LovingLife123

When you work late, does it put you over 40 hours a week? If so, then it's considered overtime. If you are scheduled to work until 5 but are the late stay person, but don't stay and you freely go home, that's not call. Now if you leave at 5 and can be called back in until 7, that's call. We have certain discharge areas that have late stay, and others that have call, it all depends on what their designated closing times are. Your facility should have a policy on it.

I acknowledge the orders so epic then puts my orders in their proper place. I don't do floor orders. I'm just acknowledging that I'm seeing them and I sort through what may or may not apply to me in pacu. Some physicians don't grasp the whole signed and held orders. They make everything active. Also, some physicians like to throw every post op order in no phase of care. It's annoying. As far as shift change orders, on my old unit, I didn't do any order after 1845. I left those for night shift. I had one nurse try to give me crap about my 1900 admission and some labs one night. I looked her dead in the eye and said you're lucky I bathed them.

So, the cardiologist put a protocol in and just wanted the heparin to run at a set rate? Why didn't you just call pharmacy so they could call the cardiologist and confirm the rate? I really don't think this is about a verbal order. This is about a medication not being ordered properly. The heparin protocols are a huge pain to put in if the doc doesn't exactly want the protocol. I'd always get pharmacy involved. Pharmacists are truly a nurses best friend. Learn from this mistake and get everything ironed out with the orders before starting gtts.

I cannot agree with you more. People document too many unnecessary items and double chart.

With a patient being on 2 gtts and frequent labs, and being a difficult stick, I would have asked for a PICC line. You did the best you could. Also, your lab is ridiculous and I would have been escalating things to get my labs run.

I hope she never gets her license back. She violated every safety measure that is in place to prevent this. Then left a patient after administering what she thought was a benzo IV. She didn't bother to read a label. She didn't bother to even try and figure out how much to draw up. She somehow reconstituted a med and then just drew up whatever she wanted and administered it. Who does that? I work in a pacu. I give Ativan daily. I give fentanyl daily. I still look at my vial every single time I draw up a dose from those vials and do the med math in my brain to ensure I am giving correct dosing. I've given Ativan to patients at bedside going into an mri. I still observe those patients. She blatantly disregarded everything we are taught as nurses for medication administration. She killed a patient. While I don't think she should have been criminally prosecuted, she should never work as a nurse again. I despise Tik Tok and every nurse that is on it. So if those supposed "nurse influencers" saying she was treated poorly and get her license back, I give those people zero credit. Their credit is crap by simply being on tik tok.

I worked in an ICU where different specialties admitted but the admitting provider was the primary. ICU was usually consulted. So, if I had conflicting orders from different specialties, I went to the primary team. Then if their say was an issue between specialties they talked to each other and orders got clarified. I also knew that if I had a neuosurgicsl patient, they set the BP parameters but that ICU managed the meds to get me to those target parameters. It's all about clear, concise roles and responsibilities.

They thought you were stepping out of the room. You were very vague about where you were going. You can't just leave the ER. You would have to have been discharged then come back and readmitted. Plus you were there for pain and left. That's a red flag. Im not trying to bash you, but you are being very obtuse here as to what you did wrong and you want to report the ER nurses?

Do people still draw baseline PTT when starting a heparin gtt? I thought that was old practice. On my old unit, we never did. They didn't care what your PTT was before starting. We drew one at the 6 hour mark and went from there. Op, heparin is easily reversible. The fact that lab took 3 hours to result a PTT that is for a heparin gtt is not good and I hope they are written up as well.

Yes, it's a mistake. There is not a ton of respect these days for NPs because they are all going to diploma mills and gave zero medical experience. There is much more respect for the nurse who becomes an NP after getting a few years of experience under their belts. I've worked with some fantastic NPs over the years. They've all had years of bedside experience under their belts. You want to work cardiac. Go work on a heart failure unit or a cardiac progressive unit that delves deep into the heart and rhythms.

I feel like there's more to this. You told them that you were leaving the hospital to go and your son and they said OK? Or did you state I'm going to go and get my son and they presumed you meant the waiting room? I just have a hard time believing the ER nurse told you to go ahead and leave the hospital to get your son. Yes it's a big deal to leave with your IV in. Do you understand how many drug addicts do this so they have direct access to get high?

I've given hundreds of fluids with a pressure and set up arterial lines daily. Never once have I burped a bag. Any air goes to the top of the bag.

No, I've never burped a bag before putting a pressure bag on it. I spike, prime, then put a pressure bag on. Do people still burp IV bags?

And the responses made by the OP here are why I'm glad I no longer have to deal with families. PACU is a glorious place to work.

You have to go through appropriate channels to get medical records. This was little hard for me to understand, but if you want medical records and are the POA you can go to the medical records office and request the records or you can go into my chart and see some things. But I don't share notes and allow people to view charts when I have them pulled up.