Southgoing Zax

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1. Horrified: possible accidental arterial infusion

   Southgoing Zax replied to Southgoing Zax's topic in Patient Medications

   I'm glad to learn all of this as well, although at this point, the thought of getting back on the horse and taking care of patients makes me want to 1) puke and 2) run and hide. This is THE WORST...

2. Horrified: possible accidental arterial infusion

   Southgoing Zax replied to Southgoing Zax's topic in Patient Medications

   So...just to clarify one more time. I understand that tissue damage from an extravasation or and infiltrate may not show up for weeks, but what about tissue damage related to an accidental arterial...

3. Horrified: possible accidental arterial infusion

   Southgoing Zax replied to Southgoing Zax's topic in Patient Medications

   Is it possible that there was infiltration despite NO EDEMA, disappearance of all symptoms and no pain/swelling/edema/ discoloration or any problems, now nearly 24 hours after? I have seen infiltrates...

4. Horrified: possible accidental arterial infusion

   Southgoing Zax replied to Southgoing Zax's topic in Patient Medications

   Ah, that makes sense. It definitely was never cool or pale. The line was previously saline-locked and was able to be flushed without pain, discoloration, resistance, flushing/blanching, etc. believe...

5. Horrified: possible accidental arterial infusion

   Southgoing Zax replied to Southgoing Zax's topic in Patient Medications

   Well, I stand by my decision to continue the infusion if it was in fact a venous line. It flushed and drew, and was showing gradual improvement. Continuing the infusion was the lesser of two evils- my...

6. Horrified: possible accidental arterial infusion

   Southgoing Zax posted a topic in Patient Medications

   I had a patient yesterday who was hypoglycemic. Previously, I'd placed her IV in that diagonal vein in the AC that I've used 100x... Or so I thought. She had an episode of hypoglycemia and had to get...

7. smart move or unprofessional?

   Southgoing Zax replied to Southgoing Zax's topic in Nursing Career

   Well, I was planning on working 2-4 shifts per month and staying for the first 2 years of school. I didn't mention how many shifts per month in my letter, but I did say I plan to stay for 2 years. I'm...

8. Transitioning to adult ICU from PICU/peds ED?

   Southgoing Zax replied to Southgoing Zax's topic in MICU, SICU

   That's great to know! I would always joke with my SANE friends (most of whom are adult ED) that adults scare me because one minute they're all happy go-lucky... and then they're just dead! Yikes LOL!...

9. smart move or unprofessional?

   Southgoing Zax posted a topic in Nursing Career

   Hi all, I'm new-ish around here. I've been a pediatric critical care nurse for the past 6 years (my whole nursing career) and will be starting medical school in a few short weeks. YAY! Now, here's the...

10. Transitioning to adult ICU from PICU/peds ED?

    Southgoing Zax replied to Southgoing Zax's topic in MICU, SICU

    Thanks guys! At the moment, I'm waiting for a PRN position to appear at my current facility. There are lots of weird stipulations due to the union, so if something doesn't manifest within a few weeks,...

11. Transitioning to adult ICU from PICU/peds ED?

    Southgoing Zax posted a topic in MICU, SICU

    Hi guys! I have been an infrequent flier on the boards since the start of my nursing career 6 years ago. I have worked at the same Children's hospital the whole time and have exclusively done...