curlynurse

curlynurse

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About curlynurse

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  1. Ambulance pts in waiting room

    We do it all the time as well. My favorite is when a non-urgent patient who walked in doesn't want to wait and CALLS 911 FROM THE WAITING ROOM OR AN OUTSIDE PAY PHONE. When they are then brought in the back by ambulance we send them back out to the...
  2. Does anyone remember this?

    Angioedema as a side effect of ACE inhibitor Lisinopril? I like these "case studies", too.
  3. Immunity after MMR vaccination how long?

    I recently had titers drawn for a new job. I was not immune to measles, so I was given an MMR. I am 31 years old. The infection control nurse told me that they used to only give one dose of MMR with childhood vaccinations and that the few people t...
  4. Out of my scope - NEED HELP!!!!!!

    After I posted I looked at the California BRN website & the ENA website but couldn't find anything about EJ's. I have, in the past, called the BRN to ask scope of practice questions and have always been able to get an answer from a nurse within ...
  5. Out of my scope - NEED HELP!!!!!!

    In the ER that I work in, RN's used to start EJ's frequently. I didn't simply because I am not comfortable with them. However, we have a new educator who has many, many years of experience who has told us that it is out of the RN's scope in the hos...
  6. Help with blood gases

    I also found ABG's to be the most difficult thing I learned in nursing school! If the pH is normal, you can still use the ROME method to figure out the problem. For example, if the pH is on the lower end of normal range and the PCO2 is high, it is s...
  7. Help with blood gases

    I learned the "ROME" method, and it seems to work... R = respiratory O = opposite M = metabolic E = equal "Respiratory opposite, metabolic equal". If the pH is low and the PCO2 is high, it is respiratory acidosis (PCO2 and pH moving in opposite dire...
  8. Straight pay for 12 hour shifts?

    We get time and a half after 8 hours, double time after 12 hours. We are union. I work days, so there is no shift differential, but I think night diff is 3.25/hr.
  9. Responsibility for other nurses?

    I don't think it is right for the charge nurse to be ultimately responsible for all other RN's, as we all have the same license and should be responsible for our own actions. However, I had an experience at work where I feel that the supervisor put ...