beth318

I have a question, general in nature, but I really need the answer alot is riding on this... I had a patient 14 months old who the pediatric nurse's put in a 25g iv in her hand... that was fine, they taped it with the opsite on the hand over the port,... they left the arm board on and used cloth tape to secure the iv line to the arm board, my patients hand was swollen from her fingers and her upper arm just under her anticubical. They ran the tape over the fingers and around the wrist. Tape was around the entire arm board. The patient c/o that it hurt, I pulled the iv out and applied warm compress's over the swelling and elevated the arm. I was written up for this, something that i didn't even do! personally cloth tape has many uses but it does not include this. It was never meant to be used as a device to hold iv sites inplace. I know alot of nurse practice this but we are going to court for this very case, and I don't think 3m is gonna back the nurse who secured the iv using the cloth tape. Any advice from anyone? I know alot of damage could of resulted from this 1. comparment syndrome 2. 3rd spacing which caused the pain, 3. loss of limb from tissue damage. 4. nerve damage while limb is kept immoble

Just not worth your license to push this drug IVP! Risks are too High! I just did a case study on phenergan for my pol. Sc. class, guess what nurses, we are incorrect about Phenergan!Just this march 2009, this case went to all the way to the Supreme Court. I was horrified to learn that all these years I had been giving phenergan Ivp as instructed by my policies at each of the facilities I worked in. I learned doing this research that if I push Phenergan iv push, as I am instructed to do by md's orders. I will be sued, if an adverse reaction occurs, Phenergan is so bad that if the iv get inflitrated and the drug enters into the tissue or artery, gangrene can and will develope. They will amputate the limb as far as they need to. Nurses be aware that phenergan is a very dangerous drug, do not ivp the drug, do not dilute it in 10cc normal saline, diluting it in 10cc is not safe enough, dilute it in 50cc - 100cc of saline and hand that bag. I can't tell you enought times do not ivp the drug, even if you flush the line or check it right before the push, you can't assume nothing will happen in those few second that you decided to push the drug that it was patent. We are mislead thinking we're going to alright pushing phenergan, don't do it! It just one time... the patient has the right and will sue the hospital, doctor who orders it, and YOU, and the patient will be right in doing so. By the way, she was mean because the you hurt her either because you pushed to fast, or the iv was inflitrated, phenergan hurts going in. Consider not pushing at all.