deaga

For instance ....you how it is never a good sign for a patient to see a relative, or call to their mother, or most certainly not to say ... I see the light !!! But you know I have had many patients that I know have seen and or heard someone or something just prior to death.

Hello,May I vent and get suggestions please ?!?! Iworked in the ER for 6 six years, transferred to ICU for the last 2 yrs and 4 mos. My first evaluation was last year and it said thing like having trouble adjusting to unit routine, still learning my critical care role,etc. So I was hurt and I was somewhat confused but okay I gave them the benefit of the doubt. It has been 1 yr and 4 mos and the following occurred. This years evaluation has not been done yet. I was in a pre code controlled situation where we intubated a pt , then we were going to place a a-line and cvl. Shortly after intubation we started a sedationdrug drip with little control so the doctor ordered a dose of of a neuromuscular blocker . I drew up the ordered dose and medicated the pt . Long story short 4 days later I was called to the managers office and 2 managers where there and said the following. It is the perception that you give more medicines or extra medicines.What do you think? Apparently someone in the room I suppose it was another nurse reported that she watched me pull up the drug from the vial, asked me if I diluted it,which she reported that I said no, and then proceeded to watch me give 100 mg not the ordered fifty by reporting that I pushed it all. I was asked: How much did you give, did you dilute it, did you throw the vial away, did I answer no when I was asked if I diluted it. I replied that I did not remember if I diluted it although I did frequently dilute drugs,that I did not remember being asked about dilution by another person in the room. And that I did not know how to answer the questions as I simply drew up a dose to the best of my abilty and medicated the patient. I was told that there was further investigation to be done, but that I would be given the opportunity to write a reply. So I sit here thinking was if it was a med error shoul'nt a pharmacy form and the other indicated forms and with couseling be in order? Or is it going to be a big write up and a discipline issue? I do not remember making a mistake, but another said I did. So how do I respond? Thank you everyone