Guest guest Posted January 24, 2007 Report Share Posted January 24, 2007 i hate to S.T.A.N. you on this but someone in my medic class messed up the parkland burn formula and came up with 11,400 liters of LR. to which the instructor promptly commented " call the fire dept and have them lay a supply line " . funniest thing ive ever heard in any class, anywhere,anytime jim davis wegandy1938@... wrote: Well, when you have to give a drug on the ambulance, just call for the on-call pharmacist to respond Code 3 to your location. She'll put those parts of the Epi amp together for you and check it twice to make sure it's the correct dose. She'll make sure there are no contraindications for administration of this drug to your coded patient, but it will take a few minutes. Not to worry. You'll know that your drug administration has been done by a registered pharmacist. GG > > Same things happening in the hospitals in Amarillo. Drug calculations are > being taken away from the nurses and given to the pharmacists to calculate (IV > drips and such). This supposedly due to the increase in overdoses on > patients. > > That is great. Lets not teach our personnel the proper way to calculate or > get rid of those who cannot do the job properly, lets get someone else to do > it. Pass the buck. Not my job anymore. I feel so bad that I cannot do for my > patients what I need to do. That's ok though, my enormous paycheck will soothe > my soul. NOT!!!!!! > > wegandy1938@wegandy wrote: > I agree, Larry. I teach my students to do the following: After they have > completed their calculations and had them checked by another medic, if > possible, I ask them to ask themselves, " Does this dose pass the common > sense test? " > If the nurse had asked that question, surely he would have seen that he was > giving the whole vial, and that there were 250 mcgs in the vial. > > I once gave a drug calculation quiz in which I asked the students to give 15 > mg of morphine using 10mg/1 ml ampules. The answer, of course, 1.5 ml. One > student came up with an answer of 15,000 ml. So I went and got 15 liter > bags of Ringers and piled them on the desk. " This is the amount of morphine > you > decided to give. " Needless to say, the point was made. > > Gene G. > > > > > > Gene- > > > > I guess I have been in a cave, but what you describe is a sad indictment > for > > both the public education system AND nursing education programs as well. I > > may be real 'old school', but at least I won't overdose a patient (knock > on > > wood) through a mathmatic error of the type you describe. Sad that > nursing, > > instead of correcting the deficiencies, chooses to punt to the > pharmacists. > > Nothing wrong with pharmacists, but this is a matter of professionalism > and pride > > as both a nurse for 23 years and a medic for 30. > > > > Larry , RN LP > > > > ------------ -------- -------- -- > > The fish are biting. > > Get more visitors on your site using Yahoo! Search Marketing. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 24, 2007 Report Share Posted January 24, 2007 Now THAT would have been a really BIG PILE of LR bags. LOL. Don't you love these things? Or do you shed tears of sorrow that the folks who are going to be taking care of you and me in the future are capable of this idiocy? Gene > > i hate to S.T.A.N. you on this but someone in my medic class messed up the > parkland burn formula and came up with 11,400 liters of LR. to which the > instructor promptly commented " call the fire dept and have them lay a supply > line " . funniest thing ive ever heard in any class, anywhere,anytime > > jim davis > > wegandy1938@wegandy wrote: Well, when you have to give a drug on the > ambulance, just call for the > on-call pharmacist to respond Code 3 to your location. She'll put those > parts of > the Epi amp together for you and check it twice to make sure it's the > correct > dose. She'll make sure there are no contraindications for administration of > this drug to your coded patient, but it will take a few minutes. Not to > worry. You'll know that your drug administration has been done by a > registered > pharmacist. > > GG > In a message dated 1/23/07 6:54:38 PM, petsardlj@sbcglobalpets writes: > > > > > Same things happening in the hospitals in Amarillo. Drug calculations are > > being taken away from the nurses and given to the pharmacists to calculate > (IV > > drips and such). This supposedly due to the increase in overdoses on > > patients. > > > > That is great. Lets not teach our personnel the proper way to calculate or > > get rid of those who cannot do the job properly, lets get someone else to > do > > it. Pass the buck. Not my job anymore. I feel so bad that I cannot do for > my > > patients what I need to do. That's ok though, my enormous paycheck will > soothe > > my soul. NOT!!!!!! > > > > wegandy1938@ wegandy1938@ > > I agree, Larry. I teach my students to do the following: After they have > > completed their calculations and had them checked by another medic, if > > possible, I ask them to ask themselves, " Does this dose pass the common > > sense test? " > > If the nurse had asked that question, surely he would have seen that he > was > > giving the whole vial, and that there were 250 mcgs in the vial. > > > > I once gave a drug calculation quiz in which I asked the students to give > 15 > > mg of morphine using 10mg/1 ml ampules. The answer, of course, 1.5 ml. One > > student came up with an answer of 15,000 ml. So I went and got 15 liter > > bags of Ringers and piled them on the desk. " This is the amount of > morphine > > you > > decided to give. " Needless to say, the point was made. > > > > Gene G. > > > > > > > > > > Gene- > > > > > > I guess I have been in a cave, but what you describe is a sad indictment > > for > > > both the public education system AND nursing education programs as well. > I > > > may be real 'old school', but at least I won't overdose a patient (knock > > on > > > wood) through a mathmatic error of the type you describe. Sad that > > nursing, > > > instead of correcting the deficiencies, chooses to punt to the > > pharmacists. > > > Nothing wrong with pharmacists, but this is a matter of professionalism > > and pride > > > as both a nurse for 23 years and a medic for 30. > > > > > > Larry , RN LP > > > > > > ------------ -------- -------- -- > > > The fish are biting. > > > Get more visitors on your site using Yahoo! Search Marketing. > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 26, 2007 Report Share Posted January 26, 2007 they say in drug calculations a decimal point can kill someone. wegandy1938@... wrote: Now THAT would have been a really BIG PILE of LR bags. LOL. Don't you love these things? Or do you shed tears of sorrow that the folks who are going to be taking care of you and me in the future are capable of this idiocy? Gene > > i hate to S.T.A.N. you on this but someone in my medic class messed up the > parkland burn formula and came up with 11,400 liters of LR. to which the > instructor promptly commented " call the fire dept and have them lay a supply > line " . funniest thing ive ever heard in any class, anywhere,anytime > > jim davis > > wegandy1938@wegandy wrote: Well, when you have to give a drug on the > ambulance, just call for the > on-call pharmacist to respond Code 3 to your location. She'll put those > parts of > the Epi amp together for you and check it twice to make sure it's the > correct > dose. She'll make sure there are no contraindications for administration of > this drug to your coded patient, but it will take a few minutes. Not to > worry. You'll know that your drug administration has been done by a > registered > pharmacist. > > GG > In a message dated 1/23/07 6:54:38 PM, petsardlj@sbcglobalpets writes: > > > > > Same things happening in the hospitals in Amarillo. Drug calculations are > > being taken away from the nurses and given to the pharmacists to calculate > (IV > > drips and such). This supposedly due to the increase in overdoses on > > patients. > > > > That is great. Lets not teach our personnel the proper way to calculate or > > get rid of those who cannot do the job properly, lets get someone else to > do > > it. Pass the buck. Not my job anymore. I feel so bad that I cannot do for > my > > patients what I need to do. That's ok though, my enormous paycheck will > soothe > > my soul. NOT!!!!!! > > > > wegandy1938@ wegandy1938@ > > I agree, Larry. I teach my students to do the following: After they have > > completed their calculations and had them checked by another medic, if > > possible, I ask them to ask themselves, " Does this dose pass the common > > sense test? " > > If the nurse had asked that question, surely he would have seen that he > was > > giving the whole vial, and that there were 250 mcgs in the vial. > > > > I once gave a drug calculation quiz in which I asked the students to give > 15 > > mg of morphine using 10mg/1 ml ampules. The answer, of course, 1.5 ml. One > > student came up with an answer of 15,000 ml. So I went and got 15 liter > > bags of Ringers and piled them on the desk. " This is the amount of > morphine > > you > > decided to give. " Needless to say, the point was made. > > > > Gene G. > > > > > > > > > > Gene- > > > > > > I guess I have been in a cave, but what you describe is a sad indictment > > for > > > both the public education system AND nursing education programs as well. > I > > > may be real 'old school', but at least I won't overdose a patient (knock > > on > > > wood) through a mathmatic error of the type you describe. Sad that > > nursing, > > > instead of correcting the deficiencies, chooses to punt to the > > pharmacists. > > > Nothing wrong with pharmacists, but this is a matter of professionalism > > and pride > > > as both a nurse for 23 years and a medic for 30. > > > > > > Larry , RN LP > > > > > > ------------ -------- -------- -- > > > The fish are biting. > > > Get more visitors on your site using Yahoo! Search Marketing. > > > > > > Quote Link to comment Share on other sites More sharing options...
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