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Search Results Type: Posts; User: nerdtonurse?

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  1. I need help processing my first hospice patient experience.
    What I'd suggest....scopalamine patch (wonderful for noxious secretions/"death rattle"), Ativan, and IV benadryl, along with the morphine. When I've had people with liver problems, they itch and...
    Nov 21, '12
    Forum: Hospice Nursing
  2. IV pain meds  standards??????
    Just give the narcs. You're not going to change them, and they'll make your shift Hades if you don't. An addict will seek their drug/ETOH until they decide to stop, and nothing you do or don't do...
    Sep 14, '12
    Forum: Nursing and Patient Medications
  3. INR increasing...without anticoagulation?
    Also, if the patient has cancer, they usually have low albumin (either d/t the disease process or malnutrition); low albumin can affect protein binding, making more warfarin stay in the system...
    Jul 1, '12
    Forum: CCU Nursing / Coronary / Cardiac
  4. Nurses With Low Self-Esteem: Please Seek Help
    I see this as a chicken and the egg situation. If you have depression, you tend to have feelings of inadequacy, poor self care, you feel like you're not worth looking after, you doubt your...
    Jul 1, '12
    Forum: Nurse Colleague / Patient Relations
  5. Physical Violence Against Nurses
    Folks, we are NOT paid to get hurt. Unless you've got meaningful security (as opposed to some guys over 80 that you'd worry they'd fall and break a hip), call 911. Tell administration they were...
    Jun 30, '12
    Forum: Nurse Colleague / Patient Relations
  6. Can you imagine having Spiderman as a patient?
    I haven't had Spiderman, but I've had the incredible Hulk, Houdini (4 point restraints, and somehow got her feet lose and when we went in, she was sitting with her back to the foot of the bed, arms...
    Jun 30, '12
    Forum: About A Nurse - Nursing Cartoon Series
  7. A nurse's favorite song?
    Particularly for my hospice patients, "Because you loved me" by Celine Dion. In ICU, "Highway to Hell" or "Another one bites the dust" depending on how the shift's going.
    Jun 26, '12
    Forum: Nurses Rock
  8. Death
    The ones that get me aren't the "end of a long life" people, or even the "had'm a long time as a patient" people. It's the ones that for some reason hit a cord. "Paratrooper," who was at Ft....
    Jun 24, '12
    Forum: General Nursing Discussion
  9. Just when you think you've seen/heard it all.........
    But.... We've had to discharge people from hospice for addiction. When you place narcotics in the home, that's still your license, the hospice facility's MD's license, etc. And we've had people...
    Jun 23, '12
    Forum: General Nursing Discussion
  10. Particular Patient Populations - Do You Struggle?
    DKA. Not the diabetic who's had a nasty GI bug, infection or surgery, or something that could reasonably make their sugars go wild, the ones we get every 2 or 3 weeks, usually young, and the biggest...
    Jun 19, '12
    Forum: Nurse Colleague / Patient Relations
  11. Infrequent Voiding Syndrome: Don't Fall Victim To This Common Problem In Nurses!
    One thing I will tell you -- pee before a code, if you know it's coming. And yes, I've looked at telemetry, and said, "everybody who needs to pee -- now's the time." Compressions on a full bladder...
    Jun 19, '12
    Forum: Health / Stress Management 101
  12. Is being a nursing student actually fun?
    Fun? No. Interesting, challenging, and ultimately worthwhile? Sometimes. Infuriating, disappointing, and gut wrenching -- occasionally. There were times when we were all cracking up laughing,...
    Jun 19, '12
    Forum: General Nursing Student
  13. Low census. . .no work. . .
    Same here, that's why I have a fulltime job and a PRN job...right now, the PRN is making my check. And Pennywise...you're just freaking me out. I read "IT" when it came out and have been scared...
    Jun 19, '12
    Forum: General Nursing Discussion
  14. DNR versus AND
    The big thing I see is that people don't talk about death at all until someone's so sick they can't make their wishes known -- not a 20 year old that gets hit by a truck, but the 80 yo with end stage...
    Jun 18, '12
    Forum: Pediatric Nursing
  15. Have you ever cried when a Pt died
    I'm as tough as they come, but I've cried. When you're in a room with 12 people, and they are all quietly crying, while a child is in bed with their dead father begging them to come back (and you...
    Jun 17, '12
    Forum: Hospice Nursing
  16. If you could post your own…
    What I would love to post: Your ego stops at the doors to my unit. I am not your mom, your wife, your significant other, or your therapist. I don't care if Dr. Oz said something different. ...
    Jun 15, '12
    Forum: General Nursing Discussion
  17. What is the hardest subject in the nursing curriculum, in your opinion?
    I loved A&P, loved Micro, was okay with chemistry. Worst class? Statistics. I mean, what the fecal obstruction do I need to know about statistics for nursing? Yes, if I was going into research,...
    Jun 10, '12
    Forum: General Nursing Student
  18. Vent: Why I won't accompany my mother to the ER anymore
    I think we're all related. When she was in the ER, I thought if my Mom said, "...and Nerd works in ICU" one more time, I was going to just go to the car and drive home. Finally, I said, "Mom, you...
    Jun 10, '12
    Forum: Emergency Nursing
  19. Your dream nursing job
    Dream job? Anybody old enough to have seen the movie "Coma" with Michael Douglas and Geneive Bujold? They had coma patients hanging from wires, 4 deep, 30 people in the room. Nobody peed, nobody...
    Jun 9, '12
    Forum: About A Nurse - Nursing Cartoon Series
  20. Thanks to Medicare changes...My Job Was Just Eliminated
    Unfortunately, I saw this while working in computers all the time -- jobs created for Y2K that disappeared Jan. 2, 2000, disaster recovery jobs that boomed after 9/11 (and the federal money thrown...
    Jun 9, '12
    Forum: Nursing Activism / Healthcare Politics
  21. What do you think about TV nursing comedy/drama like Nurse Jackie?
    While I don't usually watch shows about "work" like Grey's Anatomy, Jackie, etc., it hits me on other shows. On the 3rd episode of the Hatfields/McCoy's miniseries on the History Channel, one person...
    Jun 3, '12
    Forum: About A Nursing Student - Nursing Cartoon Series
  22. "There's nothing worse than a FAT nurse!"
    And what did HE weigh? Does he smoke, not take his BP meds, blow off checking his blood sugar? What secrets are in his healthcare closet? See, my mouth fires before my brain engages, sometimes,...
    Jun 2, '12
    Forum: General Nursing Student
  23. What personalities traits are necessary for success and happiness in nursing?
    Curiosity. Why is that heart doing that? Why does the patient appear different? Why am I suddenly worried about this patient, what is my subconscious seeing that I can't quite verbalize yet? ...
    May 27, '12
    Forum: General Nursing Discussion
  24. Has anyone coded a co-worker?  Dealing with the grief...
    We all grieve different ways, and we've all seen families blame themselves when something happens -- "If I'd just called Ruth to see how she felt..." or "He said he had a headache, I didn't think it...
    May 27, '12
    Forum: Nurse Colleague / Patient Relations
  25. Nursing listed as 4th on a list of fun jobs.
    *As you're coding your patient* "Hey, Mr. Smith, did ya hear the one about the -- 1 amp bicarb -- chicken and the duck who -- epi, please --- who went in and bought a time share together? Well,...
    May 27, '12
    Forum: General Nursing Discussion


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