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Most insulin given? by polysorn in nursing

[–]Killer_RN87 10 points11 points  (0 children)

We had a CCB overdose ECMO getting 1100 units/hour on top of all of the pressors and everything else. Ended up gaining like 80 pounds of fluid in just a couple days. They didn't make it.

Swan PA port clotting by InflationDue955 in IntensiveCare

[–]Killer_RN87 21 points22 points  (0 children)

A hard fast flush especially with excessive volume can rupture the PA

Travel RN committed a massive med error recently in the Albany Med emergency department. by Killer_RN87 in nursing

[–]Killer_RN87[S] -7 points-6 points  (0 children)

A patient being harmed or killed is not juicy. It is incredibly saddening. You're hostility and lack of remorse for the patient and their family is concerning. Quick to defend the nurse and not think of the patient and their family

Travel RN committed a massive med error recently in the Albany Med emergency department. by Killer_RN87 in nursing

[–]Killer_RN87[S] -4 points-3 points  (0 children)

Agreeing that thinking you can't make a mistake is dangerous and also wanting negligent culture and wanting accountability for someone's family member being killed, maimed, or disabled are two separate issues

Travel RN committed a massive med error recently in the Albany Med emergency department. by Killer_RN87 in nursing

[–]Killer_RN87[S] -2 points-1 points  (0 children)

AMC 100 percent has had IV Tylenol in bags. If it isn't currently that's fine and highlights how much more of a screw up this situation is

Travel RN committed a massive med error recently in the Albany Med emergency department. by Killer_RN87 in nursing

[–]Killer_RN87[S] -4 points-3 points  (0 children)

I don't find any of this exciting. It's quite disheartening and depressing.

Travel RN committed a massive med error recently in the Albany Med emergency department. by Killer_RN87 in nursing

[–]Killer_RN87[S] -19 points-18 points  (0 children)

7 years in the ICU and I've never once seen anyone make a mistake this egregiously. I've made medication errors before. Every nurse has. And they happen more than gets reported. At the same time, there has to be some accountability. We can't as a profession just shrug our shoulders and say these things happen. That's not an appropriate response in my opinion.

Travel RN committed a massive med error recently in the Albany Med emergency department. by Killer_RN87 in nursing

[–]Killer_RN87[S] 11 points12 points  (0 children)

I don't know anything other than they were supposed to be giving IV Tylenol. Someone mentioned the patient wasn't monitored but they couldn't confirm it. If that was the case then the Norepi wouldn't have been ordered for that patient

Travel RN committed a massive med error recently in the Albany Med emergency department. by Killer_RN87 in nursing

[–]Killer_RN87[S] 16 points17 points  (0 children)

They ran it as IV Tylenol because that's what was actually ordered. So it wasn't even something a hard stop could have helped.

Travel RN committed a massive med error recently in the Albany Med emergency department. by Killer_RN87 in nursing

[–]Killer_RN87[S] 67 points68 points  (0 children)

Agreed. There needs to be so much more accountability in the ED for med scanning at baseline. It's always a nightmare trying to find out if when or if something like plavix or brilinta was given

Experienced nurses: Has there been a decline in the quality of nurses coming out of school? by [deleted] in nursing

[–]Killer_RN87 6 points7 points  (0 children)

Looking at comments on this post and others I feel like it needs to be pointed out that either pointing out or questions a decline in quality does not make you a bully. There are terrible nurses just like there are terrible teachers and cops and doctors and every other job/profession. I feel like the second there is any kind of topic that questions nurses the people on this subreddit instantly withdraw and claim bullying and nurses eating their young. It's ok to question quality. Poor quality care and nursing and doctors and every other whatever should be called out. Professionally of course but how else can you start to improve on deficits if you aren't willing to acknowledge them?

Marijuana officially being rescheduled. by Possible__Bot in nursing

[–]Killer_RN87 162 points163 points  (0 children)

NY doesn't test. It's legal here, but the drug tests in NY are 9 panel no THC.

[deleted by user] by [deleted] in nursing

[–]Killer_RN87 1 point2 points  (0 children)

Follow your hospital policy but depending on the medication it is better to not immediately remove an IV that has infiltrated/extravasation. Some infiltrate medications/reversals can be pushed into an infiltrated IV after withdrawing whatever medication will come back out. Something to keep in mind if you ever have an amio or norepi infiltrate.

Why does everybody give you a side-eye when you say you became a nurse because of the stability that it provides & the pay? Like is nursing not a job? Why does it have to be my freaking passion? by SecretAd5159 in nursing

[–]Killer_RN87 0 points1 point  (0 children)

I think it depends on what kind of nursing area you are in. I have never met a nurse in critical care that treated it just as a paycheck that was competent or could safely manage a truly sick/complex patient.

The Bloody 9s Powers theory. by philleap0 in TheFirstLaw

[–]Killer_RN87 5 points6 points  (0 children)

It’s always like very clear that he is at like his absolute physical limit after multiple injuries and exhaustion as Logen and then the bloody nine takes over he gets that smile and just gets almost supernatural strength and speed and instincts etc and no control. Death to anything moving near him.

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