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winkiebob

winkiebob BSN, MSN, RN

Family, primary care
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winkiebob is a BSN, MSN, RN and specializes in Family, primary care.

winkiebob's Latest Activity

  1. winkiebob

    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 at the time. But there was no acknowledgement of a medication error at the time. Neither my husband was told what had happened, just that I needed to be admitted for my heart rate to be monitored.
  2. winkiebob

    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 10 days; which reported back to work... not allowed to work until fully cleared all meds related.
  3. winkiebob

    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 have said to management clearly: "I know without a doubt that nurse did NOT mean to harm me".... But again, we all have to learn from our mistakes. It happened to be that this was an RN and I am another, but regardless of who made the mistake we all have to be educated. I don't know if you read on my post or if I mentioned that: The RN during my stay in the hospital never acknowledge the mistake, neither the ED mentioned it happened! I put it together 4 hours later when I found myself in some sort of observation unit being ready to be admitted. As a nurse I was taught to always acknowledge my mistake and even say sorry if needed to. I get it, we all make mistake, but it's what we do it with it, how we handle the situation. I didn't get an explanation or a clear answer until 11 days later after much asking to speak with the ED manager. It made me wonder, is that how that facility handle those type of situations? The statement was: "She is being admitted to monitor her heart rate. Never in the ED was mentioned that there was a medication error. So just hypothetically speaking, had I died, what information would my husband had gotten? Patient die due to anaphylactic shock? or would have they disclosed the medication error? That I do not know, but after not being briefed on what happened on a timely manner and finally being told several hours later... what would you think? Just remember, I was the patient. I was confused as heck... I couldn't even think straight what happened until later on during the day, all I know something wasn't right. I may have even blacked out and not even know. I can't fully remember. Although, I remember vividly how I felt when than EPI went in, it was the most horrifying feeling of my entire life, feeling that my heart was ripping into pieces while my brain was also doing the same, immediately after the most severe chest pain I have ever experienced began... And again that was just what I felt....
  4. winkiebob

    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 answers to include having a risk manager involved. I do not want this to happen to anyone else, specially if can be avoided. I have learned now what happened (won't go into details), but my win here is not $$$ it's to know that a situation like this has not been overlooked and treated as another mistake, because you know: "to err is human"... Mistakes are made daily, is what we do about them and what we learn what matters!
  5. winkiebob

    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.
  6. winkiebob

    Bullied psych nurse commits suicide

    Thank you!!!!!!!! I am with you!
  7. winkiebob

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    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). This nurse was supposed to push Benadryl IV and give epinephrine IM. One cannot imagine the horror I felt when that epinephrine went in. My heart felt like exploding, my head, my BP bottom down all the way to 70/30 and I was still conscious trough it all. I don't know how I didn't blacked out. I endured sustained tachycardia for the following 8-10. The chest pain was severe, changed in EKG began immediately. Troponin and D-dimer were elevated.... The emotional pain I endured, been hospitalized for 3 days, while leaving my 3 year old and my family... Luckily, I lived trough it. Youth and having a good heart was on my side, mainly God. I remember praying as it was happening. I felt I was going to code, I asked the nurse: what have you done? The nurse said it was the epi... that is all I heard. I was admitted, 4 hours later when it all made sense in my head, I asked: Who ordered EPI IV, what was the clinical reasoning behind it? finally, an NP was part of my care: said, I think you deserve to know that there has been a medication error. I asked to speak with management, 2 days letter when still in the hospital, I continued to ask to speak with someone, finally a nurse on the med surg unit helped me file a complaint. 11 days later after much wanting to speak with the ED manager, I finally heard from her. I told her that I wanted to know what happened, and why there was no one in ED who acknowledged the mistake inmediately. Had I not been a nurse and not enquired about it I guess that's how it would be handle. I said to her: "Is that how your facility handles this kind of situations? she replied; No, this is not. It is completely unacceptable. All I wanted was to make sure that you do "something" to make sure this does not happen again. I want to know that patients are safe when they go to your facility. Fortunately, (so far) I have not long-lasting damage to my heart... but I had to live with the horror I felt that one day. I am thankful to be alive and well... the irony of this all is as a nurse I place so much emphasis on patient safety, I go around educating other nurses about the importance of it, I advocate for my patients... and it happened to me.
  8. winkiebob

    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 (won't go onto details). from 9:30 am to 4:30 pm. I had a total of 16 patients under my care. Let me mention, not all at the same time. They were being discharged one by one, except one that was an surgical ICU overflow patient. So I had to managed all my patients going home plus attending to the needs of this patient who had quite some issues while a bed was assigned. I had no other choice than to make notes and chart after... I stayed until 7 pm, charting. That was the best I could do in order to literally keep everyone happy and safe. I had to prioritize and put patient care before charting a thing. Why do this happens? My theory is that many of the facilities are simply short staffed, management wants to do more for/with less. As long as we are not in a leadership position or we lack "seniority" we really don't have much of a voice. There are many rules and regulations that look beautifully written on paper, but they are just not put in practice. If a nurse complains or says something about it (I have seen it), we are basically told to grow thick skin. Sometimes we are just flagged as not dimmed fitted for the profession and end up leaving for the next "best" place and so on. I have seen many nurses leave/quit over safety concerns, patient rations (you name it)... and it is all swept under the rug as: "he/she is just leaving to care for family, moving, or will take some time off.. any excuse, but the real reason. That is what means leaving a work place in good standing. Never said a thing, every thing was good, not a problem, and the life of a nurse goes on....
  9. winkiebob

    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.
  10. winkiebob

    Patient safety in nursing

    Good points!
  11. winkiebob

    Patient safety in nursing

    Well said!
  12. winkiebob

    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 there was a stool right behind me and I sat down. The nurses noticed that I got pale. At the end it was kind of “fun”... I mean we all joked about the nurse student that “almost fainted”... and here I am 10 years later; I have worked in all kind of cases, procedures... seen more blood and put pressure in so many bleeds and wounds and no more fainting. So don’t stress, it is somewhat normal to happen at first and even sometimes later depending on what’s going on with your own health.
  13. winkiebob

    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 garage because don’t want any kind of bug/spider to climb in. I remove my scrubs on the laundry area, and immediately wash them.
  14. winkiebob

    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).
  15. winkiebob

    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 wanted at first was to have a second nurse to help me to get the patient out of there” the patient was now alert. When the charge nurse left to go get “nausea medicine”... the patient became diaphoretic and had symptoms of having a second black out. So the nurse now saw the real need to get out of there and shout: “somebody help”...
  16. winkiebob

    right med, right dose, wrong route... ouchhhh

    https://www.ncbi.nlm.nih.gov/m/pubmed/23945274/
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