2rntish

Latest Activity

1. New CPR instruction?

   2rntish replied to OURN83's topic in General Nursing

   There are also major changes to ACLS so it is not just for the lay rescuer.

2. Post resuscitation gtts

   2rntish posted a topic in PICU

   Do you have a standard concentration for your post code drips?? We are in the middle JCAHO and one of our hospitals got a ding for the old Broselow tape and rule of 6... Is there a reason we can't use a premix dopamine gtt at 1600mcg/ml (800mg/500ml)...

3. You can't go upside down when you menstruate?

   2rntish replied to jen42's topic in General Nursing

   During menstruation one has to lessen physical exertion including walking, dancing or heavy house-hold work. The body demands rest and relaxation and one needs to provide that. That would be after all the a** chewing you did during the 1-3 weeks of P...

4. Next PRN dose on Bridge. Do you have a window?

   2rntish replied to 2rntish's topic in General Nursing

   Look forward to it. I am looking at 21 computer generated "prevented med errors" right now. 3 are actual prevented errors. The rest are "noise" like the PRN time issue. I am more than happy to wade thru all of these if we can prevent even 1 error. W...

5. Next PRN dose on Bridge. Do you have a window?

   2rntish replied to 2rntish's topic in General Nursing

   I,m sorry, I should have explained. Bridge is the Bardode scanning system that is supposed to help varify the 5 basic rights of med admin. Scan your badge, scan the pt armband, scan the med...It does a cross check for allergies, order in system, wron...

6. Next PRN dose on Bridge. Do you have a window?

   2rntish posted a topic in General Nursing

   If you have a PRN dose q 4hr. Give a dose at 0700. Is the next dose due at exactly at 1100? Or do you have a window at you facility. We use Bridge and if you are 15 seconds early, it will generate a warning. I think there should be a "window" prior t...

7. Reassessment guidelines RN vs LPN

   2rntish replied to 2rntish's topic in General Nursing

   Our guidelines state what the assessment is, the scope of the RN, scope of the LPN but says nothing about times. JCAHO leaves it up to the hospital to define times. I have not sorted through all of the CMS regs yet. I think that in our case it is on...

8. Reassessment guidelines RN vs LPN

   2rntish posted a topic in General Nursing

   Can anyone help with guidelines for reassessment by an RN? Our current policy states q 24hrs. Our sister facilities say it should be every shift...It would be hard to have an RN do the shift assessment every shift in our facility. We have a great gro...

9. Tricky homework questions - HELP!

   2rntish replied to Kiwi's topic in General Nursing

   V Tach with a pulse is fairly common. Some patients are stable...good BP, no SOB...just a little fluttering in the chest. Some are unstable: chest pain, SOB, diaphoretic, hypotensive... Some are pulseless. You never have a pulse with V Fib...

10. Retention/Recruitment Through Orientation

    2rntish replied to CardioTrans's topic in General Nursing

    Orientation is important if it is directed towards your position on the floor. We do 3 days of history and tradition of our system. By the time we get the nurses, they are brain dead and ready to quit. Most orienttes want to be assured they will not ...

11. Husband wants to be a nurse????

    2rntish replied to harley_fan's topic in General Nursing

    I started in nursing for all the wrong reasons. I grew to love it, advanced to a position that is more rewarding than any I could imagine. Please let him do it.

12. Propofol

    2rntish replied to czipp's topic in Gastroenterology

    Last post (I almost spelled pist :chuckle ) for the day. Not all of the state boards of nursing agree with you and your BON. I know of atleast one that leaves it up to the facility and the MD at the bedside. I also wonder if all the extra training ...

13. Propofol

    2rntish replied to czipp's topic in Gastroenterology

    Reminds me of an old saying. You are just like an ostrich, you can bury your head in the sand but your *** still shows. Too many miles between us. I will go my way, you go yours. There are happier threads to follow. You stand on legalaties, I will s...

14. Propofol

    2rntish replied to czipp's topic in Gastroenterology

    Whoa there sister, take my meager attempts at humor in stride. Did not intend for you to take the "idiot" thing serious. And I don't remember any inservice on Dream Cream. I have learned a lot from the posts on this subject. Nothing to sway the numbe...

15. Propofol

    2rntish replied to czipp's topic in Gastroenterology

    I will try to stay civil because I do choose to repond. You are an idiot...I AM TEASING>>>LIGHTEN UP Every scenario I have discussed involves an MD being at the bedside. Not some lowly CRNA. AGAIN TEASING...I respect these guys and gals as m...