patwil73

patwil73

ICU/CCU, Home Health/Hospice, Cath Lab,

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About patwil73

patwil73 specializes in ICU/CCU, Home Health/Hospice, Cath Lab,.


Latest Activity

  1. Question about holding meds

    We have a doctor communication sheet in front of the order section in our charts. Nurses can relay concerns or questions there. For a held med we would document a prog note and then write a communication note if we wanted a change or clarification....
  2. Question about holding meds

    Your judgement was exactly right and unfortunately the one who was supposed to be teaching you was wrong. The decision to hold a bp medication should be done based on pt condition and history and "not" because it might make them fall out of normal r...
  3. A pharmacy that apparently makes injectable version: http://www.sgpharma.com/company/mainexplist.htm Also here: http://www.ncbi.nlm.nih.gov/pubmed/17720114 Which indicates it is used in England but not North America - and comes in 75mg dosage. In m...
  4. Morphine Question

    By chance did it read NaCl 0.9% 240ml + MgSO4 250mg? That would be magnesium added to the IV fluid solution which seems a lot more likely than her receiving 100mg of morphine an hour. Also a good reason why we should not use abbreviations as MgSO4 ...
  5. TPN HELP!!! (please)

    Could be a bigger filter. The 2nd source I quoted before said for TPN alone it is a 0.2 micron filter, whereas if you filter both it is a 1.2 micron filter. Pat
  6. Best Practices -- Working with Families

    The long answer is you carefully assess your family to determine their skill level, knowledge level, comfort level, and willingness to engage in the practice necessary. You have to determine if they are in a place of enough comfort to be able to und...
  7. TPN HELP!!! (please)

    My guess is your instructor did not know, and hence had you do the research. I know they used to hang seperately but now I almost always see them hung in 1 bag. However, in the past it might have been to either more accurately measure how much lipi...
  8. Diurese at night?

    Usually we want to diurese in the morning so the person is awake when they have to keep getting up and going to the bathroom. Doing it at night would keep them from getting any sleep. Of course sometimes we have to do both and if they have a foley i...
  9. Lower Columbia College, Campus Based

    Congratulations - I graduated there in 2001, so I might not have the most up to date experiences from there. As I recall class size started at about 20 and we had 5 at the end. We did Long Term Care the first 2 quarters then on to St. John's for m...
  10. IV insertion area guidelines

    This was in ICU where unfortunately we do not have a written policy on having central lines with specific drugs - even though we know we should. No one in the hospital other than ED and Anesthesia is trained in EJ's (although I have asked to be) so ...
  11. IV insertion area guidelines

    Hello everyone - I posted this in the IV/Infusion group but it doesn't seem to get much traffic so I though I would repost here and see if I could get a few more views. Original Post Follows: I am looking for some guidelines on acceptable IV insertio...
  12. IV insertion area guidelines

    Thank you so much for your reply. I found a copy of Core Curriculum for Infusion Nursing at my hospital which does outline the veins that should be used in IV therapy - which are essentially the ones you see used most often. However it doesn't even ...
  13. IV insertion area guidelines

    Hello everyone, I am looking for some guidelines on acceptable IV insertion spots and the dangers of using subprime areas - such as legs, shoulders, chest. Are their any places that are simply unacceptable to use and why? Finally if someone could p...
  14. Autonomy and Informed Consents

    To answer your question, it is helpful to remember that autonomy is almost a fundamental principal of healthcare. People have the right to make their own decisions regarding what care they want and don't want. However, when you lose the capacity to...
  15. In most good drug books you will find all this information. For instance is the patient allergic to sulfa drugs - well the drug book will tell you if the medication is in the sulfa class. The book will also give you a list of contraindications - or i...