Moe75_Rn

The rationale behind not giving both at the same time is that if the patient has a drug reaction then its more difficult to pinpoint which one might of caused the reaction. Me personally, thinks that 2 Percs and 600-800 of Mortin works really well for the patients but our nursing manager wants us to give them an hour apart. If a patient is in pain though, you do what you can to get that pain under control.

For our mag patients we have dynamap in room, side rails are padded, suction set up and ready to use, mag is on pump, and we have pulse ox in room. We do not have the calcium gluconate at bedside, it is left in the pixis. Hope this helps.

Thank You for your support everyone. I am going to talk to my manager when I go in this week to make sure that there is a policy in place so that this doesnt happen again. Thank you again.

Actually, they never did get it. Futhermore this has nothing to do with putting anyone in their place and everything to do with doing your job as a nurse and being an advocate for a patient that does not have the voice to speak for himself.

No. No moitoring was done. The baby was given sugar water with the first attempt but nothing after that. The attempts were spread out over about 4 hours. The head nursery nurse mentioned to one of the residents that maybe the attending should be brought in but she said that there was no need to bring him in for something that would only take a few minutes to do. Like I said in my first post, I am new to this unit and still learning all the policys and procedures. When I say that this wasnt my patient directly, it was the nurses that I was working with that day.

Wow. I am just a concerned nurse, looking for a little advice. Really no need to get hostile, and I am quite aware that a resident is a physican. I apologize for the mistype. I should have stated that an ATTENDING should of been call in. I am also aware that you dont always get it it on the first attempt, but come on, 5 ATTEMPTS?! I feel like anesthesia should have brought in after the first two residents made their couple of attempts. Wouldnt you want that for your child or loved one? As far as longterm.. who's to say? This only happened a few days ago. Much too short of time to realize longterm effects. Finally, if you see something on your unit that bothers you or that you dont agree with, you just turn your head because its not your patient so not your problem? Hope that I never have you as my nurse.

I just started working on a unit. There was a patient (not mine directly) that needed to have a lumbar puncture. Long story short, atleast 5 attempts were made, all by residents, with no success. The parents of this patient were not informed of all these attempts, and the patient only being one day old could obviously not speak for himself. Is this an acceptable practice, and would you speak to someone about it. It just eats me up inside everytime I think about. I feel that if the residents didnt get it on the first try then the attending should of been called in. I am planning on saying something to my manager but I want to see what you guys think as well. Thanks for the help.