pawashrn

Latest Activity

1. LVADS in the community

   pawashrn replied to traumaRUs's topic in CCU

   ghilbert. point well taken. But a renal nurse and a CV nurse are two different skills and knowledge. As, in the comment before yours. If the Dialysis Nurse makes the pt. intravasculary dry then their actions are directly responsible for the pt's. pre...

2. can ICU nurse handle 2 pts on the levophed same time

   pawashrn replied to Snoopy54321's topic in CCU

   2 pts. and each of them is on Levo, is a great assignment for me. H--- I have had 2(vented pts. on levo.dopa, epi, blood sugar checks every hour. Alot to do about nothing, some people will always create a nightmare out of any assignment. You give the...

3. Nurse to Nurse Communication

   pawashrn replied to LewisA2's topic in CCU

   personally. am I being cold. I treat any pt. I receive as if they just came thorough the ER and no knows anything about them. Does it really change your nursing care to know they had dialysis 20 days ago. no, you are assisting in the care at this pr...

4. LVADS in the community

   pawashrn replied to traumaRUs's topic in CCU

   you do what you accept to do. My opinion only. They belong in a dialysis center within a hospital setting. An arrest is an arrest and the poor Renal RN taking care of the pt. is accepting the responsibility. Family member/caregiver or not the RN is u...

5. Dobutamine Advice

   pawashrn replied to ellekunk's topic in CCU

   dobutamine is great for unloading a pt. with CHF. pts. do come to the hospital for Dobutamine therapy every couple days or so to help increase the contractility of the heart and therefore improve systemic functioning of the circular system and thereb...

6. Open Heart Recovery Training

   pawashrn replied to CRIMSON's topic in CCU

   I have been doing open heart surgery recovery nursing for 14 of my 16 years of nursing and have never read a book on how to care for them. Truly, just get in there. Use your basic knowledge, because every pt. responds differently. I have had pts. tha...

7. why be nice?

   pawashrn replied to Flipper911's topic in General Nursing

   smile,explain the care, fluff the pillow, massage the toes and when you get in your car scream like we all do. Hospitals are not focusing on the nurse who gives excellent care. They want the nurse that doesn't know a thing about medicine, but lea...

8. Working in a weight-loss clinic?

   pawashrn replied to ColleenDeLorean's topic in General Nursing

   I agree with your first responder

9. Unsafe Nurse - what can be done?

   pawashrn replied to PiperLPN's topic in Safety

   Just because she is working, don't assume nothing is being done. document your findings and release them to your manager. Example if you find lopressor in the sharps and it was to be given at 9pm. go back and retrieve the vital signs and see if ther...

10. Best Stethoscope for Nursing Students

    pawashrn replied to Connie1109's topic in Uniform/Gear

    Use your eyes and your senses to assess your pt. then grab a stethoscope. As a student you should hone your skills in observation. Such as, a person with no lung disease requiring high O2 and sat's are low 90's, problem. A person with lung disease re...

11. colostomy with rectal tube.

    pawashrn replied to optimusgts's topic in General Nursing

    What I am thinking is that the colostomy may be high in the colon and the physician is going to re-anastomos later and is letting the excrement be released and is relaxing the lower portion of the colon. Does this pt. have c-diff or colitis?

12. Should CVVHD be 1:1

    pawashrn replied to kristenallene40's topic in Critical

    1:1 ratio for vents. There must be a line forming to the left to work in that unit. If you email me, I'll be honored to send you my resume. Show me where the Moca is kept.

13. Dealing w/ difficult/drug seeking pts...

    pawashrn replied to nursewho's topic in Med-Surg

    Most drug addicts and alcoholics are base line manipulators. Kindly and firmly, let them know the schedule of medications and treatments and if they buck you. Notify the physician and let them get so pestered by this patient that they discharge them...

14. Graduate Nurse, can't find a job

    pawashrn replied to teatree13's topic in Critical

    You didn't say what state you are in. If you can apply at a University medical center. They take on alot of people with little to no experience. State where you would like to work, but accept anything down the pike. But stay close to you dream. If ...

15. I'm just starting out on the journey to become an RN

    pawashrn replied to LetUrLightShineRN's topic in Critical

    Know you weakness, If Math and Science scare you confront them and let the instructor know day 1 of this fear. Fear is a good motivator. Apply yourself with a daily dose of knowledge in Math/Science. If you have children grab their books and revie...