Content That Melissa0181 Likes

Content That Melissa0181 Likes

Melissa0181 1,478 Views

Joined Apr 8, '12 - from 'Texas'. Melissa0181 is a RN. Posts: 48 (33% Liked) Likes: 29

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  • Aug 8 '13

    I work at a rehab hospital. . .get really familiar with your pain meds. Norco (hydrocodone/acetaminophen) is the pain medication I administer most commonly. Other pain meds that I administer include tramadol (Ultram), hydromorphone (Dilaudid), Oxycodone IR (immediate release), Oxycodone SR (sustained release a.k.a. Oxycontin), Morphine, MS Contin (sustained release morphine), oxycodone/acetaminophen (Percocet), Demerol, and hydrocodone/ibuprofen (Vicoprofen).

    Lots of anticoagulation protocols are in place due to the multitude of CVAs and s/p MIs. You'll be giving of Coumadin, Pradaxa, Lovenox, Heparin, Plavix, ASA, etc.

    Brush up on the following diagnoses, surgeries and afflictions: CVA, MI, multiple sclerosis, quadriplegia, paraplegia, tramautic brain injury, anoxic brain injury, pneumonia, BKA (below the knee amputation), AKA (above the knee amputation), CA (cancer), autonomic dysreflexia, hypertension, CAD, PVD, CHF, diabetes type I and II, rheumatoid arthritis, osteoarthritis, TKA (total knee arthroplasty), THA (total hip arthroplasty), ORIF, CABG, ostomy care, PEG tube care, etc.

  • Oct 20 '12

    Are you clustering your care? If you have meds due at 8 and at 10, give them together at 9. If you have a patient with q4h blood sugar checks make sure you are giving meds or turning them or whatever at the same time as your blood sugar checks when you can. Also make sure you are delegating non-nursing tasks to the nursing assistant so you can sit down and chart.

  • Aug 12 '12

    WARNING TO US ALL!!!

    Shampoo Warning!
    I don't know Why I didn't figure this out sooner!
    I use shampoo in the shower...
    When I wash my hair, the shampoo runs down
    my whole body, and Printed very clearly on the
    shampoo label is this warning,

    "FOR EXTRA BODY AND VOLUME"
    No wonder I have been gaining weight!
    Well, I have gotten rid of that shampoo and I'm
    going to start showering with Dawn dish soap instead.
    Its label reads....
    "DISSOLVES FAT THAT IS OTHERWISE DIFFICULT TO REMOVE"

    Problem solved!

  • Aug 11 '12

    A's were still A's in my program. If you worked hard, studied, and put in the effort you can get A's.

    I think people that say "C's are the new A's" are just trying to come up with an excuse for why they didn't get better grades. Blaming the curriculum or saying that the teachers make it impossible to get A's is the easy way to explain their grades.

  • Aug 5 '12

    I don't know the exact EMT procedure, but not moving the victim has to do with suspicion of spinal injury. Based on what you saw and your rationale, I think you did the right thing by turning him on his side. And continuing to hold pressure to the wound... I think you did the best thing possible in that situation.

    No matter what, don't beat yourself over it. I experienced a similar situation where a stabbing occurred at my school and the victim happened to be in my classroom. I remember standing at the edge of the huge puddle of blood dazed after the person was taken away, just thinking, "How could I be so stupid? Why couldn't I have been faster? How can I be a nurse when I can't even respond promptly in this situation?" My self-berating thoughts abated only after someone told me, "You didn't come to school expecting this sort of thing. How well you respond to emergencies depends a lot on whether you were prepared for them or not."

    We can be wonderful nurses when we're at our jobs, but it's a lot harder to be all that great when we're thrust into complete emergencies when we were least expecting it. Unless we practice and practice, and procedures become physical memory. That's what I'm working on too, so that I can respond better just in case another emergency happens when I'm not expecting it.

    As to whether you helped or hurt the guy... what do you think the outcome would've been if you weren't there to do what you did? Not everyone steps forward to help risking getting in contact with blood.

  • Aug 4 '12

    Well... here's the thing, anywhere you live that pays more is going to cost more.

  • Jul 20 '12

    You know, I'm a CNA right now and am *so bored*. I do a lot of all night 1 on 1s with suicide or flight risk, basically watching them sleep. But you know what. Im learning good things and I'll be a lot more competitive at this hospital when I finish my BSN than I would be without this experience. So I'm learning everything I can, rocking this job as hard as I can, not complaining, looking forward to the future.

  • Jul 10 '12

    In nursing school, I learned that:

    1. Unspoken politics exist.
    2. Interpersonal skills will make or break you.
    3. People with 'quiet' personalities are viewed with a suspicious eye.
    4. Sometimes the best nurses are the first to be punished.
    5. Sometimes the worst nurses fly under the radar undetected.
    6. Some doctors can be unprofessional and immature.
    7. Family members and visitors can be menacing and get away with it.
    8. For every nurse who loves his/her job, there's a nurse who hates his/her job.
    9. Not every patient wants to be helped.
    10. Not every nurse has the desire to help.
    11. A person can be here today and gone tomorrow, forever.

  • Jul 9 '12

    ((((((((((abbaking)))))))))

    I hear you, hon. I just posted something along a similar line, because I too am fed up with the way nurses are treated despite all the warm-and-fuzzy Johnson & Johnson ads and the polls listing us as the most-trusted profession. Most trusted, maybe; most respected.......not in my lifetime, anyway!

    Do whatever you have to in order to put these feelings away for the night, whether it's relaxing in the tub with a nice glass of wine or venting to a friend on the phone. Tomorrow things will be a little clearer, and they will hurt a little less. Be good to yourself, and remember: "tomorrow is another day".

    Gentle hugs and thoughts coming your way. Take care.

    Viva

  • Jul 6 '12

    What a nightmare! So sorry you had to deal with that. Kudos to you for advocating for the baby (even if he didn't listen) and for the mother by giving her some precious STS time before the transfer.

  • Jul 6 '12

    Thank her for her time. Maybe state to please keep you in mind for future positions. You can also ask how you interviewed and if she has any tips for your future interviews, that way you can figure out why you were one of the top candidates but not the top candidate. Good luck.



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