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Search Results Type: Posts; User: nursingpower

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  1. ICU RNs floated to floors?
    I don't know. I feel like ICU nurses can pretty much work anywhere if they are oriented to the unit. It just can't happen the other way around though.
    Apr 7
    Forum: Critical Care Nursing
  2. Sliding scale insulin...give or hold?
    This is a fine example of using evidence based practices. Many people used to going by "What we've been doing" In this case the patient's BG worsened because of assumption and fear. A patient with...
    Apr 7
    Forum: Long Term Acute Care (LTAC/LTACH)
  3. Sliding scale insulin...give or hold?
    a lot of people forget the whole glucose metabolism piece. Great point!
    Apr 7
    Forum: Long Term Acute Care (LTAC/LTACH)
  4. Sliding scale insulin...give or hold?
    Exactly. In this case, some continue to support disregarding physician orders despite knowing that the next BG level was worse. It seems very clear that the patient should have gotten the 2 units.
    Apr 7
    Forum: Long Term Acute Care (LTAC/LTACH)
  5. Sliding scale insulin...give or hold?
    I think it's more important to treat hyperglycemia as the physician orders state to prevent worsening hyperglycemia. The patient's blood sugar went from and untreated 159 to 228. Don't seem that...
    Apr 7
    Forum: Long Term Acute Care (LTAC/LTACH)
  6. Sliding scale insulin...give or hold?
    Yep, your rationales explain why the patient's next BG level was 228. Go figure. I hardly think getting D5 1/4NS constitutes as as diet. Again...the patient's BG nearly doubled because the...
    Apr 7
    Forum: Long Term Acute Care (LTAC/LTACH)
  7. Sliding scale insulin...give or hold?
    I just seen this after I typed my reply. So this could have been prevented had they treated the first hyperglycemic event. SMH. Poor patient was hyperglycemic all day. Wonder how many days of...
    Apr 5
    Forum: Long Term Acute Care (LTAC/LTACH)
  8. Sliding scale insulin...give or hold?
    159?? Fasting glucose? That is high for a fasting glucose. 1. What does the orders say? If the physician orders state to give 2 units for 159 you should give it. YOU ARE CORRECT! Sliding...
    Apr 5
    Forum: Long Term Acute Care (LTAC/LTACH)
  9. Vitamin D supplementation in prediabetics
    I am an NP student doing a project for my research class. I am a CVICU RN going for Adult/Gero NP. I don't know primary care practice NP's. So I came here for an discussion. My projects is...
    Apr 5
    Forum: Nurse Practitioners (NP)
  10. Saw a nurse yelling at a patient in ICU
    Just what I was thinking. Also InspiredbyNavy, as a nurse you will have to tune in not ignore. Pay attention to detail and gather all the information you can get before you make a decision. In my...
    Sep 28, '13
    Forum: Nursing Issues On Patient Safety
  11. Shocked by facial piercings at work
    After careful consideration I've decided to reply to the OP. I can careless what anyone else think of MY OPINIONS. I work at a very large Magnet/teaching Hospital. Upon my hiring over 4 years ago...
    Apr 4, '13
    Forum: Nursing and Professionalism
  12. Shocked by facial piercings at work
    I thought the same thing. Then I started liking comments for some reason.
    Apr 4, '13
    Forum: Nursing and Professionalism
  13. Shocked by facial piercings at work
    SMH.. Lol. I'd have probably Googled this before asking.
    Apr 4, '13
    Forum: Nursing and Professionalism
  14. RNs pulling pleural chest tubes
    In our ICU we pull mediastinal and pleural chest tubes. They teach us while orienting in the unit. Only difference is that if we have mediastinal and pleurals, we are to pull the mediastinal chest...
    Nov 17, '12
    Forum: CCU Nursing / Coronary / Cardiac
  15. What can nurses do to be more happy in their career?
    I make sure I take my 1 hour lunch break every workday. In 3 yrs this happened less than 10 times I know for sure. When I take lunch I LEAVE THE UNIT. Play games on my phone, call friends, browse...
    Sep 25, '12
    Forum: Nurses Rock
  16. Fired for expressing concerns about patient safety and care!
    SMH & LOL
    Sep 24, '12
    Forum: Nursing Issues On Patient Safety
  17. Fired for expressing concerns about patient safety and care!
    LOl. I typed the "off" next to the colon Mon: off and it made smileys :facepalm:
    Sep 24, '12
    Forum: Nursing Issues On Patient Safety
  18. Fired for expressing concerns about patient safety and care!
    I don't even like working 3 days in a row...lol. I know a Nurse Practitioner who will work 6-7 days in a row just to have more consecutive days off in which she does in conjunction with her vacation...
    Sep 24, '12
    Forum: Nursing Issues On Patient Safety
  19. Fired for expressing concerns about patient safety and care!
    I looked a little side eye at this too. The correct spelling of the President's name is Obama. Also the correct term for it is The Patient Protection and Affordable Care Act. "Obama care" was...
    Sep 24, '12
    Forum: Nursing Issues On Patient Safety
  20. Fired for expressing concerns about patient safety and care!
    I will say this. Where I work we are praised for being PATIENT and SAFETY ADVOCATES! Nurses are encouraged to voice our opinions as individuals and as part of our NURSING INSTITUTE. I also find...
    Sep 24, '12
    Forum: Nursing Issues On Patient Safety
  21. Fired for expressing concerns about patient safety and care!
    I am sorry that happened to you. I am very curious to know what that hospital listed as the job description and about the work hours when they advertised that position you applied to. Next time...
    Sep 24, '12
    Forum: Nursing Issues On Patient Safety
  22. EKG or Rhythm Strips
    We have the option to print a rhythm strip but I don't like them. I prefer to print a the page so that I can see all 12 leads and I can measure my intervals on the monitor and have them printed on...
    Jul 30, '12
    Forum: CCU Nursing / Coronary / Cardiac
  23. Is this the norm or unfair?  thoughts and opinions needed!!
    my name isn't bob and i am not a male nurse. lol this scenario had nothing to do with anyone's ability to lift. our job requirements is to lift, push, pull 50 lbs regardless of age, gender and size....
    Jul 30, '12
    Forum: CCU Nursing / Coronary / Cardiac
  24. Difficult patients?
    I don't feel that I come to work to get "strokes" from my patients. I can careless if they compliment me, praise me or not. When I say I take pride, I meant that I enjoy that I can come to work to...
    Sep 10, '11
    Forum: Nurse Colleague / Patient Relations
  25. Shift assessment... really?
    Cardiac ICU with 2.5yrs experience out of nursing school: I do a head to toe every patient every shift. I look at med drips, every line in and out. Check my piggyback infusion make sure bag is...
    Sep 10, '11
    Forum: First Year After Nursing Licensure


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