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Hockeynursing

Hockeynursing

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Hockeynursing's Latest Activity

  1. Hockeynursing

    Ugh! Sheared IV

    So I was attempting an IV insertion, hit flash, and then lowered and attempted to insert. Couldn't, figured I would pull back a tad and try again, no luck. So I figured I needed to start over, pulled the catheter out... Low and behold.. The needle had pierced the plastic catheter and completely bent it. I did check, the tip was definitely intact and the piece had not fallen off..I told the nurse educator and she said not to worry. But it hear I am, three weeks later, scared out of my mind as the patient unexpectedly passed two weeks later! I am struggling to sleep and am looking for advice. Has this ever happened to someone when attempting an IV insertion? I am sure that the tip was intact, but am still freaking out! Advice so needed! I don't know whether I am at fault!
  2. Hockeynursing

    Going to work with sore throat!

    Hey! I work on a medical/surgical floor. I have a sore throat with 3 small white patches. i don't think it's strep as I have no fever and honestly, the throat isn't that bad. I had strep 4 years ago and got sick so fast- this has been coming on for days. Im hesitant to go to work as I don't want to infect patients and staff- but don't feel that bad! I have sick time so that isn't a concern but I work in a hard to fill area and know it will give staffing a hard time finding a replacement. Would you work the next day?
  3. Hockeynursing

    Post op hip edema and erythema

    Hi all! I work on a map floor and we get patients back from ortho surgeries as there is no ortho floor. in a post op hip (Hemi), how much edema do you expect to see? Also, a patient of mine entire leg and foot was red but I feel as though this was from the clorahexadine. How do I assess for a dvt in this case as both of these symptoms are present? Thanks
  4. Hockeynursing

    IV piggyback question

    Yes it was on pump, thanks!
  5. Hockeynursing

    IV piggyback question

    Quick question! I made a silly mistake. I hung a piggy back on the same level as a primary bag on the pump. I went back a few hours later and realized this but the bag was empty (the piggyback). Now I'm assuming it's okay because the bag was empty, but wanted to confirm that it somehow didn't go into the primary bag. Hoping you can ease some anxiety!
  6. Hockeynursing

    Anxiety following patient death

    Forgive me if I'm corny, it's been an emotional day. I feel so truly blessed to be among such wonderful nurses who not only nurse on their day jobs, but come home and nurse me back to sanity! Haha. This profession is HARD! And I will be the first to admit it. There are so many days I wish I had chosen an easier career path but I admire senior nurses and wish to one day be as strong, resilient, and bad-ass as they are í ½í¸œ.. And can't wait to get there one day!thank you so much.
  7. Hockeynursing

    Anxiety following patient death

    Thank you so much for your kind words. i really appreciate it. You will help me sleep tonight. No the bag was not empty a while, I was right on top of it. The only thing I can think of was that his friends were with him and almost immediately after they left his breathing slowed and he died. And yes, you cought me! I have only had about four deaths now and this was my first continuous infusion. I have had several PCAs but not continual infusions. I made sure to clarify with another RN that 1 mg/ml dosage but just didn't get her to double check the pump, although I really don't thing I could have messed it up that bad. But here I am, second guessing myself. I truly appreciate your kind words and hope I can find some peace knowing that I didn't make a mistake.
  8. Hockeynursing

    Anxiety following patient death

    His breathing significantly changed after I hung the new bag. It significantly decreased, although this was half an hour after changing it. He was breathing quite fast and then when I went to check on him , he seemed to be gasping. I wish I could remember how much was left in the bag but I don't. I do not remember it being empty and have to believe that I would have noticed if it was. i did go back on the pump after he died and checked how much was in bag so I could waste it with another RN. The pump say 46.0 mls- which of course should ease my anxiety but then I started thinking what if I put 100 mls on the pump and 54 went in. I'm just talking myself in circles at this point. you bring up an interesting point- the order was for morphine 3-6 mg/ hour. I decreased it to four but honestly don't think I needed to because he was so close, I was just scared.
  9. Hockeynursing

    Anxiety following patient death

    Thank you, I appreciate this. I do suffer from anxiety and struggle in these situations. I wish I could go back on the pump and look at the history but unfortunately I can't.
  10. Hockeynursing

    Anxiety following patient death

    Hi friends- I hope I can call you that:) some wonderful people on this forum have helped me through some hard nursing times. My anxiety has been getting the best of me lately regarding a shift I finished. i had a palliative patient (PPS 10 %) on a night shift who was declining quickly. He had been unresponsive since early in the morning. I came on at 7 pm and he had zero output since the morning. He had a morphine infusion subcutaneously at 6 mg/hour. His family left at 1230 and I hung a new bag at at 1250 (50 mg of morphine in a 50 ml bag). Now, I went in at 0120, half an hour after hanging the new bag, and I am ashamed to admit this, but turned it down to 4 mg/ hour (4 mls/hour). He was only breathing at a rate of 5-6 an hour. It was almost like Cheyne- stoking but it was a 15 second gap, and then a big breath, and then another gap. I pronounced him at 0140. 40 minutes after the new bag was hung. I can't help but think I did something wrong- I know I put the right medication in the bag, but what if I accidentally infused it at 50 mls (50 mg) per hour instead of 6 mls per hour. I mean 25-30 minutes after I hung new bag, he was struggling for air. I know there is no way to know but my anxiety is eating me alive. The hard part is, I love palliative and hospice nursing. It is so rewarding. This death is just clinging with me for some reason. I'm hoping some nurses can provide me guidance. I have no reason to believe I messed up other than the fact he died quickly after changing the bag.
  11. I had a patient that was ordered 6 mg per hour Subq infusion. I had two concentrations available of morphine - 50 mg/ml and 10 mg/ml. i took a 50 ml NS bag and added the entire one ml vial of 50 mg/ml. i then infused at 6 mg/ hour. i just want confirmation that this is right. Of course I had it double checked but am sitting here second guessing myself as the patient died 45 minutes after I hung the new bag. Yes, he was hospice and expected to die but I just want to make sure:) thanks all!
  12. Hockeynursing

    What did I do? Blood in IV tubing!

    And do you think there would be any harm from this?
  13. Hockeynursing

    What did I do? Blood in IV tubing!

    Thank you for responses, I have definitely learned and done quite a bit of research now to ensure the same mistake doesn't happen. I'm glad to know no harm will come to patient.
  14. Hockeynursing

    What did I do? Blood in IV tubing!

    Hi there, I am looking for reassurance and guidance. i had a patient today who had an IV infusing on a pump. The IV ran dry and needed a new bag so the pump was beeping. i thought I knew what to do so I grabbed a 10 cc syringe and attached it to lowest port, clamped at patients side to ensure I wouldn't draw his blood. I had huge resistance when pulling (I realize now this was because I hadn't changed he bag yet so was pulling from an empty bag) what happens next requires explanation.. at that point, I let go and immediately blood started climbing the line a foot up tubing. i disconnected tubing, flushed IV and primed and attached new tubing. did this happen because pressure was more in his vein? Because I took air out of bag? any harm to patient? He seems totally fine! next time I will disconnect and run it through! Or attach new bag first! thanks so much I am very worried. I fear air got into him some how but I don't know how that would have happened
  15. Hockeynursing

    pain management in palliative care

    I really appreciate the help!
  16. Hockeynursing

    pain management in palliative care

    Thank you all for feedback. I did in fact give him the pain meds, but wanted to know what your opinion was. No palliative care team at our hospital unfortunately.