cardiacqueen

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1. You know your nurse brain is still at work when....

   cardiacqueen replied to EmpathyInAction's topic in General Nursing

   1. You try to "badge in" on your home computer. 2. When you get up to pee after night shift, you immediately think you need to document the output.

2. Penicillin G IM injection?

   cardiacqueen replied to anon456's topic in Medications

   Just gave this today for strep! Very painful for the poor patient. to answer your question about giving it iv - no, it can't be given IV because it can cause severe neurovascular damage

3. Nursing Dose

   cardiacqueen replied to guest449786's topic in Medications

   Interesting...what do you mean by one order with a range? I know that our docs have been criticized, for example, by pharmacy for putting in range orders such as "1-2 tabs for pain." Not sure if this is what you meant though. I have had that thought ...

4. Everything is our responsibility. Rant.

   cardiacqueen replied to dudette10's topic in Relations

   While we're ranting, here's what frustrates me... Why does lab, radiology, and pharmacy call nurses to ask questions about DOCTORS orders? "Dr. X ordered this but did he really want it?" I am not the doctor and I didn't place the orders. I may be abl...

5. Nursing Dose

   cardiacqueen replied to guest449786's topic in Medications

   No, this is outside of our scope of practice. Unless you have parameters. One of our surgeons, for example, will put 3 different orders for morphine - eg. 2 mg for mild pain, 4 mg for moderate pain, and 6 mg for severe pain.

6. IV in an artery

   cardiacqueen replied to jrmarr's topic in General Nursing

   If the blood was pulsing strongly up the tubing, then I would feel pretty certain yes, you hit an artery. I have had an inadvertent arterial puncture once, in a patient with a very thin arm, while aiming for the basilic v. I didn't even get to the po...

7. Enema THROUGH an ileostomy?

   cardiacqueen replied to cardiacqueen's topic in General Nursing

   Thanks. I did read about the ostomy cones but I haven't been able to find them in our facility. Back at work tonight a few days later and the patient is improving without signs of perf, so thankfully looks like no harm came of using the regular enema...

8. Mispronunciations That Drive You Nuts

   cardiacqueen replied to ixchel's topic in General Nursing

   I have another one. I once had a patient tell me he had "tickly-itis" (diverticulitis) when I was taking his health history. Still makes me laugh!

9. Snow & calling out of work

   cardiacqueen replied to CrazyGoonRN's topic in General Nursing

   I work nights and have dealt with the consequences of snow storms that occur during the night. Last week only 3 nurses and aides combined that were scheduled to work showed up. I had to stay in the hospital for 36 hours straight with only a 5 hour na...

10. Enema THROUGH an ileostomy?

    cardiacqueen replied to cardiacqueen's topic in General Nursing

    thanks!

11. Mispronunciations That Drive You Nuts

    cardiacqueen replied to ixchel's topic in General Nursing

    MeTOprolol, NOOOOT meTROprolol

12. Enema THROUGH an ileostomy?

    cardiacqueen posted a topic in General Nursing

    I had a patient admitted last night with an old RLQ stoma - either an ileostomy or colostomy (look to me based on the location like an ileostomy). The patient needed a CT abd but radiology would not scan the patient because he had residual Barium fro...

13. Diluting IVP Natcotics?

    cardiacqueen replied to _Andvari's topic in Medications

    On a side note...have you ever had a patient think that your 1mg dilaudid + 5 cc NS is ALL concentrated dilaudid?

14. Diluting IVP Natcotics?

    cardiacqueen replied to _Andvari's topic in Medications

    Like most posters here, I dilute all iv narcotics as well...unless it is an extremely small dose and the patient has fluid running.

15. Giving Lovenox to emaciated patients

    cardiacqueen replied to cardiacqueen's topic in Medications

    KelRN, do drug companies manufacture a different syringe device for peds...like one with a smaller needle and appropriately smaller doses? Or do you draw your Lovenox up from a vial and give in a short sub-q needle? Just curious.