rvzohfeld

rvzohfeld BSN, MSN, RN

Family, primary care

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All Content by rvzohfeld

  1. What would you do if you an RN, go to an emergency room with anaphylaxis. ED doc orders epic 0.3 mg IM, and the ED RN gives you the same amount of epic 0.3 mg IV...... of course your BP goes from 170/110 to 70/30... now you need fluids (5-7 bags), Tr...
  2. right med, right dose, wrong route... ouchhhh

    The ED physician came to me while I was in the ED and stated “you will probably need to be admitted for observation at least for 4 to 6 hours to keep an eye on your heart rate”... never she said why my HR was elevated. I remember still being confused...
  3. right med, right dose, wrong route... ouchhhh

    Actually, ended up being out of work for a month. Even though heart shows no sign of damage. Taking a betablocker to keep HR down and also having insomnia and waking up having nightmares not able to sleep, prompted GP to give 0.5 alprazolan daily for...
  4. right med, right dose, wrong route... ouchhhh

    Compassion is there. Because I care about that RN, I want he/she to work in a place where there are enough safeguards and education in place that will help nurses to avoid making some of those mistakes. He/she could have killed me or anyone else. I h...
  5. right med, right dose, wrong route... ouchhhh

    I may not have a case, nor I am seeking any compensation. However, as a nurse I have the duty to report and let the public know, plus ensure that this situation is dealt with an appropriately. I had done just that and I have finally gotten some answe...
  6. right med, right dose, wrong route... ouchhhh

    I have just done that! and I just got news yesterday that a plan is going on in the entire department and re-education of the nurse involved.
  7. Bullied psych nurse commits suicide

    Thank you!!!!!!!! I am with you!
  8. Heart breaking. As painful as this is, I am not surprised. I myself being an RN was recently (as a patient) hurt by a medication error. The nurse failed to label the syringes and pushed IV epinephrine 0.3 mg (while I was awake, alert, and oriented). ...
  9. Documentation

    I hear you and I am with you. I have been there and done that. It is easy for someone to say, document as you go. My story is that on my last day of work at a facility (after giving my resignation) I was placed on what is known as quite hard mission ...
  10. Patient safety in nursing

    I would like to get your opinion on the following scenario. Please be respectful and professional. Nurse A takes patient B to the restroom after surgery (patient B is a female and had GYN procedure). Nurse A is with pt in restroom when she clearly ne...
  11. Patient safety in nursing

    This case was a fictional story provided by one of my students. The assignment Is called: what’s wrong with this picture? Thank you all for your participation and feedback.
  12. Patient safety in nursing

    Good points!
  13. Patient safety in nursing

    Well said!
  14. I fainted in L&D clinical... HELP

    I almost fainted while on my first OR rotation. It was a D&C. It was a young woman on her 20’s and I couldn’t stop thinking about the vacuum with the products of conception while it was going trough the tube.... so I felt lightheaded; luckily the...
  15. How often do you wash your scrubs? :)

    I do! I clean my computer/workstation as soon as get to work; I wipe my phone and badge at the beginning and end of very shift. I even clean the sole of my shoes before I leave the hospital etc. I leave my work shoes in the hallway of my home, not ga...
  16. How often do you wash your scrubs? :)

    I have one set of scrubs for each shift, a total of 6. I wash my scrubs as soon as I get home. I use tide pods, plus baking soda, and 1/2 of white vinegar all to disinfect. I haven’t notice any fading so far. I wear figs (they are worth every penny).
  17. Patient safety in nursing

    The tech wasn’t a tech; the nurse didn’t feel confident enough with the help of that person so (she said), so she asked for a nurse. I asked that nurse: what did you want to accomplish? Why did you send the tech/helper away? The nurse said: “all I wa...
  18. right med, right dose, wrong route... ouchhhh

    https://www.ncbi.nlm.nih.gov/m/pubmed/23945274/
  19. right med, right dose, wrong route... ouchhhh

    Ummmm? Could it be part of the patient going into cardiogenic shock? Maybe trying to compensate for the rush of adrenaline???? you tell me....
  20. right med, right dose, wrong route... ouchhhh

    Yes! I have... no damage = no case Just wondering why it happened. What was that nurse understanding of the situation. Did the nurse not know not to give it IV? What failed? Just curious...
  21. right med, right dose, wrong route... ouchhhh

    Absolutely! just wanted to see some opinions in general.
  22. Patient safety in nursing

    No. working phones given to nurses there. That was my thinking, to not send out the tech away. I think that nurse was not very confident that the tech could have help.
  23. September 2019 Caption Contest

    The regular staff is out for a Halloween party. We are the on-call team for special occasions, but don't worry your nurse will answer all of your questions once she/he is back!!!!!!!
  24. September 2019 Caption Contest

    This is a scary time to be alive. Do you guys know about the 5 rights? Or do I just get the 3 of you! God help me!!!!!!
  25. Pregnant and no experience

    Hello everyone! I have so many questions these days, so I'm a brand new nurse. I graduated last December and I went to work right away as an ER nurse, I worked for 3 months until the day I got sick and find out that I was pregnant, also I had to give...