patsue53

patsue53

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About patsue53

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  1. sedation and driving

    Noone receiving sedation should be allowed to drive home. Our patients are told they are not to drive for 12 hours. If they don't have a driver we allow them to use a delivery service that charges $15.00 each way and will walk them to the door and ...
  2. Reconstitution of India Ink

    We use SPOT too. Mixing that india ink is nasty. I'd say make yourself a hero and introduce your new unit to SPOT!
  3. how may procedures per day

    We average around 32 cases per day with 47 being the most we've done in one day. This includes 2 campuses but one campus is inpatient only. We also do bronchs, ercp's, eso manometry, rectal ultrasound, prostate tumor volumetric studies and seed imp...
  4. Switching Jobs

    Hey Janet, who are you calling old!? :chuckle I'm 50 years old, I've worked in Endo for 8 years and held my CGRN for almost 5 years. Colons and Endos on healthy or slightly sick individuals don't require an anesthesiologist. A little sedation wil...
  5. recent colonoscopy experience

    I'm an RN who has worked Endo for 8 years. The vast majority of our patients do very well with Versed and Demerol. I can't tell you how often the patients ask me "when are we going to start?" as I'm removing the blood pressure cuff and ekg patches....
  6. I'm also curious as to why you would be cleaning it before resinserting it? Do you clean your fork between bites? Passing thru: "banding" is placing small rubber bands around esophageal varices via an endoscope.
  7. post colonoscopy position

    We usually just tell our patients that it will be easier to expel the air if they stay on their left side.......but then I tell mine that they can lay however they're comfortable. We don't have a written policy about it. I kind of look at it as one...
  8. Propofol

    I think you should review the definition of conscious sedation....or moderate sedation which I believe is the current preferred terminology. All the RN's in our department are required to be ACLS certified in case a patient has an adverse reaction ...
  9. Calling all GI nurses !!

    This article explains it better than I can. I know that it causes respiratory distress with cyanosis and when blood is drawn it looks like chocolate milk. It's treated with IV Methylline blue. I've never seen a case of it...hope I don't! http://ww...
  10. Calling all GI nurses !!

    We've all been trained in recognizing and treating methemoglobanemia but I've never seen it. I think it's very VERY rare. I'm surprised your docs have stopped using Cetacaine because of it. Do you spray with something else?
  11. Calling all GI nurses !!

    Never done an ERCP? There are days when I wish I could say that! LOL There's alot of technical skill and coordination involved with wires in an ERCP. The medicating is conscious sedation, but gets a little tricky because it usually takes more than...
  12. Calling all GI nurses !!

    HI Amy...thanks for asking! :) I've been working in GI for about 7 years now. I've had my CGRN for 4 years. I really love it, but do get tired of the call. I don't mind Saturday's so much because we're only open from 8 to noon on Saturdays. The...
  13. This is "how" Nurses divert drugs for their own use.

    In 1996 my father was dying of lung cancer. The nurse at the cancer center called and asked my stepmother to please bring in my father's medications as she needed some information off the bottles. My step-mother questioned her as to why she couldn't ...
  14. I need help trying to figure out what to do..

    I worked full time through all my children's babyhood. I was back to work when they were 8 weeks old (including the preemie twins who stayed in NICU for 2 weeks.) My children are now teenagers and the twins will be on their own very soon. If I ha...
  15. Do you wear gloves

    I think this subject has been handled very well. The reasons for wearing gloves and hand-washing have been thoroughly explaned and defended. Why any nurse in this day and age would expose themselves and risk their co-workers and patients by not glov...