mistyda

morte, i didn't agree with that reasoning either hence this post....

That's what my preceptor at the time said pretty much; crushing it and giving it is better than not giving it at all.

Thanks for the replies. My preceptor at the time was one filling in for my regular preceptor who had to be gone that day. I know my other preceptor would have stepped in immediatley. I told her the next time I saw her that I wished she was there for that because I know she would not have let that happen with no recourse. Is it common though to give Zofran and Phen at the same time?

I think I just stood there lol. I was surprised and at a loss for words. It's good to know if that's a common practice because then I could at least understand his frustration at why his pt. was still sick and I didn't do what he wanted. I'm struggling to figure out the real world way of doing things as opposed to the nursing school way. It seems like we're taught one way but it never actually works that way.

I'm in orientation on a med/surg floor. My pt. was 30 years old and 25 weeks pregnant admitted for nausea and vomiting possibly relating to a chole done the month prior. The order was 4 mg Zofran and 25 mg Phenergan now. I remember being told by one nurse that she doesn't like giving 25 of Phenergan because it knocks the patient out; she prefers to give 12.5. Since my pt. had morphine shortly before I got this order, I took it to my preceptor. She said give the Zofran and hold the Phen for an hour and then give it. That's what I did. About 15 minutes later the resident comes back and sees the pt. is still nauseous. He asks if I gave it. I explained what I did and he said something to the effect of, "I realize you are in orientation still but I gave you an order." I was very embarassed since this was yelled at me in the middle of the nurses station! Nobody came to my defense either. Everyone who originally thought I should hold it quickly said to just give it! Anyone have any insights on this? Should I have just given them both in the first place?

I had my first med error the other day and I feel so crappy; mostly because I think it was handled wrong. I am in week three of orientation on a med/surg unit. I graduated in May. My patient was an 80 yo with a fx pelvis after a fall. She was ordered an 180 mg verapamil. I went to give it and she said she was unable to swallow any pills. I told my preceptor and she said to just crush it. I thought to myself, hopefully it's not a sustained release, but didn't check because I assumed my preceptor would have picked up on it if it was. I realized it was a few hours later when I looked it up and was so upset. It was nagging me and that should have been my first clue to not do it! Pt. had no adverse effects that I saw and preceptor said it's no big deal. It was the end of the shift and I left upset about what happened. Dr. was never notified as far as I know. That was Friday and I go back tomorrow. I've spent all weekend so upset. I wish I had just called the Dr. to tell him. Now I've spent all weekend worrying and am scared to go back to work tomorrow. I know it was not handled correctly and I'm not sure what to do three days later! Any advice?

I passed! Just got called from the board of nursing.

Thanks guys. I think Amiodorone was one of the options.

I just found out my test results are on hold because I finished in less than 60 minutes and that automatically flags my exam for review! Whew! Better than failing. The Arizona BoN updates its website within 24 hours and the others who took it yesterday and passed already have license numbers assigned. I thought that meant I failed since I didn't have one issued yet. I'm crossing my fingers!

I got a test question stating a patient is taking a medication that is turning his skin bluish. I was asked to identify the likely medication. Silver was not one of the options. I can't remember the other options. Anyone know?

I hope it means something good! I'll post tomorrow when I know for sure. Thanks for the support!

JustBeachy, I took it in Arizona this morning. Maybe it's too soon...? Although I read other posts where they checked this soon. I'm just so nervous and scared. I don't even have to wait that long either! The Arizona BoN should update its site tomorrow.

anyone see a pop up that says something like "test results on hold. A new registration can't be created at this time" when trying the "trick". That's not what everyone else's popup seems to say but that's what I got today....?????

Same story as you. Cut off at 75. Lots of select all that apply and arrange in right order. No med calculations or OB questions. Extremely scared. I know it's designed for people to miss 50% of the questions, but it's hard to be hopeful after that!

I'm almost five months pregnant and starting my first semester of nursing school in two weeks. I'm due to deliver two weeks after classes get out, and two weeks before classes start again in January. I'm very nervous but just hoping for the best. :) Misty