nocturne716

Latest Activity

1. Question: Do ER nurses do more things independently?

   nocturne716 posted a topic in Emergency

   For example, you dont delegate things like VS checks, neurovascular, neurologic checks go LPNs/CNAs/PCTs as per your protocol guidelines or ENA guidelines. It seems that some ER nurses are allowed more leeway on otherwise "MD only" porcedures such as...

2. Identifying main medical problem...

   nocturne716 replied to nocturne716's topic in Emergency

   Going off on a tangent: When you see a patient go comatose (GCS falls to a 5) like that, what should you do? I'm already assuming that ABCD has already been assessed as an inital assessment when the patient came to the ER, would you redo this assess...

3. Identifying main medical problem...

   nocturne716 replied to nocturne716's topic in Emergency

   he had ipsilateral pupil dilatation...no info specifically on his babinski report, but i'm assuming because of the GCS Score of 5 (no eye opening, no verbal response, decorticate movement ot pain) that the babinski would be postive. thanks.

4. Identifying main medical problem...

   nocturne716 posted a topic in Emergency

   Question: A person comes in to the ER because he had falled from a ladder and hit his head on a rock...in the ER, he speaks incoherently and drifts off to sleep (GCS score from 15 falls down to a 5 with decorticate movement). He's taken to surgery b...

5. RN Functions

   nocturne716 posted a topic in Emergency

   In the ER, do the RNs have more independent functions that they normally wouldn't have on other floors? (ie what you would normally need a signature for)

6. Where to buy nursing books?

   nocturne716 replied to jemride's topic in General Students

   Buy directly from the publisher. I see that in comparison to stores like barnes and noble or amazon, the price is alot less. That and depending on the publisher, you won't be charged Shipping/Handling. :balloons:

7. help with nursing diagnosis!!!

   nocturne716 replied to ck1o28's topic in General Students

   Hypertension Intervention: -Administer (insert medication name) as prescribed. -Watch for signs and symptoms of orthostatic hypotension (side effect of hypertension). -Assess vital signs prior to administering medication (give or withhold as needed)

8. help with nursing diagnosis!!!

   nocturne716 replied to ck1o28's topic in General Students

   For evaluation....try to put qualitative and quantitative data. That's the first mistake I made, was to not put any quantitative data in. Like for example if you're intervention is ROM .....say that the pt. is not able to extend so and so degrees.

9. Rhythm of pulse question...

   nocturne716 posted a topic in General Students

   Palpating for carotid pulse and radial pulse. Is it abnormal to feel that the carotid pulse's rhythm seems like a "Lub Dub" (think heart sound) and the radial feels just like "lub" continuously? If that is abnormal, what would that signal?

10. Student Nursing Uniform

    nocturne716 replied to dramaluvr's topic in General Students

    I love love love Dickies uniforms! So buttery soft! :)

11. UTI and sepsis question.

    nocturne716 posted a topic in General Students

    According to this website http://216.239.37.104/search?q=cache:JtYm9uo50ooJ:www.vh.org/adult/provider/familymedicine/FPHandbook/Chapter10/05-10.html+why+are+UTIs+at+risk+for+sepsis%3F&hl=en&ie=UTF-8 "UTIs are a common cause of sepsis in the e...

12. Assessing CVP

    nocturne716 replied to nocturne716's topic in General Students

    Is CVP also a case in which you would measure Jugular Vein distension?

13. How far of a deviation in vital signs is not WNL? ie.

    nocturne716 replied to nocturne716's topic in General Students

    thanks for the info!

14. "PUP Score" abbreviation

    nocturne716 posted a topic in General Students

    What is the abbreviation 'PUP Score' defined as, it should be under respiratory? I can't find it in my Lab Diagnostic book, the closest thing is "PAP" which is Prostatic acid phosphatase. Tia.

15. How far of a deviation in vital signs is not WNL? ie.

    nocturne716 posted a topic in General Students

    Ie. WNL RR is 15-20....so then 28 is not WNL? Is there a specific range that you can't go over or is 15-20 set in stone?