peaches88

peaches88 has 6 years experience and specializes in ICU, ER, PACU.

Latest Activity

1. ESI question

   peaches88 replied to peaches88's topic in Emergency

   Sorry for the late post. It had turned out to be an ovarian torsion. FAST exam at bedside ruled out bleeding, then she had a CT and ultrasound. I wonder now, is a possible ovarian torsion a level 1? Testicle pain is a level 1 because it can cause...

2. ESI question

   peaches88 replied to peaches88's topic in Emergency

   My thought was that her aneurism could have ruptured, which is why I put her as a 1.

3. ESI question

   peaches88 posted a topic in Emergency

   Had a pt present to ED... young female with a hx of splenic artery aneurism that had appointment to operate in one week with sudden onset of sharp, tearing abdominal pain that radiated to her back. HR 150 and BP 90/45. Diaphoretic and tachypneic. I...

4. What to do after a rough shift?

   peaches88 replied to Brian's topic in Rock

   I listen to metal/hard rock on the way home. Then it's always a hot bubble or epsom salt bath with lavender oil, a glass of wine, and a good book (or just complete silence and nothing to think about).

5. L&D to PACU

   peaches88 replied to eaRNdit's topic in PACU

   Having worked PACU and having friends that are L&D nurses, my biggest recommendation would be to study up on cardiac monitoring, airway management, and medications. Try to see if your facility has a PACU med order sheet and then focus on studyin...

6. Facial Drooping in Adolescent

   peaches88 replied to Tencat25's topic in School

   Most likely cause would be Bell's Palsy... This patient would have likely set out in the waiting room of the ED after being triaged. If you had called an ambulance, they would have complained about the bill. Let me know if you find out what it was,...

7. Question regarding agency...

   peaches88 posted a topic in Agency

   So, this morning, I was scheduled to orient at a hospital. I signed up with this agency in order to make some extra money, picking up per diem shifts. I show up at the hospital and nobody is in the classroom area. So, I wait around until it was sc...

8. Lap Chole Bundle

   peaches88 replied to emain86's topic in PACU

   I rarely have to give a lap chole much for pain. This includes three surgeons that all perform the procedure differently. Typically, we give 0.4mg dilaudid q 5 min, up to 2 mg, if needed. I usually end up giving 0.4-0.8 mg total to a lap chole in ...

9. Just took the CPAN and passed. Ask me anything.

   peaches88 replied to muenbuty's topic in PACU

   Did you go to their test review or were you able to just study on your own?

10. PACU care of pts with substance use/abuse

    peaches88 replied to wannabecnl's topic in PACU

    Also, ASPAN just posted their winter/spring conference dates!

11. PACU care of pts with substance use/abuse

    peaches88 replied to wannabecnl's topic in PACU

    Good collaboration with your anesthesia provider is really important. Depending on the procedure and the patient, maybe have him/her look into doing a spinal or nerve block. If the procedure wouldn't allow for those options, sometimes our anesthesi...

12. Where are all the young nurses?

    peaches88 replied to bestallaround's topic in General Nursing

    I'm the second youngest at 23. I think the oldest RN that I regularly work with (on nights) is in her late 30's. It is a med/surg floor though, so the older RNs probably work day shift or in specialty areas. It does sound that you must work in a p...

13. New Resident Admissions process

    peaches88 replied to qestout's topic in Geriatric

    Where I worked, if a new admit showed up 5 minutes before your shift ended, too bad, it was yours to do... all of it! It sucked. All paper charting too, so your hand hurt like hell after it was all done and if it didn't, then you probably forgot so...

14. What job offer to take?

    peaches88 replied to tokyoROSE's topic in General Nursing

    Well, they would probably be more likely to hire you as a NP if you worked there before...

15. Any advice on career transition?

    peaches88 replied to peaches88's topic in Career Support

    Thank you for the information! I'm really excited to start this new position!