AggieNurse99

Pre-op or pre-GI lab. If ultimately you want to go to outpatient or home infusion, dehydrated patients needing access outside of the AC are good building blocks to becoming very good with difficult sticks. Also, aseptic technique for accessing mediports and central line dressing changes is vital.

I don’t like to give IVP phenergan in a peripheral IV - you must treat it like any other dangerous vesicant - and our policy on IVP vesicants has us using the side port of a free flowing (ie gravity) primary set. ISMP has a lot on the subject http://patientsafety.pa.gov/ADVISORIES/documents/200703_07.pdf ISMP also highlights the dangers of using prefilled flushes to dilute meds. https://www.pharmacytimes.com/publications/issue/2018/october2018/an-unsafe-practice-reuse-of-prefilled-saline-flush- I’d draw 0.25 ml up in a 1cc syringe and then slowly inject into a primary as above over at least 2 minutes. Alternatively I’d ask pharmacy to prepare it in a 50 ml piggyback. Also I routinely suggest phenergan suppository and IM phenergan due to extravasation risk if the patient does not have a central line or port. IVP phenergan is a very dangerous practice outside of the standard of care.

If the NDAs weren’t in effect, you could ask the nurses who worked during the Ebola crisis at the hospital in Dallas how well it went.

This should bring the worst global sanctions against any country that operates this way, IF and only IF, proven. Not saying the authors research wasn’t done or is incorrect. The global populace needs to start taking up this cause, to stop forcing people to donate organs because they are a prisoner or a marginalized group.

When your coworker refuses your help with the confused, 90 lb. little old lady....

"I don't feel very good. I missed my dialysis." CMP came back = K+ was 11 !!!!!

Jesse "Mama" from Code Black... when you're in trouble, your mama's got your back!

Hello from the other side....

I think I'm allergic to that.

Got it in 1 stick!

You get the assignments that only you can handle. - a wise charge RN

"Make him a DNR but do not tell him," the worst order I ever had given to me! Yes, the doc ended up without privileges.

So I worked as a bus driver while in college. We had true random drug testing. Once a month, a computer program would spit out 50 or so names from 500 employees and we'd have to go pee in a cup. CDL requirements of my state. Bathroom door open, no flushing, no hand washing. Very very strict. Not been my experience in nursing. Pre employment screening. Health insurance annual nicotine test. For-cause -- suspected impairment & on the job injury testing.

My mom's friend is really and truly allergic to brewing coffee. Can drink coffee, cannot be in vicinity when being brewed. I Took those 2 ladies through the Starbucks drive-thru and she started having stridor!!! Epi-pen then straight to the ER next door. Crazy & never believed her until I saw it.

Our team stopped placing in areas of loose skin. We use Bards new dressing, securis, with very good results. Also never steeper than a 1.5 cm vein.