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BrnEyedGirl BSN, MSN, RN, APRN

Cardiac, ER
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BrnEyedGirl has 18 years experience as a BSN, MSN, RN, APRN and specializes in Cardiac, ER.

BrnEyedGirl's Latest Activity

  1. BrnEyedGirl

    Nurse Charged With Homicide

    I agree, I have been a nurse for over 20 years, our job is inherently dangerous, our decisions and mistakes can kill people. Unless this nurse was impaired, was practicing out of her scope or intentionally did this to cause harm she should not face criminal charges. Physicians have amputated the wrong limb, operated on the wrong pt etc without criminal charges. That is what malpractice is for!
  2. BrnEyedGirl

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    Im sure no one knows for sure,...but the two syringes were 10cc flushes,..the one with a capped needle on it was full of 8cc of clear liquid (2 cc missing) the other flush syringe had only 2cc remaining and no needle. Sounds like she used the needle to reconstitute, gave the 2mg ordered, then flushed with the other syringe saving the 'versed" to waste with her coworker. But you are correct, we dont absolutely know. Very sad situation.
  3. BrnEyedGirl

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    I was not insinuating "she would be fine",...just that such a small dose would help to explain the time line and quick ROSC. One of the physcians felt the dose shoud not be lethal and perhaps her bleed, related to a mass in her brain was really the cause of death. Many many questions
  4. BrnEyedGirl

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    She only gave 2 mg of Vec, they have the rest of the med in the syringe, which is a very small dose.
  5. BrnEyedGirl

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    See if this works,.. CMS report https://l.facebook.com/l.php?u=https%3A%2F%2Fwww.documentcloud.org%2Fdocuments%2F5346023-CMS-Report.html%3Ffbclid%3DIwAR1gLuGIk0ymnUVYhPw2f2piPyAF4OxPeGTt0fpFqq5ElV5qWNv9XZ6e8Mg%23document%2Fp6&h=AT0FefrDppnICpPk-lMCscGUQ4XEIhMo0cIhKS982_xwmS7i7a3gVFU7L41-RiWizQkx32H4MMVzB8NtKHksY1uLL3ItgRpX-RNJ1OGpBNQj1k9ZuNfXeh6a5QWg8fxl6g
  6. BrnEyedGirl

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    According to the CMS report the medication was verified by the pharmacy 10 minutes before she pulled it. The Pyxis defaults to generic names. The nurse entered VE (versed) not Mid (Midazolam) and grabbed the first med on the list Vecuronium. How did she not know to use generic names? How did she not know that Versed/Midazolam does not require reconstitution? How did she not know that Versed requires monitoring? So many questions.
  7. BrnEyedGirl

    What diagnostics can NPs order independently

    Oh my,..you are right,..I can order insulin, but not diabetic shoes!!
  8. BrnEyedGirl

    What diagnostics can NPs order independently

    I'm not in Canada, but I order what I need, even angio's and CRTD placement! I work in cardiology.
  9. Wuzzie, every trauma center I have ever worked in for the last 20 years draws BAC and a drug screen on EVERY classed out trauma patient. You can not just assume that the injury caused the mental status change. This is akin to getting a blood glucose, I don't know how many MVC's I've seen that come in with a glucose of 20, this is important to know.
  10. I think if this happened in my ER and we all had the wherewithal to stay calm, every nurse in the unit would line up to cite the policy/law and wait for handcuffs!!
  11. In the long video, one of the officers asks why they don't just get a warrant. The other officer states there is no PC for one (probable cause). They knew they couldn't get a warrant. This cop lost his cool and was angry because he didn't get his way! The scary thing is that he did this in front of many witnesses and while knowingly being recorded! I can only imagine how he behaves in private!
  12. BrnEyedGirl

    RN-FNP for Old Nurse

    I became an NP at 49, after a similar story. 20 yrs as an RN, kids left for college, I did it. If it's what you want, do it!! BTW,..be careful who you're calling old!! :)
  13. BrnEyedGirl

    Should I inform current employer of APRN license?

    I worked for a large hospital group for almost 20 years prior to becoming an FNP (still work for them as an NP). Of course all my coworkers and my immediate supervisors were very aware as they had cheered me along. When I passed my boards, it was the legal department that had a problem with the whole "being held to the standard of your highest education", they felt it put me in a precarious position for increased liability. I work ED so, they decided that A. there was ALWAYS a doc in the department, in charge of the patients care, B. I did not have a collaborative practice agreement with any of those docs, so in theory I could not function as an NP. It ended up working out, but I was gently rushed on to my new role.
  14. BrnEyedGirl

    Need help..hate my job :(

    ^^^^ THIS!! I started fresh out of school on a step down/tele unit. I ended up spending 8 years there and transferred to the ED. I left my unit angry, frustrated and overwhelmed. My coworkers thought I was crazy to "jump from the frying pan into the fire" as they put it. ED is busy and crazy, but I had resources, We were the rapid response team, we were the code team. I didn't have to worry that one of my patients might crash and I would not have the experience or resources to take care of them! In the ED I was surrounded by fabulous nurses, RT's, doctors, etc all the time! Stepdown is rough, you are always taking care of pt's that really need ICU care but you don't have the resources of an ICU. Hang out your three more months and ask around, maybe shadow in the ICU. Do you think you could take care of one or two of these patients a night? Hang in there, you will find your niche!!
  15. BrnEyedGirl

    Applying for DEA with temporary FNP

    You will have to check with your state board. I'm in Missouri and I had to have 1000 hours of working and prescribing meds before I could apply.
  16. BrnEyedGirl

    ER NP's help!

    I transferred from an RN in a 68 bed Level I trauma ED, to an NP in a rural critical access hospital ED with 8 rooms. I split my time between the ED and the UC in the same rural town. I already had , BLS, ACLS, TNCC, PALS, ENPC and my CEN as an RN. An 18 month training period side by side with your collaborator is fabulous! My contract includes $1500/yr for education and/or professional resources (not enough, but doesn't include required certs which are paid by the hospital). This is where it gets a little fuzzy on what is required for an NP vs RN vs Dr. I recently had to recert for BLS, my ACLS is still valid, the Doc's don't have to take BLS. I was told to let my TNCC expire, as I am now required to have ATLS, so are the doc's. The reason it gets fuzzy is that in my hospital group, the NP's are still under the umbrella of nursing. I am a medical staff member so I am expected to stay current with all the same certs required for the ED docs, and many of the certs are redundant ie TNCC/ATLS. If you have no ED experience as an RN, TNCC would be helpful, get the book. The most helpful thing is to learn all your protocols! ie Stroke, MI, Trauma etc as these will vary greatly depending on your available resources. My protocols from the Level I trauma center to the rural ED are way different. Best of luck to you! I am loving the new role!

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