AnewerRN

A preceptor once told me that he had run K+ @60/ hour before. Anyone else heard of this? 60meq/hr?!? He wasn't working in a prison at that time was he?

I work on a busy tele unit and often recieve patients back from procedure (cath, pacer placement, egd/colo, etc.) who have recieved some amount of conscious sedation. My question is what is the usual dosage for these medications (i.e. fentynl, versed). I know this varies with patient weight/tolerance. I am just curious as to what doses you find yourself administering and over what period of time (if IVP is it back to back)? Thanks in advance!

This is exactly why I posted. I never intended for this to be a "gotcha" moment. I have never reported another nurse before. Being a newer nurse in the hospital setting I feel like reporting this was terrible karma as I am bound to make a bigger whoops at some point. When the pt was transferred I was just so overwhelmed after recieving a new admit on top of a team I picked up late after being called in. I understand completely about prioritizing, although the only reasoning she stated for not hanging was that she spent time giving the pt a bed bath, talking to the family (mind you pt ambulatory, self care), and BB never called (BB tech stated she told particular RN blood ready at 9am). From this point on I am keeping my mouth shut. It wasn't a big deal.

Thank you highlandlass.....I really needed that:)

I will try to be as brief as possible... Today was a fairly bad day at work. I am a registry float RN at this particular hospital. I was working a general med surg floor and recieved a pt transfer from ICU. RN tells me in report pt is to receive an additional 1 Unit PRBC today (pt has recieved 5 since admit HGB stable today at 9.9, GI bleed cauterized, to go for lower GI in am). Don't recall in report RN ever stating why she had not yet hung todays unit PRBC. I wait for a while for blood bank to call and tell me blood is ready. Never recieve call. Call blood bank. Informed by blood bank blood was ready at 9am. Order for blood was given at 8:30am. Pt did not arrive to general medical floor until 12:45 pm. My question then, why was this blood not transfused? I mentioned this to my unit supervisor when she asked how my day was going. Call down to ICU later that night looking from medication for this pt and wind up getting chewed up by same RN in ICU regarding why I reported this to my nursing super. Later spoke with MD who ordered blood that day (who called ICu nurse a "flake"-irrelevant) and somehow order for HGB post transfusion was not written, either. I know pt was stable. Meanwhile pt having black liquid BM on bowel prep. Am I wrong for reporting to my nurse supervisor. I feel aweful.