Guitar_Heroine

Guitar_Heroine

Med-surg

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About Guitar_Heroine

Guitar_Heroine has 6 years experience and specializes in Med-surg.


Latest Activity

  1. Frequency of changing IV tubing

    If changing the site when "clinically indicated" and not at set intervals as per old practice, I wouldn't wouldn't consider it necessary to change a newer set of tubing/bags etc for a new site. If the change is due to site irritation/infiltration etc...
  2. Frequency of changing IV tubing

    We change q96 hrs for continuous infusions, but our policy is every 24 hours for intermittent (honestly the 24 hour changes are not well adhered to, and even though it has been policy for a few years I think probably most nurses aren't aware of it). ...
  3. You Know You're A Nurse If...

    The forklift at Costco makes alerts you and makes you seek the source of the "alarm" of the overhead page in the grocery store makes you pause and listen for the location of the code.
  4. Refilling water pitchers

    Besides ICU we don't routinely screen pts for MRSA. All pt pitchers are left in their room and filled with ice in plastic bags from the kitchen. And vital sign machines cleansed with sani wipes or bleach as appropriate. Maybe it's OCD but I hate to t...
  5. Aides who go over your head

    Sounds like a lot of fun personalities... sorry for the rough night! I don't work in LTC but these sound like issues that administration should be addressing - as a relief charge I would want my supervisor making the call on an employees ability to w...
  6. Critical Care Internships in Colorado, Idaho, Washington

    Depending on what kind of Critical Care environment you're looking for... You'll want to go to Sacred Heart in Spokane if you want transplants, VADs and it's the regional trauma center.
  7. Autopsy Question

    So sorry for your loss! It must be hard waiting for an answer. Usually the people I've seen pass so young from RA end up with complications from treatment, often methotrexate. Hope the ME can give you some answers and some peace. *hugs*
  8. foley catheters

    I always take someone in to help with positioning for women, but we have a LOT of bariatric and respiratory patients which makes positioning difficult. I like to grab a couple sterile gauze 2x2s to help hold the labia open because it helps me "grip" ...
  9. Handling Seekers

    We get a lot of these patients too. And of course the dilaudid makes them itchy and nauseated so they want benadryl and phenergan. My favorite line: "it only works if you push it fast!" I write down on the whiteboard in the patients room or on a pape...
  10. Lovenox question.

    Sometimes there's no way around two injections and I really don't understand the reasoning of those other nurses. We send a lot of people home with Lovenox and it's great when they do need two shots at a time because then you can demonstrate one and ...
  11. This was surprising

    Ya know, I think it would take longer to cheat! I wonder if maybe they just want to make sure there wasn't a glitch with the test administration system and it didn't give you some easy question 75 times or something!
  12. This was surprising

    Never heard of that! I took mine 2 years ago and passed in 17 minutes with 75 questions (I get nervous and take tests fast too) and didn't have any problem
  13. Dilaudid shortage - anyone else seeing it?

    Yes! We use them a lot on our floor and pharmacy will only bring up a couple at a time, so we are constantly calling for more. Really makes me wish we could be choosier about who we give it to!
  14. Question about patient's death and ethical issue

    I always focus on the more positive things, for instance letting the family know I was with their loved one when they passed and they weren't alone, that he or she looked comfortable. I also let the family know ahead of time that many people at end o...
  15. Smelly co-worker

    If it's gone on this long I would expect she needs to be addressed directly, but perhaps if the manager sent out a memo to everyone stating that there have been complaints and reminding all employees about the company policy on good hygiene/avoiding ...