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Search Results Type: Posts; User: PICURN74

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  1. Need help with this vague patient safety question.
    There are "National Patient Safety Goals" that might give you some insight
    Sep 5, '10
    Forum: Nursing Issues On Patient Safety
  2. Cardioversion Sedation goes Beyond Moderate-Help
    Can't speak for Texas or give legal advice but in my opinion you are right to have some concern. I think you bring up a good point of the level of consciousness being deeper than traditionally...
    Feb 28, '10
    Forum: Nursing Issues On Patient Safety
  3. A stupid question on Sympathetic nerve system
    There are a couple of thoughts I have on the situation, SNS stimulation releases Epinephrine and Norepinephrine as well as cortisol and aldosterone etc. and causes the effects previously mentioned,...
    Dec 16, '08
    Forum: General Nursing Discussion
  4. New Nurse...Need advice on dealing with death
    I agree with everyone else your feelings are normal but that doesn't make them easier. I also work in the PICU and pediatric codes are especially hard as a general rule kids are not suppose to die. I...
    Dec 15, '08
    Forum: First Year After Nursing Licensure
  5. Words of Wisdom?
    Be honest with your desire and your areas you need to improve. I tell my new grad orientees in the PICU that you aren't suppose to know everything on day one or orientation would be pointless. To me...
    Dec 15, '08
    Forum: First Year After Nursing Licensure
  6. Cpr???
    you might want to try craigslist for an instructor, I have had some friends who were able to find someone this way to validate skills after doing the online portion. Otherwise try calling the...
    Dec 15, '08
    Forum: First Year After Nursing Licensure
  7. Graduation Gift Ideas for Big Brother?
    The best gift I got was a box of my favorite pens (my personal favorite is Pilot ultrafine point) I never knew how much the quality of your pen can affect the quality of your day until I started in...
    Dec 15, '08
    Forum: First Year After Nursing Licensure
  8. scared of being in a code
    FutureNICU- You are suppose to be scared of codes they are one of the few things that are literally a matter of life or death. You will learn to use the fear and it does decrease but they day that a...
    Dec 15, '08
    Forum: First Year After Nursing Licensure
  9. I made a huge mistake and ruined my life..  long, sorry
    You made a mistake and you admitted it now you need to forgive yourself for it. It will be something that is with you for quite some time but doesn't have to mean the end of your career let alone...
    Dec 14, '08
    Forum: Nurses / Recovery
  10. Atarax IV?
    Check with your institution but, vistaril can be given IV but it is often avoided if possible, however it is on my formulary as IV and I have had some patients recieve IV vistaril.
    Nov 4, '08
    Forum: General Nursing Discussion
  11. Bereavement Committee
    We make plaster hand prints if the family would like, we send them a letter of sympathy from our berevement committee as well as a card signed by the people who took care of the patient (hangs in the...
    Oct 29, '08
    Forum: PICU Nursing / Pediatric
  12. Non-Clinical Factors that Help Create Positive Outcomes?
    Glad to hear your son pulled through! Where I work we have a general hospital wide orientation followed but nursing specific orientation when we first get hired and then we are given additional...
    Oct 29, '08
    Forum: PICU Nursing / Pediatric
  13. Distractions for patients in cervical traction
    TallTraveler- Unfortunately we see many kids like this (motorbikes should be illegal but I digress) Is the patient in traction or in a C-collar? Depending on the reasons for the immobilization, our...
    Oct 29, '08
    Forum: PICU Nursing / Pediatric
  14. Help with a GCS question...
    The scale is 3-15 with extremes at both ends. In our facility 10 and below is a sure way to get the million dollar workup http://www.trauma.org/archive/scores/gcs.html
    Oct 13, '08
    Forum: General Nursing Discussion
  15. What should I do?
    I agree, mistakes are just that until you try and cover them up then they become choices be honest. It sounds like you did try and varify the dose after reading it back to the doc and checking with...
    Oct 9, '08
    Forum: First Year After Nursing Licensure
  16. almost graduating
    I work in peds and do a lot of lifting, best advice is find a job you will love and figure out a way to deal with the rest. Making friends with the stronger people on the unit is always a good idea...
    Oct 9, '08
    Forum: First Year After Nursing Licensure
  17. I Feel Like I Don't Know Anything!!!!!!
    I will take a new nurse that asks a million questions over one that thinks they know everything anyday. If you don't know ASK ASK ASK. You are not expected to know everything otherwise orientation...
    Oct 9, '08
    Forum: First Year After Nursing Licensure
  18. New Nurse...little Tired!!
    I don't care what mistake you make, Screaming at people is never ok. I agree that you should confront the situation, talk with the people you are having a problem with if you can and then work your...
    Oct 9, '08
    Forum: First Year After Nursing Licensure
  19. after 6 weeks orientation I quit
    Kitty- Sounds like a pretty bad first expierence sorry your first post graduation nursing experience was negative. I am curious who repeatedly told you never to say anything about a nurse? I agree...
    Oct 8, '08
    Forum: First Year After Nursing Licensure
  20. off orientation--first big mistake!!!
    I agree with the above posters, Learn from your mistake and forgive yourself. We are all human and we all make mistakes, fortunately it sounds like your patient was spared any significant harm and I...
    Oct 8, '08
    Forum: First Year After Nursing Licensure
  21. first incident report
    I am a little confused too, I am hoping that not knowing there was a change in the patients condition was what upset the doc. I have never seen a MD order an IR, at my facility IRs are not punitive...
    Oct 8, '08
    Forum: First Year After Nursing Licensure
  22. Please help me...
    I would talk to the supervisor about the things you have seen and then either promise yourself to do what you know is right not what your preceptors are doing or start looking for a new job. An...
    Oct 8, '08
    Forum: First Year After Nursing Licensure
  23. vents and cpr
    as a general rule follow the abcs, not know anything about your patient i don't want to give you specific advice but personally i would check airway (assume trach) is patent (a), then breathing (b)...
    Oct 8, '08
    Forum: First Year After Nursing Licensure
  24. Help with ER blood draw order and tube color!
    Every lab is different but when I worked in the lab I used to tell people when in doubt draw red and get it to the lab asap. The color of the tube usually is related to the additive in the tube that...
    Oct 8, '08
    Forum: First Year After Nursing Licensure
  25. I am OUT!!
    I agree with what everyone else said, learn from the expierence and dust yourself off you will be a better nurse for it. Nursing is a second career for me and while I was in school for my first...
    Oct 8, '08
    Forum: General Nursing Student


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