JEEMA

JEEMA

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About JEEMA

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  1. GLBT Nurses

    I have faced similar situation. I am not out, to my friends/parents. My colleagues/friends tries hooking me up with somebody and they are bewildered as to why i dont seem to interested, till they got tired of it. Most of my patients asks me why do...
  2. What is the significance of CO2 in the mentioned lab works? What will be the treatment for it? If pt. is on O2, 2L, no signs of resp distress, saturation above 90's, do i need to inform the MD about it? Thanks.
  3. Nurses advancing endoscopes

    We used to advance scopes in one of our doc during colonoscopy. He will tell us when to push, and whe also anticipate when, if the lumen is visible. He said it's the trend and wanted to start it in our department. Thankfully, no perforation had ha...
  4. Blood Pressure

    How high are BP parameters that need to be referred to MD? Im new to telemetry. Used to see pts with prn meds for sbp>160. My pt who has hx of htn had a bp of 180/100, so i called the resident on call, in case he may order some stat or prn meds...
  5. How do you check/prepare the scope prior to use (already hooked in the machine)? We had a colleague who claimed they use Pentax scopes where he previously worked and always forgets to put on the light/ do "whitening" in our Olympus scopes. We someti...
  6. International nursing in Saudi Arabia

    Hi! Dubai is a great place to live! It is an open city. Nurses are paid better than other part of the emirates, though some hospitals are planning a raise to prevent everyone from leaving. Been there... waiting for that promise, till it's time fo...
  7. Management of clean 2nd degree burn

    It's not that big- the most damaged part is just more than the size of a quarter dollar. That's the area where hydrogen peroxide is used which I think contributed to its slow healing (?) It doesn't need grafting, just conservative treatment. It just ...
  8. Management of clean 2nd degree burn

    HI! Just wanna ask how you manage a second degree burn. Got scalded recently and the doc who treated me used hydrogen peroxide on it. I think he used a silver nitrate as a first solution (haven't asked) because the healthy tissue just dried up and lo...
  9. Bronch's

    Bronchoscopy is done in our unit and in ICU in emergency cases. You just have to bring the machine and the scope and accessories needed. It's a fast procedure, some with an x-ray guide. Patient is on oxygen. Patient's oro-nasal passage are locally...
  10. In the middle east (where I used to work), patients are usually sent home at the end of the day. We used to give them the antidote just to keep them awake and be ready for discharge. It was only when we experienced a complication after a colleague ...
  11. room turnover time

    15 minutes, esp if we are running out of schedule and anxious to go home:)
  12. Hello again. Sorry if I asked many questions. It's just that I have so many doubts in mind, and I want to compare our practice to yours too. How do you check the scope prior to the procedure? (i.e., the suction, air & water insufflation) We che...
  13. Thanks for the replies. Well, we're just wiping out the secretions from the scope for easy handling. But i think a dry gauze will be enough? I havent discussed this issue with them:(
  14. Hi! We did banding the other day and my colleague who inserted the multiband ligator cleaned /wiped the scope with a detergent (neo-disher diluted in water) and never rinsed it with alcohol. The doctor never seemed to mind too. I just can't imag...
  15. Are you also asked to apply pressure on the left lower iliac region during colonoscopy, esp after reaching the sigmoid? We're usually asked to do it in order to straighten the splenic and hepatic flexure and facilitate easier insertion and to quickly...