Guest guest Posted July 23, 2010 Report Share Posted July 23, 2010 You are so right... The excuse they gave me today was that central supply doesn't give them enough IV bags so they have to " improvise. " Â Yes this is scary.....my son is very fragile, healthwise....I don't know what to do....now it seems there is a risk there....I'm scared....Sue From: Pessy <whewpy@...> Subject: Normal Saline vs. D5 Date: Friday, July 23, 2010, 1:57 PM Â Sue, I have to question the fact that the clinic ran out of D5. As a nurse, you surely know that any infusion place would have normal saline and D5 fully stocked since these two items are the primary infusions generally used for almost everything. What kind of place doesnt make sure they have such basic supplies? it just makes you wonder where else they are cutting corners that you are not seeing!! You know - in the backroom where u don't see - what are they reusing or substituting when preparing medicines.... Don't mean to scare you but I would check out the place carefully.... BTW, what the nurse did was unconscienable but may just be her excuse for laziness or not knowing that it is incompatible, maybe a new nurse or like I said a lazy one. The facility may be top notch and may have the d5 bags even. You should definitely speak to a superviser and get to the real problem. Good luck Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 23, 2010 Report Share Posted July 23, 2010 Sue, Would you consider infusing at home with a home health care nurse if you are unhappy with the current arrangement? We used to be very weary of that change, but just love it. All three kids now infuse at home and it's such a relief. Dayna On Jul 23, 2010, at 2:08 PM, Sue Bordelon wrote: > You are so right... > > The excuse they gave me today was that central supply doesn't give > them enough IV bags so they have to " improvise. " Yes this is > scary.....my son is very fragile, healthwise....I don't know what to > do....now it seems there is a risk there....I'm scared....Sue > > > > From: Pessy <whewpy@...> > Subject: Normal Saline vs. D5 > > Date: Friday, July 23, 2010, 1:57 PM > > > > Sue, I have to question the fact that the clinic ran out of D5. As a > nurse, you surely know that any infusion place would have normal > saline and D5 fully stocked since these two items are the primary > infusions generally used for almost everything. What kind of place > doesnt make sure they have such basic supplies? it just makes you > wonder where else they are cutting corners that you are not seeing!! > You know - in the backroom where u don't see - what are they reusing > or substituting when preparing medicines.... Don't mean to scare you > but I would check out the place carefully.... > > BTW, what the nurse did was unconscienable but may just be her > excuse for laziness or not knowing that it is incompatible, maybe a > new nurse or like I said a lazy one. The facility may be top notch > and may have the d5 bags even. You should definitely speak to a > superviser and get to the real problem. > > Good luck > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 23, 2010 Report Share Posted July 23, 2010 Sue, I completely agree with Dayna! We infuse and Meredith at home at we have total control of what supplies we order, what product we use, etc. They each have their own nurses that are very experienced in IVIG infusions and have been very happy with the switch from the hospital. We've been doing this for a year and a half. Mom to 4 kiddos, 3 with mito cause immune deficiency Normal Saline vs. D5 > > Date: Friday, July 23, 2010, 1:57 PM > > > > Sue, I have to question the fact that the clinic ran out of D5. As a > nurse, you surely know that any infusion place would have normal > saline and D5 fully stocked since these two items are the primary > infusions generally used for almost everything. What kind of place > doesnt make sure they have such basic supplies? it just makes you > wonder where else they are cutting corners that you are not seeing!! > You know - in the backroom where u don't see - what are they reusing > or substituting when preparing medicines.... Don't mean to scare you > but I would check out the place carefully.... > > BTW, what the nurse did was unconscienable but may just be her > excuse for laziness or not knowing that it is incompatible, maybe a > new nurse or like I said a lazy one. The facility may be top notch > and may have the d5 bags even. You should definitely speak to a > superviser and get to the real problem. > > Good luck > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 23, 2010 Report Share Posted July 23, 2010 Dayna, Thank you... that would definitely be what I would want. That sure would be less risk.... I inquired about it, and darn it, our Louisiana Medicaid will only cover it in the hospital! Go figure!! Why? At home would be: Less risk, and less expensive, I'm sure, but they won't do it! Arrgghh! I'm so upset!.Sue > > From: Pessy <whewpy@...> > Subject: Normal Saline vs. D5 > > Date: Friday, July 23, 2010, 1:57 PM > > > > Sue, I have to question the fact that the clinic ran out of D5. As a > nurse, you surely know that any infusion place would have normal > saline and D5 fully stocked since these two items are the primary > infusions generally used for almost everything. What kind of place > doesnt make sure they have such basic supplies? it just makes you > wonder where else they are cutting corners that you are not seeing!! > You know - in the backroom where u don't see - what are they reusing > or substituting when preparing medicines.... Don't mean to scare you > but I would check out the place carefully.... > > BTW, what the nurse did was unconscienable but may just be her > excuse for laziness or not knowing that it is incompatible, maybe a > new nurse or like I said a lazy one. The facility may be top notch > and may have the d5 bags even. You should definitely speak to a > superviser and get to the real problem. > > Good luck > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 23, 2010 Report Share Posted July 23, 2010 ....Thank you for your response...Oh I wish so much we could do the IVIG by home health! I have to think of something different......I don't trust that infusion center at all now....they were lying! I'm scared....Sue > > From: Pessy <whewpy@...> > Subject: Normal Saline vs. D5 > > Date: Friday, July 23, 2010, 1:57 PM > > > > Sue, I have to question the fact that the clinic ran out of D5. As a > nurse, you surely know that any infusion place would have normal > saline and D5 fully stocked since these two items are the primary > infusions generally used for almost everything. What kind of place > doesnt make sure they have such basic supplies? it just makes you > wonder where else they are cutting corners that you are not seeing!! > You know - in the backroom where u don't see - what are they reusing > or substituting when preparing medicines.... Don't mean to scare you > but I would check out the place carefully.... > > BTW, what the nurse did was unconscienable but may just be her > excuse for laziness or not knowing that it is incompatible, maybe a > new nurse or like I said a lazy one. The facility may be top notch > and may have the d5 bags even. You should definitely speak to a > superviser and get to the real problem. > > Good luck > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 23, 2010 Report Share Posted July 23, 2010 If it helps to reassure you that things will be ok in him Macey was always flushed with normal saline. She was on Gammunex for about a year IV and then used it for subq for a couple of months. I wouldn't necessarily say that home infusions are less risk though. Ursula Mom to (17) and Macey (15) Macey's Caringbridge site Macey's Blog ________________________________ From: Sue Bordelon <sudubo@...> Sent: Fri, July 23, 2010 3:27:45 PM Subject: Re: Normal Saline vs. D5 Dayna, Thank you... that would definitely be what I would want. That sure would be less risk.... I inquired about it, and darn it, our Louisiana Medicaid will only cover it in the hospital! Go figure!! Why? At home would be: Less risk, and less expensive, I'm sure, but they won't do it! Arrgghh! I'm so upset!.Sue > > From: Pessy <whewpy@...> > Subject: Normal Saline vs. D5 > > Date: Friday, July 23, 2010, 1:57 PM > > > > Sue, I have to question the fact that the clinic ran out of D5. As a > nurse, you surely know that any infusion place would have normal > saline and D5 fully stocked since these two items are the primary > infusions generally used for almost everything. What kind of place > doesnt make sure they have such basic supplies? it just makes you > wonder where else they are cutting corners that you are not seeing!! > You know - in the backroom where u don't see - what are they reusing > or substituting when preparing medicines.... Don't mean to scare you > but I would check out the place carefully.... > > BTW, what the nurse did was unconscienable but may just be her > excuse for laziness or not knowing that it is incompatible, maybe a > new nurse or like I said a lazy one. The facility may be top notch > and may have the d5 bags even. You should definitely speak to a > superviser and get to the real problem. > > Good luck > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 23, 2010 Report Share Posted July 23, 2010 it wasn't just a small flush though, it was a bag of NS combining with the gamunex in the Buretrol, and the drip chamber and all the tubing to his port. The dispensing IV pharmacy said this was a dangerous error, and I've reported the nurse involved , she was too lazy to go get a bag of D5 and then tried to lie her way out of it by saying the pharmacist had told her it was OK.(he had not spoken with her, she admitted that today) .....Three times in the prescribing information, Talecris writes that " Gamunex is Incompatible with Saline "  use D5W.  I spoke with the pharmacist there,he said the stabilizing agent in Gamunex is incompatible with saline and can crystallize. ! Sue > > From: Pessy <whewpy@...> > Subject: Normal Saline vs. D5 > > Date: Friday, July 23, 2010, 1:57 PM > > > > Sue, I have to question the fact that the clinic ran out of D5. As a > nurse, you surely know that any infusion place would have normal > saline and D5 fully stocked since these two items are the primary > infusions generally used for almost everything. What kind of place > doesnt make sure they have such basic supplies? it just makes you > wonder where else they are cutting corners that you are not seeing!! > You know - in the backroom where u don't see - what are they reusing > or substituting when preparing medicines.... Don't mean to scare you > but I would check out the place carefully.... > > BTW, what the nurse did was unconscienable but may just be her > excuse for laziness or not knowing that it is incompatible, maybe a > new nurse or like I said a lazy one. The facility may be top notch > and may have the d5 bags even. You should definitely speak to a > superviser and get to the real problem. > > Good luck > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 23, 2010 Report Share Posted July 23, 2010 what I should of said was chaser bag. Usually 250. I hope you are able to resolve this and continue service wherever you're comfortable with the protocol. Ursula Mom to (17) and Macey (15) Macey's Caringbridge site Macey's Blog ________________________________ From: Sue Bordelon <sudubo@...> Sent: Fri, July 23, 2010 4:40:16 PM Subject: Re: Normal Saline vs. D5 it wasn't just a small flush though, it was a bag of NS combining with the gamunex in the Buretrol, and the drip chamber and all the tubing to his port. The dispensing IV pharmacy said this was a dangerous error, and I've reported the nurse involved , she was too lazy to go get a bag of D5 and then tried to lie her way out of it by saying the pharmacist had told her it was OK.(he had not spoken with her, she admitted that today) .....Three times in the prescribing information, Talecris writes that " Gamunex is Incompatible with Saline " use D5W. I spoke with the pharmacist there,he said the stabilizing agent in Gamunex is incompatible with saline and can crystallize. ! Sue > > From: Pessy <whewpy@...> > Subject: Normal Saline vs. D5 > > Date: Friday, July 23, 2010, 1:57 PM > > > > Sue, I have to question the fact that the clinic ran out of D5. As a > nurse, you surely know that any infusion place would have normal > saline and D5 fully stocked since these two items are the primary > infusions generally used for almost everything. What kind of place > doesnt make sure they have such basic supplies? it just makes you > wonder where else they are cutting corners that you are not seeing!! > You know - in the backroom where u don't see - what are they reusing > or substituting when preparing medicines.... Don't mean to scare you > but I would check out the place carefully.... > > BTW, what the nurse did was unconscienable but may just be her > excuse for laziness or not knowing that it is incompatible, maybe a > new nurse or like I said a lazy one. The facility may be top notch > and may have the d5 bags even. You should definitely speak to a > superviser and get to the real problem. > > Good luck > > Quote Link to comment Share on other sites More sharing options...
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