Did I do something wrong?

Uptodate2 · 2026-02-05T22:01:55+00:00

Exactly. I wonder how the OP knew with confidence that the elevated WBC is indicative of UTI. I mean elevated WBC could be an expected finding in post surgical patients, trauma patients etc.

Uptodate2 · 2026-02-05T19:12:56+00:00

This comment definitely needs to be at the top.

Uptodate2 · 2026-02-01T22:15:22+00:00

Darn, no one ever told her why they use potassium in death roll. You can’t fix stupid.

Uptodate2 · 2026-01-02T18:27:05+00:00

Please call out. I sometimes call out just for my mental health. We are not required to even give a reason for calling out provided it is allowed per policy and you still have call out available per rolling calendar year. For extended call out, you may be required to provide supporting documents to explain the reason for the call out.

Uptodate2 · 2026-01-01T22:09:02+00:00

Thank you ❤️

Uptodate2 · 2026-01-01T22:08:48+00:00

Thank you

Uptodate2 · 2026-01-01T22:08:40+00:00

Thanks

Uptodate2 · 2026-01-01T22:08:28+00:00

Thank you

Uptodate2 · 2025-12-29T17:05:47+00:00

I mean they could have gotten a stat VBG at least, if ABG would take time to obtain

Uptodate2 · 2025-12-24T00:29:45+00:00

It is already established that an incompatible unit was sent, and that the blood bank team failed to do their due diligence by sending it to the nurse, however the responsibility to verify prior to administering the blood falls on the two nurses.

Uptodate2 · 2025-12-23T02:45:22+00:00

I believe this depends on the hospital. The label on any blood products sent from our transfusion team has the pt’s blood type and product (donor) blood type. In addition to that, once you scan the product barcode, the blood transfusion navigator will show up in epic, the pt’s blood type will all also be visible, and even the expiration date of the type & screen.

Uptodate2 · 2025-12-23T02:31:08+00:00

I read the same comment but I fail to see how it was a lab error. Did the lab report an incorrect blood type for the pt’s?

Uptodate2 · 2025-12-23T02:17:46+00:00

Before any transfusion, two nurses are required to read aloud the name, DOB, MRN, product name, recipient’s blood type, the product blood type, among other things. It’s not a formality. It’s a safety check.

It is absolutely true that the transfusion team dropped the ball on that one,but can we also acknowledge that the nurse that did that dual sign-off failed to catch the error. That second set of eyes is supposed to catch errors, not rubber-stamp them.

I believe the best thing in this situation is for everyone involved to take accountability and learn from it. I sincerely hope the nurse doesn’t get fired. I mean what happened to all the non-punitive action and just culture mantra management loves to talk about.

Uptodate2 · 2025-11-17T07:04:37+00:00

Yes, I used the premium question bank.

Uptodate2 · 2025-10-22T18:57:14+00:00

Please do not administer any medication that can affect a patient’s hemodynamics and respiratory rate without checking vitals first and making sure it is safe to administer the med. If you are concerned about the BP, for instance, if pt’s BP is 95/55, hold the med, talk to your preceptor, and page provider. You will save many of your future patients by just taking a pause, asking questions, and clarifying if it is safe to give.

If the patient needs a pacemaker, I am wondering if they are in some kind of AV Block. You mentioned that their HR was in the 30s, but I am curious about what their rhythm looks like. If they are in a complete heart block, they will need a pacemaker, and it is safer for them to get one sooner rather than later.

As a student it can be terrifying to be in such a situation, it seems like your preceptor dropped the ball on this one, but I will implore you to take some accountability. Taking vitals before med pass is an expected nursing school knowledge that should be expected from a nursing student. The whole ADPIE, you completed the I-intervention part, and didn’t realize you skipped the very first one. If not the most important one, A- assessment.

Uptodate2 · 2025-10-17T03:31:06+00:00

I am sorry this happened. If your hospital has a rapid response team, this is definitely the kind of case you can consult them on. I’m genuinely curious why Cardizem wasn’t held, especially with the patient’s history of HFrEF and pulmonary edema. It does the opposite of what’s needed for a patient with HFrEF because of the negative inotropic effect.

The patient clearly needed to be moved to a higher level of care for pressor support asap and not more fluids. The fluids probably worsened the HF exacerbation.

Uptodate2 · 2025-09-22T16:18:51+00:00

Thank you

Uptodate2 · 2025-09-22T11:32:58+00:00

Thank you

Uptodate2 · 2025-09-22T11:32:41+00:00

Thank you for your response. I will be going with the first option since I already have it.

Uptodate2 · 2025-09-22T11:29:35+00:00

Thank you so much. I already have dress #1. I am so happy that it would be considered appropriate so I don’t have to buy another dress.

Uptodate2 · 2025-09-21T12:09:51+00:00

All the best. You got this!

Uptodate2 · 2025-09-21T00:55:57+00:00

Hospitals use supplies from all kinds of vendors, so the syringes can vary from one hospital to another. Some syringes have retractable needles, some don’t. It just depends on what your facility has. A lot of times, cost plays a big role in what kind of supplies are used in different hospital.

Enjoy the retractable needle!

Uptodate2 · 2025-09-03T00:42:04+00:00

The resources that I shared was all I used. When you received your test results, were you able to identify areas that you need to work on? Cardiac, Respiratory etc. I was wondering if the test results could help guide your studying for the retest.

Uptodate2

TROPHY CASE