IngyRN

IngyRN

Med/Surg, Homecare, UR, Case Mgt

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About IngyRN

IngyRN has 10 years experience and specializes in Med/Surg, Homecare, UR, Case Mgt.


Latest Activity

  1. Advice anyone??

    So after many years outside of bedside, I have returned and its been 7 LONG months. Its not any easier. I feel more anxious and self doubt than ever. It's quite humbling to have new grads teach me..& I have been a nurse for 10yrs. I feel like suc...
  2. Blood products

    Is there some kind of formula to determine or estimate how many units required to meet a certain level. for example how many units of prbc will bring up h/h 1 gram. how many units of ffp will lower inr by how many numbers?
  3. need to find my niche

    When I was in NS-my favorite rotation was L&D. Sometimes I would even stay hours after my clinical was over to stay with the pt ( of course w/the permission of the pt, instructor and RN). Unfortunately, following the advise of my nursing advisor ...
  4. Understanding PCA settings

    I never have pt w/PCA. Can somebody please explain settings/terms. IE lockout, basal, etc. thanks so much
  5. Have you contacted your RD (dietician)? They usually have these resources.
  6. Insurance nurses

    I worked as an insurance nurse in the past. Most insurance companies require bedside experience (usually 2-3 yrs). However, it is best to got to their website. Let me know if you have other questions.
  7. ASA for CP

    This may be a stupid question but I am assuming MONA is for Morphine, O2, Nitro, ASA. Are these the top 4 prioroities or should these be done in this order?
  8. ASA for CP

    How important is it for the patient w/CP to get ASA stat if pt is on heparin gtt. The patient was nauseous and could only tolerate taking 2 baby asa instead of 2 ( as per protocol)??
  9. To tell or not to tell? Opinions please!

    I would not say anything until your plans are definite. You don't want to burn bridges. However, be prepared, although your NM may seem nice, she may not like the idea of training and hiring you for only 6months.
  10. I know the usual needle length for IM is 1-1 1/2 inch needle. I was taught in NS to hold skin taut ( ?sp), inject at 90 degree angle, withrdraw to assure no blood return, if no blood return>inject medication. 2 questions> what if you inject a...
  11. Understanding Novolog

    Thanks for the replies. The pt was actually just on Novolog ( apparently I was sleepy when I started the thread-sorry). The patient initially had very high BS despite being on a high dose algorithm (250 to 370's), so they added the prandial dose. Aft...
  12. Understanding Novolog

    For all you diabetes pro;s I had a pt with a fasting BS 123. He was on 6u prandial humalog , along w/novolog algorithym which indicated an additonal 2u of novolog. Novolog is new to me ( I just returned to bedside after 7years) , it seems like 8units...
  13. Question for Hospital DC Planners

    I too worked for an insurance company as a DCP. Although the insurance DCP has the final say re: authorizing rehab LOC and payment, the first line of communication with the patient is the hospital DCP. They are the ones who meet w/pt, discuss dc opti...
  14. Survey for my Sociology Paper!

    just a thought. is your survey taking account demographics. i only ask because the pay scale varies so differently depending on area of the country. should this be one of your questions?? i am in oh. 1. how long (years) have you been a nurse? 10 year...
  15. HELP! My periepherals always leak after flush

    Why is it that PIV's clot off when a running IV completes infusion and is left connected. Like when an IV abx (Vanco in particular) completely infuses but the line is not detached and line line flushed immediately??