I am not a nurse but I find your approach and passion for nursing, quite intriguing. You should definitely be a professor teaching new nurses (not just new nurses but teaching period, you’re a natural )the things your professors taught you PLUS all your own insight. Thanks for completing part 2!
I was an ICU nurse and I retired early because of how easy it is to make a mistake. The money is not a good as you think it is, unless you are a travel nurse.
Also, I would never accept a syringe filled by someone else. Even if it was labeled. NEVER. I think Nursing Schools should concentrate on critical thinking skills. As you stated, defensive nursing skills. My LICENSE is everything. Been a nurse since 1996, in California and Hawaii. Just received my Masters in Nursing with emphasis in Public Health in Sept. 2022. As of today there has never an action against my license. I listen to you and I observe nurses I work with, taking note of mistakes that I can incorporate into avoiding in my practice.❤🎉
I went to a nursing school with few black students and had some black nursing professors hound me and fellow black students how critical critical thinking is and to always watch our ass
I did this ONCE….while in nursing school. It was a horrific experience but also needed. The patient I was assigned to, his actual nurse…. I don’t know what the nurse pulled from the Pyxis (allegedly Demerol), I don’t know how much she pulled up, i don’t know what she mixed it with….I didn’t see it. My clinical instructor wouldn’t listen when I told her this and she told me I HAD to give it. The patient was in terrible pain and had been refusing pain meds because he was afraid we’d kill him… (Jesus take the wheel) I slowly pushed about 2 1/2 mls (from a FULL 10ML syringe) and suddenly he sits bolt upright, turns red and starts wheezing!!! The nurse yells at me to stop!! The family is mad, AT ME! The nurse is mad, AT ME! My instructor is now mad AT ME! Wants to fail me! I went in the bathroom and BOO HOO cried!!! I came out and I fought for myself. I let the instructor know it was her fault for sending me but my fault for pushing a pain med I didn’t draw up. NEVER EVER EVER EVA EVA….did anything like this happen again. The patient was fine. Whatever his real nurse had in that syringe worked for his pain. It counted as part of his sedation for an MRI or CT (can’t remember it was over 23 yrs ago.). Protect yourself and the patient!!
This sent chills down my spine..thanks for this content. This is priceless. Honestly, no amount of money is enough compared to the burden nurses carry on their shoulders. ❤❤
I watched your video last night and learnt to ALWAYS protect my license no matter WHAT! Especially as a person of color. I've been a nurse for 11years. A nurse in a new country for 4years. Started travel nursing 6months ago. First day in ER, new contract. Another nurse reconstitute a med, handed it to me to give. I said "sorry, I don't give meds without checking and writing the expiry date on the label. It's part of my practice. Kendra, thank you again for coming here to inform nurses. Not only useful to new nurses but internationally educated nurses too. Remain blessed❤
Grateful for your channel, you promote such a safe learning environment that some nursing students/ nurses may not get anywhere else. Being able to learn how to nurse defensively and how to protect our licenses are the most valuable lessons one can ever learn.
My aunts mother was killed this same way, she was scheduled to go home in 48 hours or less and was killed by given the wrong medicine. The doctor blamed the nurse even tho he overseen it
I have heard of this happening before, in a case in California. Any paralytic agent is now covered with warnings on need to be ventilated. I believe the case was a nurse going down a ICU MAR and just giving it on a med surg floor. I love your presentation and all nurses can benefit from this. I would encourage more of this and you should write a book on nursing errors and how to avoid them. You’re a great teacher and your passion of nursing comes through.❤
Can you please please PLEASE make a video on the safeguards you learned at your nursing school? My nursing school didn’t teach us stuff like that! And as a new black nurse, I really want to be careful to protect myself and my patients.
At my hospital, a med Surg patient can be administered IV sedatives ONLY if the physician will be present during the CT or MRI. They usually don't prescribe because they don't want to go
I can see this is a very complicated story to speak about because there are so many questions. They should make a movie about this to educate healthcare professionals across the board because anybody can make a mistake.
@@KendraRN This woman's passing should not be in vain. Even the nurse's mistake can save someone else's life because I know this must be heartbreaking for her as well.
I am not a nurse and I love your channel. What happened to both the patient and rodonda was very tragic. Revoking her license alone would have been overkill. Sending her to prison was beyond overkill. Side note- sounds like you got excellent training!
I wish when I start my residency soon that I had you as my preceptor. I am praying that I end up with someone who drops all the gems on me that I know I didn't receive in nursing school.
I am retired now but I remember having to over ride so many medications when a new patient came on my floor in ICU. I feel terrible the mistake that Redonda made because that medication should have been under lock and key. She is human and humans make mistakes. I am not surprised she was thrown under the bus.
I stopped working at the bedside, when I felt like I was no longer effective. I also didn’t work more hours than I physically could. I did home health visits for a year. Then did QI and lastly 5 years of coding at home. When my schizoaffective disorder got so severe, I put my license on retired. Now I’m on disability. I can’t practice, anymore. Because, I am pretty sick. I used to be a nurse that did teaching to new nurses. I had an Associates Degree. But, I’m my day the people who had more education needed more time to learn things. I had to watch them closely. I also wrote the GI station policies and procedures. When I worked in another GI station and left. Because, the manager was trying to Bully me. I couldn’t work that way. So, got out of it. I used to give sedatives. That was before there were anesthesiologists. I totally didn’t miss working as a nurse in any capacity. Because, it was harder with my disorder. I also used to read the label a lot. When I pulled the medication, when I drew it up and when I put it down. I also used to look before I gave it. I also knew my drugs and the generic. That’s very important. Because, if you kill somebody, that would be horrible. In my day it was called the five rights. Later a nurse I used to know let a tech draw up Lasix for him. But, the tech drew up Potassium. That killed the patient and it was in all of the newspapers. I no longer worked at that hospital anymore. But, this was horrible. That patient’s death was horrific. I can’t imagine being awake, not able to move and breathe 👩🏭.
New nurses need to (1) familiarize themselves with Patricia Benner's article, From Novice to Expert, (2) their institution's policy and procedures, so that they will understand that the Mantra CYA - Cover Your A$$, is not a joke and it will serve them well.
All the way from Canada. I am not a nurse but works in healthcare. I find your videos very informative. I can’t seem to look away when I’m listening to you. You are an amazing teacher. Btw I’m Grenadian like yourself.
Hello Kendra,thank you so much for these gems of knowledge,as person of colour I’m a newly qualified nurse here in the UK and working for the first time in “NHS”. Though I have been in the UK for the past 17 years but always working as Healthcare assistant in the “community” so scared to work in the “NHS. As a NQN I will never ever administer any medication prepared by my colleagues and I will never put my colleagues in the same situation ,as a person of colour I’ve learnt a lot from my “people” about protecting my “PIN” we call it pin here in the UK and I’m learning “ a lot” from you,I pray 🙏🏽 to Jehovah God to keep on giving you more knowledge and understanding,you are helping a lot “especially me”thank 🥰you.
The funny thing now that I’m OUTSIDE of the PICU I fear for my license MORE. The specialties that are not critical care are way too lackadaisical for me!!! I’m used to having to have a double check for something as simple as normal saline!!!! Now in HEME/ONC/BMT, outside of chemo no one knows or does a double check. RaDonda was too trusting and willing, and someone knew that. I’d never send another nurse WITH a preceptee to do such a huge task. That nurse is already distracted and exhausted, her senior nurse failed her.
I’m binge watching your videos, currently pursuing CNA and hopefully i will become LPN your channel gives me insights. Very helpful. You deserve thousands of subscribers, more power to you.
I think the issues nowadays is we're so short staff and they rush the training. I remember having only 1day of training as a new nurse(LPN) because that facility was short staff.
Great case presentation Kendra! I always love your content! It brought back some memories from nursing school, both LPN and RN for me, in the late 80’s to early 90’s. Girl we had those index cards with the brand name on one side, generic on the other side, and most common side effects. Believe me, they were drilled into our brains! 😂🤣😂🤣❤️
Thanks for clarifying the swallow evaluation comment, I was very confused because in 🇬🇧 any concerns about swallowing, choking risk, patients are immediately NBM and await SALT to evaluate.
All good points Kendra! My heart went out to Radonda yes key points were missed and I agree with you there were a lot of key institutional mishaps as well that led to her error.
You are so right about medication administration. It doesn’t matter if 2 meds have similar names, if they look alike you have to do your checks. Yes hospitals can help with systems they put in place but we need to check. I know most nurses have made medication errors and nothing bad has happened but we’ve learnt! And we wouldn’t make that mistake again. I feel for this nurse. How she would have felt when she realised what she did wld have been horrifying! I’ve just gone from 7 years in aged care, palliative and end of life care administering all sorts of medications. I know work for a cardiologist clinic and no words can describe how happy I am that I don’t administer medications anymore. You are an excellent teacher. Also I on so many occasions especially with palliative and end of life care meds get another nurse to check with me even if 2 signatures aren’t required. NURSES cover your butts! Learn correct practice as soon as you become a nurse. I had really strict training by one of the best hospitals in Australia 🇦🇺. Oh boy if we made any sort of mistake 😳😳 they would drill it into us and we wouldn’t do it again
Such a helpful video. I am a CT tech but I’m also in nursing school. I had not thought about only having to type in the first 2 letters of the drug into the Pyxis. At my hospital we had to type in the first 3 letters. We used to keep our iv contrast and heparin in the Pyxis but thankfully that was a short term thing. I do remember having to type in the first 3 letters to open it up. Then the whole drawer would pop open and it would have been easy to grab-n-go and grab the wrong drug by accident. I love your teaching. Keep it coming!
Hi Kendra, I’m a 22 year old college student in kinesiology but watching your videos is making me want to go back into nursing. I think once I get my bachelors in the Fall I think I will go again for my ADN in nursing. You are SO inspiring and so knowledgeable I hope and pray I receive instructors like you. Initially wanted to go into Nursing (BSN) but my professors were so bad it killed my passion.
I agree with you, this is actually a discussion question that I am answering in my ccma class and I have shared your video. I have learned so much from you in such a short time. I appreciate you and your videos.
I am going to start nursing school in Jan of 2024 and I have been so nervous just thinking that I can make a mistake that I can’t take back & that terrifies me!! 😥 I am new to your channel and I am so thankful for your advise and your blunt facts! I will definitely carry your all of your advice throughout my nursing career. ❤
Just follow standard of care and use nursing judgement. The judgement develops over time, when you’re not sure, ask the most senior nurse that you can find. You will be fine, congrats on your nursing journey.
My god thank you for this in-depth explanation I am only a new nurse right now I did not look into exactly what this nurse did because I was in nursing school and scared to death to know more but this has helped my anxiety so much! THANK YOU!
As a CNA and soon to be nursing student (aiming to get into lvn school in a year), your knowledge is SO appreciated! I love watching your videos. You have such great insight and teach valuable lessons. I feel so much empathy for radonda and the patient. As a 1 year CNA, i know how it is to want to be a team player and not say "no;" you want to go above and beyond and show that you are willing to help as much as possible, but you're absolutely right-the nurse failed Radonda by having her administer the medication, and im sure Radonda, as a new nurse, felt the pressure to say "yes," all while training the nursing student. She had a ton on her plate that shift. The poor patient, too, i can't help but feel so terrible for her, how scared she must have felt in that machine. It makes me feel sick. It's a lose lose situation for both ladies and their families. I hope this teaches nurses, novices and OGs to take it slow, to reread labels, to have a 2nd nurse as backup and to take care of your own PT, as they are YOUR responsibility, and you know them better than the nurse who you're pushing them on to. The world of Healthcare has many flaws and mistakes waiting to happen.
That dispensing system is high risk for error due to is medication selection ID.Needed to be more specific in its selection ID dispensing.Nursing knowledge of medication names is critical.
Rodonda is responsible for this error. It's sad but she bypassed protocol. I feel sorry for her but I must provide a critical analysis of this case. This incident should be a learning experience for us all especially new nurses.
I worked at a hospital that wanted the RNs to work M/B with one nurse, no tech and a unit secretary AND you could have up to 4 patients by yourself AND the babies didn’t count…. So….8 patients? No they said, that’s only 4. Oh and the unit secretary (non-clinical) could not watch the babies. So if you have a fresh c-section…you’d have to split yourself in half to assess the mom and finalize baby assessment and bathing and initialize feedings. We said, no, that’s 8, the babies have to be cared for as well.😡
Fyi... she did not die in the scanner, she was left alone in the holding area and found by the person who came to take her into the scanning room from the holding area... 25 to 30 minutes later. There was no monitor and no nurse available to monitor which is why the task was deligated
I work at the VA In west palm beach florida and all the veteran nurses left went covid came cause so many new nurses were good nurses but they didnt know “The VA way” lol
Travel nurses r also having a hard time with policy. Im infamous 4 acting like I don’t know anything. The likeliness of me not knowing policy is critical. I had an admission that was sent without a wound vac & was 2 get a vac placed n the morning by wound team. The AM nurse relieving me swore every hospitals policy is 2 do a wet 2 dry on the wound. I looked @ it upon assessing the patient & was not touching it. My decision was confirmed is when I read the notes from the previous hospital. He came n with his supplies after the patient argued that her Dr said 4 us not 2 touch it. She had a fresh graft ( left leg 2 right outer hip). Thankfully, the AM hospitalist came 2 assess the patient 1st thing & was adamant we r not 2 touch the dressing, just 4 wound care 2 apply the wound vac. There was a lack of communication with the providers regarding the situation. I spoke 2 the patient's dad the night she arrived & he was understandably upset about it, but I assured him it would b taken care of n the AM. Sometimes travelers have 2 understand all policies r not the same, & it is okay 2 say no when u r unsure & uncomfortable doing something ur not familiar with. Confirm & move on. Had he touched that dressing, he would've had a big issue on his hands.
At my hospital vec vials have bright red tops once scanned it pops up a big red message saying this a paralytic then you have to click that the MD is aware that you are giving this med then you have to write a comment on what oxygen supply that patient is getting. And you have to get a witness and do the math together for dosing.Too many mistakes made on this nurse’s part. I’m a new grad in peds icu my thinking is always double check everything no way anyone’s going to have my name in the mix
Nursing is very Toxic, I love to care for ppl and I am Extremely Friendly! IF I knew how cut throat Nursing us I would have never perused it! Nurses don’t stick together its very disgusting.
Ativan takes longer to kick in than versed. Ativan P.O. takes even longer than IV. If the patient is already in the scanner waiting for Ativan P.O. to kick in would be too long.
But it wasn’t an emergency! Bring her back to the floor and send her later. Also, there are guidelines nurses must follow when administering a sedative for a procedure. Each state has specific protocols and guidelines.
Wow, I really love your break down. I feel bad for Radonda, but unfortunately this ultimately falls on her. I wonder though perhaps that Vanderbilt places may do things in a weird ways that enables poor practices? Like you said, about how Radonda wasn't even the primary nurse of the patient and how she loosey goosey pulled an entirely different drug. Maybe that is how a lot of people treat things who work at Vanderbilt-- too comfortable/not paying attention. The person I feel sorry for most though is the patient, what a terrible death. RIP.......
I'm lucky to work in a country where unions are normal, accepted & strong. I'm currently a member in Tehy, a union that will pay any legal fee's I may aquire. Even if I were to go to court & loose the union will pay.. I can't tell you how mutch relief this gives.. I'm so sad that the US don't do the same..bcs no matter were , what country, nurses are treated badly by patients, bosses ,& Co-workers. Societies everywhere seem to think a nurse should be able to handle any s**t thrown at us, not only the medical parts of it. Abusing a nurse is often seen as OK..
Hospitals should only be referring to medications by their generic name also vecuronium has to be reconstituted midazolam is already in liquid form there’s so many issues with this case
I don’t like that you have to type anything up at all. We use omnicell, only the meds that’s approved by pharmacy shows up. No need to type anything. I wish they would take it a step further and only show the meds that are currently due for the patient. && make sure they always have enough phones for nurses while we’re at work, giving meds without checking yourself and having a computer or phone to double check is NOT IT.
No one knows what nurses go through and in this case I feel like she’s punished herself enough. We nurses are very much advocates and very hard on ourselves
I am not a nurse but I find your approach and passion for nursing, quite intriguing. You should definitely be a professor teaching new nurses (not just new nurses but teaching period, you’re a natural )the things your professors taught you PLUS all your own insight. Thanks for completing part 2!
She was a Clinical instructor for nurses actually but she decided to take time off for a while.
The burden & weight a nurse carries, nobody knows. No amount of money is enough.
I was an ICU nurse and I retired early because of how easy it is to make a mistake. The money is not a good as you think it is, unless you are a travel nurse.
Nurses go through a lot, and their life is in danger because they can lose their license or end up jailing easily. It is very frustrating job
TRUTH!!!!!!!!!!!!
You can say that again. Any “extra” money you get you eaaarrrnnn!😂
That’s why everyone is rushing to a desk job 😂
PLEASE, do more case scenarios. This was highly interesting and thought provoking. Reminds me of Crime shows. I also learned A TON!!!
Nurse crime series I ❤it
I agree, please continue to do more!
Also, I would never accept a syringe filled by someone else. Even if it was labeled. NEVER. I think Nursing Schools should concentrate on critical thinking skills. As you stated, defensive nursing skills. My LICENSE is everything. Been a nurse since 1996, in California and Hawaii. Just received my Masters in Nursing with emphasis in Public Health in Sept. 2022. As of today there has never an action against my license. I listen to you and I observe nurses I work with, taking note of mistakes that I can incorporate into avoiding in my practice.❤🎉
I went to a nursing school with few black students and had some black nursing professors hound me and fellow black students how critical critical thinking is and to always watch our ass
I did this ONCE….while in nursing school. It was a horrific experience but also needed. The patient I was assigned to, his actual nurse…. I don’t know what the nurse pulled from the Pyxis (allegedly Demerol), I don’t know how much she pulled up, i don’t know what she mixed it with….I didn’t see it. My clinical instructor wouldn’t listen when I told her this and she told me I HAD to give it. The patient was in terrible pain and had been refusing pain meds because he was afraid we’d kill him… (Jesus take the wheel) I slowly pushed about 2 1/2 mls (from a FULL 10ML syringe) and suddenly he sits bolt upright, turns red and starts wheezing!!! The nurse yells at me to stop!! The family is mad, AT ME! The nurse is mad, AT ME! My instructor is now mad AT ME! Wants to fail me! I went in the bathroom and BOO HOO cried!!! I came out and I fought for myself. I let the instructor know it was her fault for sending me but my fault for pushing a pain med I didn’t draw up. NEVER EVER EVER EVA EVA….did anything like this happen again. The patient was fine. Whatever his real nurse had in that syringe worked for his pain. It counted as part of his sedation for an MRI or CT (can’t remember it was over 23 yrs ago.). Protect yourself and the patient!!
This sent chills down my spine..thanks for this content. This is priceless. Honestly, no amount of money is enough compared to the burden nurses carry on their shoulders. ❤❤
You’re so right! Thank you for watching.
I agree.
I watched your video last night and learnt to ALWAYS protect my license no matter WHAT! Especially as a person of color. I've been a nurse for 11years. A nurse in a new country for 4years. Started travel nursing 6months ago. First day in ER, new contract. Another nurse reconstitute a med, handed it to me to give. I said "sorry, I don't give meds without checking and writing the expiry date on the label. It's part of my practice. Kendra, thank you again for coming here to inform nurses. Not only useful to new nurses but internationally educated nurses too. Remain blessed❤
Bukola, thank you so much! I really appreciate you. Continue to strive❤️❤️❤️
That nurse handing you the medication should have known better than to do that.
Grateful for your channel, you promote such a safe learning environment that some nursing students/ nurses may not get anywhere else. Being able to learn how to nurse defensively and how to protect our licenses are the most valuable lessons one can ever learn.
My aunts mother was killed this same way, she was scheduled to go home in 48 hours or less and was killed by given the wrong medicine. The doctor blamed the nurse even tho he overseen it
oh No. 😢
Deepest Condolences, Beloved 💐
I have heard of this happening before, in a case in California. Any paralytic agent is now covered with warnings on need to be ventilated. I believe the case was a nurse going down a ICU MAR and just giving it on a med surg floor.
I love your presentation and all nurses can benefit from this. I would encourage more of this and you should write a book on nursing errors and how to avoid them. You’re a great teacher and your passion of nursing comes through.❤
Can you please please PLEASE make a video on the safeguards you learned at your nursing school? My nursing school didn’t teach us stuff like that! And as a new black nurse, I really want to be careful to protect myself and my patients.
Hi Krystal. I def will
Although I never like policies & procedures, they really are there to guide & protect us.
Especially with clinical procedures.
At my hospital, a med Surg patient can be administered IV sedatives ONLY if the physician will be present during the CT or MRI. They usually don't prescribe because they don't want to go
EXACTLY!!! medsurge patients have different protocols!!! Policy, policy, policy!!!
I can see this is a very complicated story to speak about because there are so many questions. They should make a movie about this to educate healthcare professionals across the board because anybody can make a mistake.
You might be onto something.
@@KendraRN This woman's passing should not be in vain. Even the nurse's mistake can save someone else's life because I know this must be heartbreaking for her as well.
I am not a nurse and I love your channel. What happened to both the patient and rodonda was very tragic. Revoking her license alone would have been overkill. Sending her to prison was beyond overkill.
Side note- sounds like you got excellent training!
The type of nurse i would aim to be❤❤
Thank you!
Thank you for being an online nurse educator. You are a true BLESSING 🙌🏾 ❤
I wish when I start my residency soon that I had you as my preceptor. I am praying that I end up with someone who drops all the gems on me that I know I didn't receive in nursing school.
I am retired now but I remember having to over ride so many medications when a new patient came on my floor in ICU. I feel terrible the mistake that Redonda made because that medication should have been under lock and key. She is human and humans make mistakes. I am not surprised she was thrown under the bus.
I LOVE HER STYLE OF NURSING !! OMG ❤❤❤❤❤❤❤❤❤
The i had to gather my thoughts had me laughing! that's me all day!
I did, so many times.
I stopped working at the bedside, when I felt like I was no longer effective. I also didn’t work more hours than I physically could. I did home health visits for a year. Then did QI and lastly 5 years of coding at home. When my schizoaffective disorder got so severe, I put my license on retired. Now I’m on disability. I can’t practice, anymore. Because, I am pretty sick.
I used to be a nurse that did teaching to new nurses. I had an Associates Degree. But, I’m my day the people who had more education needed more time to learn things. I had to watch them closely.
I also wrote the GI station policies and procedures. When I worked in another GI station and left. Because, the manager was trying to Bully me. I couldn’t work that way. So, got out of it. I used to give sedatives. That was before there were anesthesiologists.
I totally didn’t miss working as a nurse in any capacity. Because, it was harder with my disorder.
I also used to read the label a lot. When I pulled the medication, when I drew it up and when I put it down. I also used to look before I gave it. I also knew my drugs and the generic. That’s very important. Because, if you kill somebody, that would be horrible. In my day it was called the five rights.
Later a nurse I used to know let a tech draw up Lasix for him. But, the tech drew up Potassium. That killed the patient and it was in all of the newspapers. I no longer worked at that hospital anymore. But, this was horrible.
That patient’s death was horrific. I can’t imagine being awake, not able to move and breathe 👩🏭.
New nurses need to (1) familiarize themselves with Patricia Benner's article, From Novice to Expert, (2) their institution's policy and procedures, so that they will understand that the Mantra CYA - Cover Your A$$, is not a joke and it will serve them well.
Say it over and over!!!
@KendraRN, thank you for all that you do in keeping the heart of nursing - education and compassion beating strong.❤
Thank you for taking the time from your busy schedule to give is the great information ❤
I’m trying! Thank you so much
This discussion has given me opportunity to learn new ways to practice as a upcoming new nurse.
Yassssss Julia🥰🥰🥰
Thank you! This is fantastic situation for both nurses and Non healthcare workers to learn from. Good work!🎉❤🙏💪
I appreciate you watching.
Agreed! I just graduated from professional school and I am taking notes. Think critically and thoroughly. Great content!
All the way from Canada. I am not a nurse but works in healthcare. I find your videos very informative. I can’t seem to look away when I’m listening to you. You are an amazing teacher. Btw I’m Grenadian like yourself.
Hi, thank you, nice to connect with my people. 🇬🇩🇬🇩🇬🇩
Hello Kendra,thank you so much for these gems of knowledge,as person of colour I’m a newly qualified nurse here in the UK and working for the first time in “NHS”.
Though I have been in the UK for the past 17 years but always working as Healthcare assistant in the “community” so scared to work in the “NHS.
As a NQN I will never ever administer any medication prepared by my colleagues and I will never put my colleagues in the same situation ,as a person of colour I’ve learnt a lot from my “people” about protecting my “PIN” we call it pin here in the UK and I’m learning “ a lot” from you,I pray 🙏🏽 to Jehovah God to keep on giving you more knowledge and understanding,you are helping a lot “especially me”thank 🥰you.
I'm an RN as well, and I appreciate you sharing these topics. Preach 🙌🏾👏🏾👏🏾👏🏾👏🏾
Hey there! How are you? Thank you for watching!
The funny thing now that I’m OUTSIDE of the PICU I fear for my license MORE. The specialties that are not critical care are way too lackadaisical for me!!! I’m used to having to have a double check for something as simple as normal saline!!!! Now in HEME/ONC/BMT, outside of chemo no one knows or does a double check. RaDonda was too trusting and willing, and someone knew that. I’d never send another nurse WITH a preceptee to do such a huge task. That nurse is already distracted and exhausted, her senior nurse failed her.
I’m binge watching your videos, currently pursuing CNA and hopefully i will become LPN your channel gives me insights. Very helpful. You deserve thousands of subscribers, more power to you.
Hiiii!!! I started of as a CNA. I think your plan is wonderful. Keep me posted.
I think the issues nowadays is we're so short staff and they rush the training.
I remember having only 1day of training as a new nurse(LPN) because that facility was short staff.
Absolutely! That is quite common.
Great case presentation Kendra! I always love your content! It brought back some memories from nursing school, both LPN and RN for me, in the late 80’s to early 90’s. Girl we had those index cards with the brand name on one side, generic on the other side, and most common side effects. Believe me, they were drilled into our brains! 😂🤣😂🤣❤️
Thank you so much. Today l have learned a lot. I will always remember you when l.start working as a Nurse and each time lm.on the medication cart.
Thank you Kendra!!!! This is instructive and educative. As a student nurse soon to be qualified, this is gold!.
Thanks for clarifying the swallow evaluation comment, I was very confused because in 🇬🇧 any concerns about swallowing, choking risk, patients are immediately NBM and await SALT to evaluate.
I definitely misspoke. Thank you for watching 😊
All good points Kendra! My heart went out to Radonda yes key points were missed and I agree with you there were a lot of key institutional mishaps as well that led to her error.
You are so right on all the levels! I never take my pride to work and I too am a double checker!
You are so right about medication administration. It doesn’t matter if 2 meds have similar names, if they look alike you have to do your checks. Yes hospitals can help with systems they put in place but we need to check. I know most nurses have made medication errors and nothing bad has happened but we’ve learnt! And we wouldn’t make that mistake again. I feel for this nurse. How she would have felt when she realised what she did wld have been horrifying! I’ve just gone from 7 years in aged care, palliative and end of life care administering all sorts of medications. I know work for a cardiologist clinic and no words can describe how happy I am that I don’t administer medications anymore. You are an excellent teacher. Also I on so many occasions especially with palliative and end of life care meds get another nurse to check with me even if 2 signatures aren’t required. NURSES cover your butts! Learn correct practice as soon as you become a nurse. I had really strict training by one of the best hospitals in Australia 🇦🇺. Oh boy if we made any sort of mistake 😳😳 they would drill it into us and we wouldn’t do it again
Such a helpful video. I am a CT tech but I’m also in nursing school. I had not thought about only having to type in the first 2 letters of the drug into the Pyxis. At my hospital we had to type in the first 3 letters. We used to keep our iv contrast and heparin in the Pyxis but thankfully that was a short term thing. I do remember having to type in the first 3 letters to open it up. Then the whole drawer would pop open and it would have been easy to grab-n-go and grab the wrong drug by accident. I love your teaching. Keep it coming!
This is such a refresher, thank you. Nurses new and experienced need to hear this.
Oh girl I’m definitely taking notes
Hi Kendra, I’m a 22 year old college student in kinesiology but watching your videos is making me want to go back into nursing. I think once I get my bachelors in the Fall I think I will go again for my ADN in nursing. You are SO inspiring and so knowledgeable I hope and pray I receive instructors like you. Initially wanted to go into Nursing (BSN) but my professors were so bad it killed my passion.
I agree with you, this is actually a discussion question that I am answering in my ccma class and I have shared your video. I have learned so much from you in such a short time. I appreciate you and your videos.
Thank you so much for sharing! Alot of responsibilities on nurses. Thank you again Kendra, God bless you.
Thank you Nurse Kendra.I am now more cautious about medication errors when I go back to clinicals
I am going to start nursing school in Jan of 2024 and I have been so nervous just thinking that I can make a mistake that I can’t take back & that terrifies me!! 😥 I am new to your channel and I am so thankful for your advise and your blunt facts! I will definitely carry your all of your advice throughout my nursing career. ❤
Just follow standard of care and use nursing judgement. The judgement develops over time, when you’re not sure, ask the most senior nurse that you can find. You will be fine, congrats on your nursing journey.
Thanks for these gems i’m Jamaican and I’m also a new icu nurse practicing in the US. I really enjoy your videos, thanks again!
Thank you for watching and commenting ❤️
My god thank you for this in-depth explanation I am only a new nurse right now I did not look into exactly what this nurse did because I was in nursing school and scared to death to know more but this has helped my anxiety so much! THANK YOU!
You’re very welcome Jen!
Thank you for taking the time to do this!
Thank you for watching!
As a CNA and soon to be nursing student (aiming to get into lvn school in a year), your knowledge is SO appreciated! I love watching your videos. You have such great insight and teach valuable lessons. I feel so much empathy for radonda and the patient. As a 1 year CNA, i know how it is to want to be a team player and not say "no;" you want to go above and beyond and show that you are willing to help as much as possible, but you're absolutely right-the nurse failed Radonda by having her administer the medication, and im sure Radonda, as a new nurse, felt the pressure to say "yes," all while training the nursing student. She had a ton on her plate that shift. The poor patient, too, i can't help but feel so terrible for her, how scared she must have felt in that machine. It makes me feel sick. It's a lose lose situation for both ladies and their families. I hope this teaches nurses, novices and OGs to take it slow, to reread labels, to have a 2nd nurse as backup and to take care of your own PT, as they are YOUR responsibility, and you know them better than the nurse who you're pushing them on to. The world of Healthcare has many flaws and mistakes waiting to happen.
Thank you for this. You are the best.
Thank u. Some nurses who have worked 10 years don't always know the policy either
I loved this video. Very informative. A good reminds for us in healthcare. Thank you. Please keep the videos coming!
You are the queen keep doing this
Aww, man. It cut off at the end where you talk about your experience working as a CNA and what you saw. 21:15
I know. So sorry, the camera was too hot and the video was getting long. I’ll be back with part 3 soon.
That dispensing system is high risk for error due to is medication selection ID.Needed to be more specific in its selection ID dispensing.Nursing knowledge of medication names is critical.
Thank you 🙏 you’re the best
Thank you Kendra for this. Good analysis! Good job.
Hi Mary, you’re very welcome. I’m working in the third part.
Thank you for your advice.
I absolutely love this video. Love your content and would like to see more videos on critical thinking as a nurse.
I always learn something from your videos
Love hearing your take on this case. I’m just wondering why was she the resource nurse when she had only been a for 2 years?
Nursing has changed. They don’t focus much on experience. If you put yourself out there and management likes you, then the unit is your oyster.
Kendra where's the other part?! It cut off as I was talking to the screen like say that girl mhmmm you better tell it!!! Lol
Girrrrllll the camera over heated🤣🤣🤣
@@KendraRN hot topic lol 🤣
Rodonda is responsible for this error. It's sad but she bypassed protocol. I feel sorry for her but I must provide a critical analysis of this case. This incident should be a learning experience for us all especially new nurses.
Yes, and she admitted it too straight away.
She made the error, yes. She gave the medication yes. But I believe the system failed her as well.
I worked at a hospital that wanted the RNs to work M/B with one nurse, no tech and a unit secretary AND you could have up to 4 patients by yourself AND the babies didn’t count…. So….8 patients? No they said, that’s only 4. Oh and the unit secretary (non-clinical) could not watch the babies. So if you have a fresh c-section…you’d have to split yourself in half to assess the mom and finalize baby assessment and bathing and initialize feedings. We said, no, that’s 8, the babies have to be cared for as well.😡
Wait you should do more of these cases its like a true crime episode lol. But also i'm learning so much as a new nurse!!
Lol, thank you! I’m glad you found it useful.
Thanks for the clarification ❤
Of course ❤️😊
Yes, I was thinking, Wow, I thought Speech therapist did evals. Thank you for clarification.
you make me want to move to wherever your practicing lol i would love for you to be my nurse
Thank you for this. Do you mind making a video about what your program taught you on "defensive nursing" (I think that's what you called it)
I will. Thank you.
Yes as nurses we question each other and judge, even behind each other backs
This is a really good video.
Fyi... she did not die in the scanner, she was left alone in the holding area and found by the person who came to take her into the scanning room from the holding area... 25 to 30 minutes later. There was no monitor and no nurse available to monitor which is why the task was deligated
I work at the VA In west palm beach florida and all the veteran nurses left went covid came cause so many new nurses were good nurses but they didnt know “The VA way” lol
I have been in a situation where even discharging patients i get another nurse to double check the medications the patient going home with.
Travel nurses r also having a hard time with policy. Im infamous 4 acting like I don’t know anything. The likeliness of me not knowing policy is critical.
I had an admission that was sent without a wound vac & was 2 get a vac placed n the morning by wound team. The AM nurse relieving me swore every hospitals policy is 2 do a wet 2 dry on the wound. I looked @ it upon assessing the patient & was not touching it. My decision was confirmed is when I read the notes from the previous hospital.
He came n with his supplies after the patient argued that her Dr said 4 us not 2 touch it. She had a fresh graft ( left leg 2 right outer hip).
Thankfully, the AM hospitalist came 2 assess the patient 1st thing & was adamant we r not 2 touch the dressing, just 4 wound care 2 apply the wound vac.
There was a lack of communication with the providers regarding the situation. I spoke 2 the patient's dad the night she arrived & he was understandably upset about it, but I assured him it would b taken care of n the AM.
Sometimes travelers have 2 understand all policies r not the same, & it is okay 2 say no when u r unsure & uncomfortable doing something ur not familiar with. Confirm & move on.
Had he touched that dressing, he would've had a big issue on his hands.
At my hospital vec vials have bright red tops once scanned it pops up a big red message saying this a paralytic then you have to click that the MD is aware that you are giving this med then you have to write a comment on what oxygen supply that patient is getting. And you have to get a witness and do the math together for dosing.Too many mistakes made on this nurse’s part. I’m a new grad in peds icu my thinking is always double check everything no way anyone’s going to have my name in the mix
Radonda needs to file an appeal to this sentence
I think she has.
Insightful
I was just talking about this with a friend of mind who is not even a nurse
Nursing is very Toxic, I love to care for ppl and I am Extremely Friendly! IF I knew how cut throat Nursing us I would have never perused it! Nurses don’t stick together its very disgusting.
Is there a part three?
Ativan takes longer to kick in than versed. Ativan P.O. takes even longer than IV. If the patient is already in the scanner waiting for Ativan P.O. to kick in would be too long.
But it wasn’t an emergency! Bring her back to the floor and send her later. Also, there are guidelines nurses must follow when administering a sedative for a procedure. Each state has specific protocols and guidelines.
Wow, I really love your break down. I feel bad for Radonda, but unfortunately this ultimately falls on her. I wonder though perhaps that Vanderbilt places may do things in a weird ways that enables poor practices? Like you said, about how Radonda wasn't even the primary nurse of the patient and how she loosey goosey pulled an entirely different drug. Maybe that is how a lot of people treat things who work at Vanderbilt-- too comfortable/not paying attention. The person I feel sorry for most though is the patient, what a terrible death. RIP.......
Thank you for your views. It was such an awful way to transition. May her soul rest.
Yes, it's good to know your policies.
May God rest her soul. What a tragedy 😭
Right! She really suffered.
I'm lucky to work in a country where unions are normal, accepted & strong.
I'm currently a member in Tehy, a union that will pay any legal fee's I may aquire. Even if I were to go to court & loose the union will pay.. I can't tell you how mutch relief this gives..
I'm so sad that the US don't do the same..bcs no matter were , what country, nurses are treated badly by patients, bosses ,& Co-workers.
Societies everywhere seem to think a nurse should be able to handle any s**t thrown at us, not only the medical parts of it. Abusing a nurse is often seen as OK..
Hospitals should only be referring to medications by their generic name also vecuronium has to be reconstituted midazolam is already in liquid form there’s so many issues with this case
There’s a RUclips clip of the nurse in this case on GMA.
Thank you
In the UK every controlled drug and every IV needs to be checked by two nurses and co signed on the label and computer. This is so unfortunate 😭
She gave the patient Vecuronium instead of Versed and by the time they found out it was after the scan they could not recover the patient.
Such a tragic case. How long would a patient be conscious before their demise with that med mistake?
I’m trying to post part 3 where I touched on that.
Sccinylcholine is in the same drug class I first heard of this drug in forensic files
Oh yes!
Yep CYA!
i think the opposite of expand is descend idk chile lol
🤣🤣🤣 thanks tho sis
@@KendraRN 🤣🤣🫶🏽
8:52 and these nurses work so fast i have to tell them to slow down all the tine
I don’t like that you have to type anything up at all. We use omnicell, only the meds that’s approved by pharmacy shows up. No need to type anything. I wish they would take it a step further and only show the meds that are currently due for the patient. && make sure they always have enough phones for nurses while we’re at work, giving meds without checking yourself and having a computer or phone to double check is NOT IT.
Right. And if it's not under their profile it can't be given
It falls on us.
No one knows what nurses go through and in this case I feel like she’s punished herself enough. We nurses are very much advocates and very hard on ourselves