treecy

Latest Activity

1. NGT vs OGT in intubated patient, no sedation and AAO

   treecy replied to treecy's topic in MICU

   As it turned out, she was extubated and didn't need any tube. My point with the nurse was that she was AAO and cooperative. No restraints. The answer that she "never heard of that" concerned me. I understand your rationale that a patient may bite it,...

2. NGT vs OGT in intubated patient, no sedation and AAO

   treecy posted a topic in MICU

   Does your hospital have a protocol re: NGT vs OGT? In my hospital we routinely insert OGTs in orally intubated patients even if they are sedated. My mother was recently hospitalized and intubated. She lives far from me and when I arrived she was awak...

3. Pulling arterial sheaths

   treecy replied to RNinICU's topic in General Nursing

   I previously worked on an angioplasty unit that initially had the angioplasty fellows pull sheaths and then the RN's were trained. Our patients were admitted to us pre op and given plavix 300mg and ASA pre plasty and were on reopro, aggrestat or inte...

4. pilonidal cyst

   treecy replied to kats's topic in General Nursing

   Oooow, I feel for your hubby. I had mine surgically removed (after several flair ups and I&Ds). After packing and applying 4x4s I used to abd pads and then used a sanitary napkin belt under my underwear and didn't need tape. Mind you this was 25 ...

5. Atkin's diet

   treecy replied to GERINRS's topic in General Nursing

   I'm not on Atkins but I've been Dr. Bernstein's diabetic diet. Dr. Bernstein is IDDM himself and has written a book about his struggles with DM. I am NIDDM, dx'd about 3 yrs. ago, initially controlled by diet (ADA). After about a year started on Act...

6. Is Health Care a Right?

   treecy replied to VickyRN's topic in Activism

   Our healthcare system is a mess. I'm no financial mind but there should be a way for our citizens to recieve medical care when needed regardless of income. A few weeks ago my sister's finace fell and broke his arm. He has no health insurance (self e...

7. Depressed and beginning to hate my job

   treecy replied to KaroSnowQueen's topic in General Nursing

   Karo, what happened to you is so typical of nursing. Everyone's shortcoming is nursing's responsibility. You documented the elevated k+, called the MD, documented that and although you didn't say, I presume that you endorsed that to the next shift. ...

8. I debated on whether to post this or not, but I kinda need input...

   treecy replied to BrandyBSN's topic in General Nursing

   Dear Brandy, Good luck in whatever you decide. I have not had the surgery myself, but at the hospital that I do agency work I have had on average 1 patient a week who has had the open bypass. Most come up from pacu with a foley, ngt, 2 jps and pca. T...

9. Union, yes or no?

   treecy replied to NICUNURSE's topic in General Nursing

   I work agency, but I have noticed that the union hospitals that I've worked in had what I guess are nurse:patient ratio limits and once limits were reached no more admissions were allowed. period. That is a good thing. I have never been in a union bu...

10. Do you like Agency/ staffing Nursing and would you switch back to being on staff

    treecy replied to jamistlc's topic in Agency

    At this point I can't imagine working staff. I love being able to make my own schedule. No weekend, shift rotation or holiday requirements. No charge duties or precepting. No hospital politics or mandatory meetings. AND much, much better pay. the ho...

11. questions

    treecy replied to cactus wren's topic in Agency

    I am currently registered with 3 agencies, but am working primarily with one. So happens that one pays the most, but they also have the most contracts with local hospitals. Before I quit my staff position I did per diem with agency and saved 3 months...

12. Nurse to patient ratios

    treecy replied to stellaCat4's topic in Cardiac

    I worked on a 20 bed interventional unit (PTCA, Cath, ICD?PM, TEE, Cardioversion). We did the admission assessment, pre labs, sent for procedure, rec'd. post procedure with reopro, integrillen, aggrestat, dopamine, ntg.,dobutamine, lido, cardizem, mi...

13. Treatment of Agency Staff

    treecy replied to nightingale's topic in Agency

    for the most part I am treated as well or as badly as staff. If I find I've been dumped on I inform the charge nurse and the supervisor that I realize what they've done and that its an underhanded thing to do and then inform my agency I will not wor...