respectall

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1. Help...I CAN'T fail nursing school!!!!!!!!!!!!!!!!

   respectall replied to Ecpi Raleigh 07/09's topic in General Nursing

   Study your subject like you've never studied before!. I was in the same predicament where I was assigned to block hell. I know the instructor were doing what's best for the class and they want you to be COMPETENT nurses. Observe your instructor's tra...

2. Afib question

   respectall replied to Sugarcoma's topic in General Nursing

   If the pt is status post op, there are many possible etiology to his afib. 1. fluid vol deficit or overload 2. electrolyte embalance 3. pulmonary emboli 4. sepsis 5. substance withdrawal ( etoh, tobacco) If all of the above have been corrected and t...

3. Afib question

   respectall replied to Sugarcoma's topic in General Nursing

   This pt needs cardiology consult ASAP to better handle his arrythmia.

4. Dear preceptor

   respectall replied to Ivanna_Nurse's topic in General Nursing

   WHY was this conduct permitted or even tolerated. There's NO place in my unit that this SORT of narcissistic and condescending behavior is endulge. I am a preceptor and it broke my heart TO SEE how tretous and painful your orientation was. This prec...

5. how to deal with competitive nurses

   respectall replied to smartnurse1982's topic in General Nursing

   Being competitive for egotistical reason is WRONG. Competitive to be competent is GOOD. Often times the degree of experience in the field makes staff think they have the right to punitively judge other staff who acquire less experience. This is ABS...

6. Is it ok to draw lab from a PIVC?

   respectall replied to vpierre's topic in General Nursing

   I'm NOT being defensive, I just want you to understand my RATIONAL.THANKs

7. Is it ok to draw lab from a PIVC?

   respectall replied to vpierre's topic in General Nursing

   Blondy206, WHY do you think many Cancer pt have a portacath? 1. Chemo tx requires a central venous line d/t its cytotoxicity. 2. DAILY blood work for inpt to monitor CBC c diff espicially post chemo tx. and outpt scheduled hematology 3. venous acces...

8. Is it ok to draw lab from a PIVC?

   respectall replied to vpierre's topic in General Nursing

   The 18g cath was just an EXAMPLE added to my question to you. I know PICC and PIV are two different venous lines - you're absolutely right. But the question arise, would you continue drawing DAILY blood work from peripheral IV in these pt population...

9. Is it ok to draw lab from a PIVC?

   respectall replied to vpierre's topic in General Nursing

   CORRECTION: 18GAUGE catheter in the L anticubetal.

10. Is it ok to draw lab from a PIVC?

    respectall replied to vpierre's topic in General Nursing

    Let me ask you a question. If your 75yo pt admitted for hematochezia on chronic steroid use for COPD has a h/h q8hrs ordered. He has no visible and or palpable vein for pperipheral blood draw, BUT he has a 18gauge needle placed in the e.d that draws ...

11. Is it ok to draw lab from a PIVC?

    respectall replied to vpierre's topic in General Nursing

    Blondy206, You totally misunderstood my point. When I said that pt who have daily blood draw need central line, I am refering to pt who have poor vein access and therefore NOT candidate for phlebotomy. I did not say that if any pt have daily bloo...

12. Why do RNs get paid so similar to NPs?

    respectall replied to foreverLaur's topic in General Nursing

    If they work in the floor they are paid similar regardless of degree held. however it's different if NPs' work for primary MDS', it is up to that group's discretion of how much they wage their NPs. NP's are often use as substitute for MDs in their o...

13. Is it ok to draw lab from a PIVC?

    respectall replied to vpierre's topic in General Nursing

    You're correct, when the PIV was just inserted it's absolutely OK to draw blood spec from it. After insertion it's no longer "adviceable" to get spec from the PIV because of risk of LOssing the site and extravasation. BUT when the ONLY way that a spe...

14. What to do?

    respectall replied to GoECU's topic in General Nursing

    Learn basic first then advance as tolerated to more critical consistency. I started this way and NEVER regreted it! I am comfortable floating from ICU to MS . Been a ICU nurse now for 4 yrs.

15. My Papa. Why I Am The Nurse I Am Today.

    respectall replied to ExtraShotNoWhip's topic in General Nursing

    I'm sorry for your loss. There is really no kind of preparation that can prepare you for the inevitable. My Father died of Esophageal CA, he was given three mos to live. I don't think I was ever ready to accept the loss of my dad eventhough we have t...