~*Stargazer*~'s Activity: Liked

By ~*Stargazer*~

Joined Oct 15, '10. Posts: 2,207 (64% Liked) Likes: 5,732

Topics and comments that ~*Stargazer*~ found helpful or appreciated. (Note: Only topics/comments submitted in the past 12 months will be displayed. Max. 50)

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  1. When I start with "what is your emergency this morning" and the reply begins something like "oh, it's not really an...
    ~*Stargazer*~
    Forum: Emergency Nursing
  2. Drive me up the wall as well. My 13 y/o has it and the only thing that drives me up the wall more is the incompetency of the...
    ~*Stargazer*~
    Forum: Emergency Nursing
  3. You need do perform a complete assessment your PICC line or any CVC the patient may have.Part of that assessment is to...
    ~*Stargazer*~
    Forum: General Nursing Discussion
  4. CVP? Hell, I'm happy if the bedside tele works.
    ~*Stargazer*~
    Forum: Emergency Nursing
  5. Sounds like my ER sepsis bundle. I'm in a huge level 1 trauma ER and very very rarely do we use CVP monitors.
    ~*Stargazer*~
    Forum: Emergency Nursing
  6. Our bundle includes 2 IV's, blood, paired blood cultures and a lactate. Fluid resuscitation is 30ml/kg. Maintain MAP >60. If...
    ~*Stargazer*~
    Forum: Emergency Nursing
  7. Unfortunately the antibiotic won't cover the resistance to abx caused by overuse. And it won't cover the crazy mutated...
    ~*Stargazer*~
    Forum: Emergency Nursing
  8. Agree with MunoRN's post above: treatment is not necessarily a linear path from BP ---> fluid ---> pressors. Good info...
    ~*Stargazer*~
    Forum: Emergency Nursing
  9. Ideally whether or not to start is pressors is based on CVP and BP, so a central line is required not just for pressors but...
    ~*Stargazer*~
    Forum: Emergency Nursing
  10. Yes ......if is is compatible with NS it is compatible with 1/2 NS. NS has 154 meq/L sodium and 154 mEq/L of chloride and...
    ~*Stargazer*~
    Forum: Nursing and Patient Medications
  11. I think it's great that the hospitalist came to get the labs herself! The plight of the foor nurse is often that an access...
    ~*Stargazer*~
    Forum: Nurse Colleague / Patient Relations
  12. I completely understand what you are saying here, but it doesn't have to be an either/or proposition. What the...
    ~*Stargazer*~
    Forum: Nursing Student Assistance
  13. There was a pt in med/surg who was confused, had a very distended belly, felt awfully bloated (ended up as a complete SBO)...
    ~*Stargazer*~
    Forum: Emergency Nursing
  14. But the presence of crackles is strongly correlated with poor outcomes. If the nurse called me win report in this patient...
    ~*Stargazer*~
    Forum: Cardiac Nursing
  15. To those talking about communication between nurse and student about what they can and cannot do, I had some great nurses...
    ~*Stargazer*~
    Forum: Nursing Student Assistance
  16. We must be reading different posts, because I saw no "high pressure tactics" - just an accurate picture painted of the...
    ~*Stargazer*~
    Forum: Nursing Student Assistance
  17. I feel like I'm posting in an alternate reality. I've been here for more than a decade, and I haven't noticed that the place...
    ~*Stargazer*~
    Forum: Nurse Colleague / Patient Relations
  18. I totally agree with Emergent. I don't think anyone was out of line in that thread. And I think that some people were...
    ~*Stargazer*~
    Forum: General Nursing Discussion
  19. I just read the thread that seems to have affected Singing in my Heart so deeply. I think he overreacted. Someone took...
    ~*Stargazer*~
    Forum: General Nursing Discussion
  20. The so-called "never" list is simply a short list of procedures that a school does not want their students performing. For...
    ~*Stargazer*~
    Forum: Nursing Student Assistance
  21. You may hear incidental disclosures. You may ask only what you need to do to do your job. You may not discuss it outside...
    ~*Stargazer*~
    Forum: HIPAA and Nursing Challenges
  22. I'm getting verklempt. Talk amongst yourselves. Mikey31079's nursing assistant is neither nursing nor an...
    ~*Stargazer*~
    Forum: Nurse Colleague / Patient Relations
  23. We try to avoid using the word "appears" but rather chart exactly what we see. We also don't chart "sleeping, or asleep,...
    ~*Stargazer*~
    Forum: General Nursing Discussion
  24. Bye ♪♫ in my ♥ -I've enjoyed your participation around here, too. Hope you return but if not best wishes to you!
    ~*Stargazer*~
    Forum: Nurse Colleague / Patient Relations
  25. My daughter was diagnosed with CVS at the age of 8 but she'd had symptoms since she was 2. It started on "vacation" at my...
    ~*Stargazer*~
    Forum: Emergency Nursing
  26. Good advise, Stargazer. Yes, I recently spent hours with one of our 'persons who vomit'. Her personality just annoys me,...
    ~*Stargazer*~
    Forum: Emergency Nursing
  27. Automatic BP cuffs can become inaccurate when there's an irregular rhythm or when there's some beat-to-beat variability...
    ~*Stargazer*~
    Forum: Cardiac Nursing
  28. Sorry to go off topic but this an important distinction. It's not actually "practicing medicine w/o a license" for a nurse...
    ~*Stargazer*~
    Forum: Cardiac Nursing
  29. Throwing a clot and developing CHF. CHF can develop insidiously.. until BAM... fulminating pulmonary edema.
    ~*Stargazer*~
    Forum: Cardiac Nursing
  30. I think over time we all end up with those primary examples we immediately recall with perfect clarity for the major ER...
    ~*Stargazer*~
    Forum: Emergency Nursing
  31. Perhaps my most disturbing code was also my first as the only nurse in the room at a tiny, critical access hospital. The...
    ~*Stargazer*~
    Forum: Emergency Nursing
  32. I'll forgo the public self-incrimination but I lost my cool today :={ Totally understandable but not OK... This job...
    ~*Stargazer*~
    Forum: Emergency Nursing
  33. Critical thinking skills is what is needed here. The patient presented with... incontinence, that is not a diagnosis.. it...
    ~*Stargazer*~
    Forum: Cardiac Nursing
  34. I haven't taken an admission for quite a long time. Not since we switched our EMR software for sure. BUT... as I'm quite...
    ~*Stargazer*~
    Forum: General Nursing Discussion
  35. Soooo time consuming, and it's such a guessing game. "Did you take your tacrolimus this morning? The Prograf? The one to...
    ~*Stargazer*~
    Forum: General Nursing Discussion
  36. I'm sorry for your loss, I've been there too. As a palliative/hospice nurse in LTC I have seen plenty of loss at both ends...
    ~*Stargazer*~
    Forum: Nurse Colleague / Patient Relations
  37. Also, sometimes medics will bring the pt in and report a syncopal episode. When talking to the patient, he/she will say "no...
    ~*Stargazer*~
    Forum: Cardiac Nursing
  38. We are required to get vitals which invariably leads to a potty patrol, while the CNA's wait for a call light. It is...
    ~*Stargazer*~
    Forum: Nurse Colleague / Patient Relations
  39. To notdone yet, Nip this in the bud by giving the CNA clear expectations. These pts will need you to help them to the...
    ~*Stargazer*~
    Forum: Nurse Colleague / Patient Relations
  40. I don't have any answers for you, but I feel your pain. I actually got into trouble with my manager once because the CNAs...
    ~*Stargazer*~
    Forum: Nurse Colleague / Patient Relations
  41. Argh. I had a shift from HELL yesterday and it has left me in quite a funk. I am on a PCCU floor and the patients are...
    ~*Stargazer*~
    Forum: Nurse Colleague / Patient Relations
  42. What amazes me is when grown adults come in that didn't take anything for fever or pain. I had one lady tell me she...
    ~*Stargazer*~
    Forum: Emergency Nursing
  43. Are you an NP, who is being told by supervising physicians to order opioid analgesics? I just wanted to clearly...
    ~*Stargazer*~
    Forum: Nurse Practitioners (NP)
  44. This is where a CVP can be useful. It's possible for a patient to have excessive fluid outside of their vascular space,...
    ~*Stargazer*~
    Forum: Emergency Nursing
  45. It's pretty rare that I place 22g in adults but on occasion I do and generally, I'm able to pull labs off of them for the...
    ~*Stargazer*~
    Forum: Emergency Nursing
  46. Don't even get me started on how different CT techs will accept different IV gauges/placements for CTAs.
    ~*Stargazer*~
    Forum: Emergency Nursing
  47. I have drawn acceptable/non-hemolyzed specimens from adults using 22g or even 24g IV catheters in the thumb/knuckle/inner...
    ~*Stargazer*~
    Forum: Emergency Nursing
  48. I disagree. All (neonatal, pediatric, adult) of our transport nurses can intubate and do crics. To maintain their skills...
    ~*Stargazer*~
    Forum: Emergency Nursing
  49. We don't have computer charting. I just tell the patient's story, as I remember it, and whip through the chart as I talk to...
    ~*Stargazer*~
    Forum: Emergency Nursing
  50. ESI is a well-validated tool to indicate both patient acuity and the amount of "resources" that are likely to be required to...
    ~*Stargazer*~
    Forum: Emergency Nursing


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