptic technique was compromised once? Or, will the patient just have an infected PICC line initially. I'm scared of making a patient...

  25. How Do You Make It Thru Your Workday When You Feel Sick/Tired?

    Irishgirl replied to Meerkat's topic in General Nursing

    Make sure to exercise and eat well. Now, if I can only practice what I