Firewood

Firewood RN

Cardiac Diagnostics

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About Firewood

Firewood has 31 years experience as a RN and specializes in Cardiac Diagnostics.


Latest Activity

  1. IV Shearing???

    Hello, Today I had a patient that I was placing an IV in. I got in, got a blood return and started to push the cannula in, but hit a valve. The needle was in the cannula but not all the way, so I pulled the cannula back over the needle and tried...
  2. Colonoscopy Post Vital Signs

    Aren't the post endo vital signs mainly for the purpose of anesthesia recovery? Not so much for blood loss? Also, isn't a bleed outside the colon into the peritoneum (so blood loss wouldn't be noticable) from a colonoscopy super rare? Not talking abo...
  3. Colonoscopy Post Vital Signs

    I'm new to endo, so I was more worried about an extra colonic bleed that you can't see.
  4. Advice Please! Skilled Nursing to Assisted Living

    No problem! Happy to add my 2 cents for what it's worth...you have to protect yourself and your license!
  5. Advice Please! Skilled Nursing to Assisted Living

    Hello, I've never worked in a skilled nursing facility, everything I've done has been hospital. But 1 nurse on days and none on nights for 80 pts seems dangerous. Sounds like you would be responsible if something bad happens. I wouldn't do it, s...
  6. Colonoscopy Post Vital Signs

    The other day I was working post endo and I realized that the BP wasn't set to go off after the fact that the pt was discharged. It read 130/60 3 times so in essence, in 30 minutes I got 1 BP as it must not have been set for q 15. The pt was feeling ...
  7. Follow up appointment same day as pt discharge???

    Thanks for the response JKL33. I wonder if others have noticed this before or am I the only dweeb who does...
  8. I just noticed something the other day that I never paid attention to before. Here's a fabricated example of what I saw on a pt discharge from the hospital to ECF form that has me perplexed: Call Dr Feelgood's office in a couple days for an...
  9. CKD and I&O

    I had a GIB pt the other day who had a hx of CKD. His creatinine and BUN were normal. His Gfr was >60. His uop for the shift was ~ 1000cc. He had an IV of NS at 100cc/hr and his 24 hr total was positive ~1.5 L. My question is that how much does i...
  10. Recurring Protonix Nightmare

    Thank you toomuchbaloney, you are right. After letting go, I feel much better.
  11. Recurring Protonix Nightmare

    Hello. I had a pt last week on a protonix gtt, 80mg/500cc at 52cc/hr or 8mg/hr. per order per protocol. I inadvertantly hung a second Protonix gtt at 130cc/hr. (80mg/500cc). By the time I caught the error I estimate that about 48mg extra protonix wa...