Dierdron

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1. Need help with transcutaneous pacemaker incident

   Dierdron replied to Dierdron's topic in CCU

   My plan for the presentation of the caution I used will be: 1. Checked order with senior ICU RN (who agreed to appropriatness) 2. Patient's weight 89 Kg (very muscular/robust 90 year old) (Nursing 2003 Drug Handbook lists upper dosing levels at 0.05...

2. rate calculation

   Dierdron replied to New CCU RN's topic in CCU

   The ICU I work in uses a formula to figure out a "Konstant". It may be like the core numbers mentioned. I'm not sure. Our iv pumps don't figure out anything for us. We just tell them how many Milliliters to infuse per hour. The Konstant (K) wor...

3. Need help with transcutaneous pacemaker incident

   Dierdron replied to Dierdron's topic in CCU

   The manager found out about this because I wrote the incident report and gave it to her. I had to because the Dr wrote in the Medical Record I gave the wrong med. It should have been a dead issue with the incident report since I had two other RNs s...

4. Need help with transcutaneous pacemaker incident

   Dierdron replied to Dierdron's topic in CCU

   Though I did not physically chart the six minute administration, I have witness statements from other nurses that I have always been observed administering lorazepam very slowly and always dilute with NS. Interestingly enough, the physician who orde...

5. Need help with transcutaneous pacemaker incident

   Dierdron posted a topic in CCU

   I'm currently under fire from my ICU manager because I administered "Ativan 4mg IV Now" as ordered by the physician, to a patient who was delerious, restrained at wrists to bed, and had a transcutaneous pacemaker delivering 80 shocks/minute (the tra...