I am struggling with a 26 y/o male with chronic ETOH abuse. He is seen in the ER at least 2-3 times per week. With either suicidal ideations, wanting help to stop drinking. He either gets admitted to psych or goes on outpt ETOH withdrawl protocols...
Sorry, I don't know if this should be here or on a palliative care, or where my post should go, but here goes. I work in a 16 to 24 bed hospital depending on the day. Last night we had a bariatric pt come from our LTC facility with pneumonia and in...
True Christmas Miracle And so it goes, the rural hospital I work in has a 16 bed capacity. Last night when I went to work there was 21 and by the time I left there was 23. No room at the inn. Last Febuary or March our Dr's decided not to do any...
So sorry for your loss. (((((HUGS))))). No one can tell you how to grieve or your response to the loss. Nurse mode is a form of self-protection, but it sounds like you have your own personal moments of agony. Yes, be strong for your other kids, b...
shearernurse replied to JUSTYSMOM's topic in Emergency
Not to long ago, I had a 50-something lady come into the ER @ 0400 for constipation. Her loving husband brought her in. She also c/o hemorrhoids. So I gave her a fleet enema to go home with, I also gave her some proctosone ointment with the applic...
I don't know how you OB guys do it. I had my 1st stillborn delivery about 12 hours ago. I got to the delivery room @ 2240. Pt's membranes ruptured @ 2247 with thick mec. I was having trouble finding fetal heart tones. (that's because there wasn't...
shearernurse replied to CRNI-ICU20's topic in General Nursing
Yes, I have been hit and punched many times. We just got security a couple of weeks ago for our rural hospital. Our management have not been very supportive of pressing charges. About 13 years ago, I had a lady come to the emergency room via ambu...
I hoope this is the right forum. I had a situation the other night and need some insight on and also need to learn what was going on. I had a G2P1, come in @0030 and delivered by 0123. She only pushed for 20 minutes. Babe was a good size 3672Gm....
I have a friend, who has had unexplained amennorhea for 2 years now and all of a sudden, just got her period the other day. No pregnancy involved, her Dr, just said it was stress that caused the amenorrhea. What's up with that why all of a sudden w...
being alittle harsh, don't ya think. You are 23 years old, is there any cardiac hx in your family to suggest you are having a heart attack. Your K+ was 2.4, were you throwing up/ diarrhea, what? The Doc ran the labs, right. Go eat some bananas. ...
shearernurse replied to Mr.N8's topic in Emergency
Here is your conversion exercise. In Canada, normal blood sugars range from 6-8. In the States normal blood sugars are between 60-120. To figure out the conversion factor from canadian to american you times the value (lets say, blood sugar is 26) ...
Hello, all out there, I need some help. I am starting a new travel assignment in a couple of days and they want me to do ACLS on my own and I was wondering if anyone knows of a free interactive review site. My ACLS has long since expired. I am no...
shearernurse replied to jayrelic's topic in Nevada
this is my last night shift as a traveller in Las Vegas. I got 1 dayshift of orientation, which included all the med tests, computerized charting etc. Then my orientation nightshift was horrible. We were short, that meant we had 12 patients apiece. ...