klj836

Latest Activity

1. Not enough attention to BMs in nursing today!

   klj836 replied to FireStarterRN's topic in General Nursing

   This is another point that nursing has drifted from the basics of care and many time now we nurse machines instead of people. The bath, nutrition, and daily elimination takes second place to the cardiac monitors and all those other wonderful electro...

2. You Know You're an Old(er) Nurse If . . .

   klj836 replied to hollyvk's topic in General Nursing

   I have done all this............39 years and counting. I think we cared more, our patient's were happier, and we enjoyed our work. Do you remember MS and Demerol tablets that were dissolved to give a narcotic IM?

3. Is there REALLY a nursing shortage?

   klj836 replied to ShimmaShimma0304's topic in General Nursing

   I agree with part of this statement in that most new nurses do not want to work in med/surg. It is a tough area but one of the best to gain experience in patient care and time management. As the population ages we may be in trouble with the number ...

4. Non anesthesia provider providing anesthesia

   klj836 replied to EMS/ICU/SRNA's topic in CRNA

   It is conscious sedation and there are rules and regulations about this procedure and JCAHO has their eye on this and will ask for training for nurses and docs.

5. Advice For The New Nurse Entering Med-Surg

   klj836 replied to RNPATL's topic in Med-Surg

   No where else will you get a good basis for clinical practice than on a med/surg unit. Sometimes med/surg units are not the first choice by new grads because you have to really work hard and know what you're doing. You don't just take care of a spe...

6. IV Phenergan and Toradol "Push"

   klj836 replied to CrohnieToo's topic in Emergency

   PE is not the worst......amputation of an extremity seems to be worst case I've heard of. The lawyers love our mistakes

7. IV Phenergan and Toradol "Push"

   klj836 replied to CrohnieToo's topic in Emergency

   Phenergan is a dangerous drug. It is a vesicant and I know personnaly of a patient that has had a finger amputated because the IV was leaking and the phenergan got into the tissue. Several years ago a patient eventually had hand amputated (was a la...

8. "Don't waste your time getting your BSN..."

   klj836 replied to HeartsOpenWide's topic in ADN/BSN

   As you progress in you studies you will understand the history of nursing and how the diploma, BSN, and ADN compare and where they came from. Nursing was primarily a "medicine based" practice - that means that we operated under the direction of the ...

9. IV Phenergan and Toradol "Push"

   klj836 replied to CrohnieToo's topic in Emergency

   Unfortunately, our hospital still administers Phenergan IV and of course we have seen some poor outcomes. The positive thing that happened from this is at least we have to dilute it with 10 cc saline so the concentration is a little better. Hopeful...

10. "Don't waste your time getting your BSN..."

    klj836 replied to HeartsOpenWide's topic in ADN/BSN

    There is quite a bit of difference between ADN, BSN, MSN and APN. I am a diploma grad and for years have fought the "education" thing because I was a good nurse and could work circles around anyone, never miss an IV stick, and you know that whole st...

11. Pediatric care

    klj836 replied to klj836's topic in General Nursing

    The problem with the feeding tubes, even tho small, are the openings on the sides of the tubes are sometimes rough, more so that the 5F catheter. Size is the big issue and I cannot find a smaller tube. I think the 5's are fine and it's a performanc...

12. Pediatric care

    klj836 replied to klj836's topic in General Nursing

    I am from a small rural hospital and most nurses, except those of the nursery and pedi unit, are uncomfortable catheterizing babies not yet toilet trained. Our specimens are sometimes contaminated with bag useage, expecially with babies who have dia...

13. Pediatric care

    klj836 posted a topic in General Nursing

    Need information and advice regarding urinary catheterizations of neonates/pediatric patients. Is the smallest catheter a 5 French. What have you seen used.....and I don't want to hear about the 3.5 F feeding tube. Thanks.

14. What is it about Med-Surg?

    klj836 replied to Mint Julip's topic in Med-Surg

    I have been a nurse for over 30 years and love med-surg nursing. Everyone wants the speciality areas because of the patient ratio and they can focus on one modality. Med-Surg nurses are the cream of the crop. They don't nurse 'machines' as many of...

15. This is the stupidest thing I have ever done.

    klj836 replied to Chad_KY_SRNA's topic in General Nursing

    It is the responsibility of the facility to provide a safe work enviornment. I hope you reported the incident and filled out whatever form you use. Ask the head of maintenance if they do preventetative safety rounds......OSHA has a lot of rules and...