heyimnewhere

cathflo i put this into a PICC to lyse a clot but forgot to put a sticker on it or mention it to the next shift. they flushed it... into the patient. 4mg total. patient weights 376 lbs. what should i be looking out for when i return the next shift? -------------- i did this towards the end of shift when i was trying to pull blood for labs, but realized it was clotting. it was ok when i started shift. i forgot to mention it, until was almost out the door. the oncoming shift already put a saline flush through it, though. i called the MD and the pharmacist. MD told me not to worry about it. pharmacist wasn't any help. the oncoming nurse flipped a lid and told me now the patient is going to go into DIC. i never used this drug before. she has 10+ years... i have 3 years. i'm worried. that's all. not sure why my original thread was moved into the student forum. please delete that one. thanks!

not a student. i did this towards the end of shift when i was trying to pull blood for labs, but realized it was clotting. it was ok when i started. i forgot to mention it, until was almost out the door. the oncoming shift already put a saline flush through it, though. i called the MD and the pharmacist. MD told me not to worry about it. pharmacist wasn't any help. the oncoming nurse flipped a lid and told me now the patient is going to go into DIC. i never used this drug before. she has 10+ years... i have 3 years. i'm worried. that's all.

cathflo i put this into a PICC to lyse a clot but forgot to put a sticker on it or mention it to the next shift. they flushed it... 4mg total. patient weights 376 lbs. what should i be looking out for when i return the next shift?

after a couple of years on the floor, i'm starting to question my end of shift hand-off. the new nurses sit there for over 2 hours gathering information and reading reports. i told one of them, you're not oblige to give the entire history and physical to the next nurse. she replied "i don't want to look stupid" by the oncoming shift. some of them even neglect patient care to read/research. i've witness a patient expire because the person had a CVA and nobody checked the person for over 6 hours. another RN was "too busy" on the computer to notice a trending dipping BP. ironically, the charge walked by when the CNA/MA clocked in another set of vitals and called the MD. person was transferred to the ICU. my patients have lots going. should i make the effort in gathering more information?