ShonaRN0522

I have heard of stacking. We refer to it with neb txs. For example, if someone comes in with a severe asthma attack, the ERP may order 3 neb txs "stacked" which means one right after the other. I don't know what "stacked means" in your situation though.

Never even thought about the restraints being a problem....Yet another screw up with this patient I suppose. *sigh* I didn't want to use soft restraints on him, and by waiting, I was trying everything possible before going the restraint route. I kinda wish my facility had a longer preceptor program. It would be nice to have a go to person that I could go to in order to prevent these problems.

The facility that I work at allows us to wear whatever colors we want. We wear different colored badges with RN, LPN, or CNA printed in large letters. It works well for us.

Happy New Year Everyne! Thanks for the comments and advice. I've looked in the P/P manuals, and I've asked every nurse I work with for their opinion, and still have not come up with a straight answer! I've decided to not worry about it anymore. If I get an error, I guess I'll just have to look at it as a learning experience and move on. Thanks!

hi everyone. i am a new nurse, and am finding that i am doing a lot of second guessing myself these days! here is one i could use some advice on. the other night, i had a patient with a hx of alzheimers who had just had his hip pinned. he became very agitated and began digging at his dressing and wound up pulling his dressing off, tried to pull his staples out, and was becoming violent and mean to any staff that tried to get close to him. i called the dr. who ordered restraints and 0.5mg haldol po bid prn. i managed to get him to take the pill, and he calmed right down, therefore, i did not put the restraints on him. 3 hours later, he was right back to square one. he pulled out his iv, tried to yank his foley out, and pulled the dressing off his incision again. he had it bleeding and once again was becoming violent to the staff. this time, i did put limb restraints on him. i was also advised by one of the seasoned nurses to go ahead and give another 0.5 mg of haldol, which i questioned and was told it was ok to give it because it was after midnight, and therefore the start of another day. the order was bid, so i went ahead and gave it again. did i mess up? am i going to get a med error? the patient eventually quit yelling and fighting, and rested for a few more hours. i am just worried about getting in trouble...thanks for any advice!