NRB Mistake!

So I was going through my clinicals today and I did the most dumbest mistake. A patient was having a hard time breathing and he was also about to be intubated. So while the physicians and nurses and everyone else talked in the room about what to do, they had me put him on a NRB so he can get more oxygen.He had a NC @ 3LPM w. humidity. His SpO2 was 92% and they wanted him on 100% because he was having SOB. He was also DNR status but I guess the family changed their mind.

I went on putting the NRB @ 10lpm + and I looked at the bag and it was inflate/deflate at the normal range. So I said ok. Few seconds later the RT I was following said “what is wrong here?”. I thought for a second..uhh..”nothing” HE said “look at the connection you made.

1) Gas Source : Oxygen

2) LPM : 10 (good)

3)All connections secured.

So he said “You never humidify with a NRB “ .AHHHHH i didn’t take out the humidifier!! I feel so stupid now. I mastered this concept last semester and now I made a really stupid simple mistake… O well that just means I have to relearn everything! So that goes out for everyone.. keep in mind that 1st semester easy stuff can be easily made wrong. However I do know that many RTs or students have made this same mistake 100x or a mistake worst than mine. ( wasn’t there on the news that a Doctor gave 10,000mg of some drug to a pt and died?) The only thing know is learn from your mistakes

O well I think about it this way. It would had been so much humiliation if I was already a RT and this happened to me. The Student Umbrella Saved me!

2 Responses to “NRB Mistake!”

  1. marcus williford Says:

    Thats ok, I almost started a breathing treatment on humidity yesterday

  2. Freadom Says:

    You can actually run a NRB through a bubbler, it’s just that the bubbler will run out in about a half hour. It’s not that big of a deal, however embarrassing it might be.

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