blondy2061h

blondy2061h MSN, RN

Oncology

Member

All Content by blondy2061h

  1. Unit Secretaries

    blondy2061h posted a topic in General Nursing

    Have any of your units eliminated secretaries since the introduction of EMR? When I first started as a nurse we were still largely using paper charting and just introducing computers. Unit...

  2. How long is it reasonable to leave someone NPO for?

    blondy2061h posted a topic in General Nursing

    How long is it reasonable to leave someone NPO with IV fluids, no TPN, or enteral feeds? I've been searching and have difficulty finding evidence to answer this

  3. Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    blondy2061h replied to Nurse Beth's topic in General Nursing

    It's a good point. A nurse I work with made an extremely similar error, but the med they gave instead of the ordered med was not one with life threatening side effects so no viral news story

  4. Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    blondy2061h replied to Nurse Beth's topic in General Nursing

    They don't know how much was given. The CMS report makes that very clear. There were two syringes with different amounts of liquid. They weren't able to determine what was in each one. The nurse was...

  5. Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    blondy2061h replied to Nurse Beth's topic in General Nursing

    I was initially confused at how an ICU patient ended up off the unit without an ICU nurse or monitor, but it seems the patient was awaiting a floor bed. That then makes me confused why they jumped to...

  6. Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    blondy2061h replied to Nurse Beth's topic in General Nursing

    Oh I do suspect she'll never be a nurse

  7. Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    blondy2061h replied to Nurse Beth's topic in General Nursing

    But if the option is a nurse with no ER experience or no extra nurse at all, I'll take the one with no ER experience. I won't expect them to function independently, but they can be delegated to by...

  8. Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    blondy2061h replied to Nurse Beth's topic in General Nursing

    When you have such a big institution you're going to have more events than the average place even if your percentage is much better than

  9. Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    blondy2061h replied to Nurse Beth's topic in General Nursing

    I just got done reading the 56 page CMS report and I have a lot more questions than when I started. The nurse got the vecoronium out of the neuro ICU pyxis, where the patient was an inpatient. That...

  10. Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    blondy2061h replied to Nurse Beth's topic in General Nursing

    They clearly didn't know enough about vec of versed to know if it made

  11. Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    blondy2061h replied to Nurse Beth's topic in General Nursing

    The RN may be the last line of defense, but by overriding the med she went ahead and bypassed ever other line of defense and made herself the only live off

  12. Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    blondy2061h replied to Nurse Beth's topic in General Nursing

    I don't understand that either. If she was sick enough to require an ICU or a SDU clearly she wasn't appropriate to have an outpatient test. Sometimes a PET scan is required to guide treatment plans....

  13. Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    blondy2061h replied to Nurse Beth's topic in General Nursing

    This is what I don't understand about the timeline. 30 minutes since she got the vec when the code was called and they got her back with 2 rounds of acls? But she was so hypoxic she was declared...

  14. Pain Management & the Opioid Crisis - AACN-NTI

    blondy2061h replied to allnurses's topic in General Nursing

    I feel like "opiod epidemic" had just become such a trendy catch phrase with half the people using it having no idea what they're talking about our why they're using it in the context of patients who...

  15. Mandatory Vaccination

    blondy2061h replied to degfnp's topic in General Nursing

    That's punishment. A mask isn't. A mask is

  16. Pain control in pt. With hx of opiate abuse

    blondy2061h replied to anewsns's topic in General Nursing

    I have idiopathic intracranial hypertension also and an NSAID allergy, so yeah, that's my

  17. Tylenol for fever in a patient elevated LFTs

    blondy2061h replied to sweaver617's topic in General Nursing

    Sounds like you probably had a lot of patients with very poorly managed pain.

  18. What in hades.

    blondy2061h replied to CardiacDork's topic in General Nursing

    Nurses won't be waking them up to flush their

  19. Case Study: Can You Prevent This Medical Error?

    blondy2061h replied to SafetyNurse1968's topic in Critical Care

    Thank you so much for sharing this and taking steps to prevent it from happening

  20. Case Study: Can You Prevent This Medical Error?

    blondy2061h replied to SafetyNurse1968's topic in Critical Care

    It's good for a student to get good habits, too, I guess. Then become more efficient

  21. Case Study: Can You Prevent This Medical Error?

    blondy2061h replied to SafetyNurse1968's topic in Critical Care

    That checklist for the student nurses is almost hilarious when you think that it's not uncommon in my area for some nurses to have 16 patients on night shift and not unheard of for patients to have...

  22. Increase in Ehlers-Danlos (especially hypermobility type) patients?

    blondy2061h replied to ArtClassRN's topic in General Nursing

    Sorry! It really is just

  23. Patient rights an privacy bathroom

    blondy2061h replied to Mqnurse13's topic in General Nursing

    I struggle with this too. I tell people to do the same we do in every AMA situation- establish competence, educate and document. More so than the fall risk patients, I struggle with patients I suspect...

  24. Increase in Ehlers-Danlos (especially hypermobility type) patients?

    blondy2061h replied to ArtClassRN's topic in General Nursing

    It started on YouTube. There's a prominent cystic fibrous vlogger who vlogs daily- Mary Frey. She's quite popular among the "Spoonie" community. Then came Chronically Jaquie. She started the daily...

  25. Sample voicemail greeting for an oncall runner for hospice

    blondy2061h replied to guest907278's topic in General Nursing

    That is a good point. If these are patients and family members calling in maybe something like "Have a peaceful day" would be