Communitynurse365

Latest Activity

1. Homeless working the system, multiple admissions

   Communitynurse365 replied to adnrnstudent's topic in Psychiatric

   I'm curious to know how you feel when other patients complain? Is it only because they don't have homes they should feel grateful for the basic human right of healthcare and not have opportunity to complain?

2. Should Healthcare Professionals Ask About Guns in the Home?

   Communitynurse365 replied to P-RN's topic in General Nursing

   We are required to ask about threats prior to entering a clients house- smoking, dogs, guns, etc. That being said, it rarely happens. Many of our clients, don't have access to phones and we just drop by. We are even supposed to ask clients to "air o...

3. Hyperkalemia- stopping spironalactone

   Communitynurse365 posted a topic in General Nursing

   Hi there, question for all you lovelies! I work in community and do med management for my clients. medical history: renal failure, chf, long standing alcohol use (although currently sober), on prednisone for years Situation: recently had blood work ...

4. Backflow into vein in venipuncture

   Communitynurse365 replied to Communitynurse365's topic in General Nursing

   It seemed to start flowing backwards when I removed tourniquet. Any chance of harm to patient?

5. Backflow into vein in venipuncture

   Communitynurse365 posted a topic in General Nursing

   Question! I have been doing community blood draws for a while. Today, when I tried to draw a very sick ladies blood it flowed verrrrry slow into vacutainer (and then eventually stopped). This was a good ac vein. When I tried to move it slightly, the...

6. Blown vein in blood draw

   Communitynurse365 posted a topic in General Nursing

   So I actually have quite a bit of experience with blood draws but today was a first for me. I blew someone's vein while drawing blood! This happened after I already had vacutainer full of blood. i pulled out needle when I saw lump and applied pressur...

7. Cardiac arrest caused by a seizure

   Communitynurse365 replied to Communitynurse365's topic in General Nursing

   And yes he was an alcoholic but had detoxen in hospital for 7 days. He was only out of hospital 3 days when he seized and died.

8. Cardiac arrest caused by a seizure

   Communitynurse365 replied to Communitynurse365's topic in General Nursing

   Yes , honestly I think I am. The patient had a massive MI following seizure and died. They were on an extremely high dose of Dilantin for body weight and I know had missed two days, but had a history of noncompliance. No CT was ordered.

9. Cardiac arrest caused by a seizure

   Communitynurse365 posted a topic in General Nursing

   I'm curious what the relationship is here. I recently had a client pass away due to an MI. Minutes before that she had a seizure. I am wondering how the two are related. He likely had low potassium and magnesium as well. He was managed with anti-epil...

10. Changing iv bag question

    Communitynurse365 replied to Communitynurse365's topic in General Nursing

    Thanks!

11. Changing iv bag question

    Communitynurse365 replied to Communitynurse365's topic in General Nursing

    It's a hypothetical question. A bag on a primary line, not sure if on pump.

12. Changing iv bag question

    Communitynurse365 replied to Communitynurse365's topic in General Nursing

    It's just a hypothetical question, so let's say yes...but also curious what would happen if it wasnt

13. Changing iv bag question

    Communitynurse365 posted a topic in General Nursing

    Hi there:) i have a question...when changing iv bags, I am wondering what would happen if you forgot to clamp the original primary line? For example, if I unhooked the first bag upside down and then attached the tubing to a new bag what would happen...

14. Blood pressure-weird jump when taking it

    Communitynurse365 posted a topic in General Nursing

    Hi all:) hoping this is okay to post here... I was taking someone's blood pressure In community today and there was this weird 'bound' at around 160 (I could feel a big bound in pulse near elbow) and also see it on sphygmomanometer. I then couldn't h...