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Search Results Type: Posts; User: Anoetos

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  1. PICC line blood draw
    I usually waste more than I flush. Flushing is for line clearing and patency, so I can't really see the point of a policy of flushing with 10 or more, but I am certainly willing to be educated on it....
    Nov 18, '13
    Forum: General Nursing Discussion
  2. Antibiotic initiation/effectiveness
    There's no way to have known this was coming. Sepsis can "gallop" on an elderly patient, but it doesn't usually. There doesn't seem to have been any indication that she was moribund. She came from...
    Nov 18, '13
    Forum: Critical Care Nursing
  3. What was the MOST ridiculous thing a patient came to the ER for?
    Had a girl come in the other night with a tooth ache. No big deal, I get it...the likelihood of getting an oral surgeon on a Sunday morning is nil, but we can give ABX and pain control. Tooth aches...
    Nov 11, '13
    Forum: Emergency Nursing
  4. Question about IV therapy
    All giving them a hypertonic solution would do is draw fluid back into the intravascular space, possibly correcting a hypovolemic state, but it would do nothing for their hemoglobin and in fact might...
    Nov 11, '13
    Forum: Nursing Student Assistance
  5. Medication tidbits an ER nurse should always know
    But I feel like I've derailed the thread with my rant. Sorry about that folks. I yield.
    Oct 23, '13
    Forum: Emergency Nursing
  6. Medication tidbits an ER nurse should always know
    Ok, but how do we know that? If pain "what the patient says it is" and if people living with chronic pain are able to sleep with it except when it flares into breakthrough and otherwise might not...
    Oct 23, '13
    Forum: Emergency Nursing
  7. Medication tidbits an ER nurse should always know
    But more directly to your case, why deny the pt what they want? If they have a high tolerance to opioids it's unlikely that 1mg of dilaudid is going to do much for them. Certainly not as much as for...
    Oct 23, '13
    Forum: Emergency Nursing
  8. Medication tidbits an ER nurse should always know
    I think sometimes patients get caught up in a cycle which ends up generating narcotic dependency and we are as at fault for this as they are. Let's say they get a spinal fusion which never really...
    Oct 23, '13
    Forum: Emergency Nursing
  9. Medication tidbits an ER nurse should always know
    I read up on the hypotensive effects of dilaudid and they're actually negligible except with chronic use. I did this after a patient died on me.
    Oct 22, '13
    Forum: Emergency Nursing
  10. Medication tidbits an ER nurse should always know
    I only dilute dilaudid for opioid naive patients. For those with chronic pain and high tolerance I push it hard and fast and I always flush. They appreciate it.
    Oct 22, '13
    Forum: Emergency Nursing
  11. Medication tidbits an ER nurse should always know
    The problem with hydralazine, Brainkandy, is that it's unpredictable, for every ten patients it works for, there are two or three for whom is either does very little or does too much. That said, I...
    Oct 22, '13
    Forum: Emergency Nursing
  12. What was the MOST ridiculous thing a patient came to the ER for?
    Had a guy come in, said he had a fever of 99 degrees F, but what really made him come in was that he was having bad dreams.
    Oct 22, '13
    Forum: Emergency Nursing
  13. Emergency Room Skills
    Pretty new to the ED but so far I've had a lot of success in calming patients down. Usually all it takes is an open handed explanation of what's going on.
    Oct 22, '13
    Forum: Emergency Nursing
  14. Any good "nurse" shows on tv?  Netflix?
    Grey's Anatomy is ridiculous. Not only do they degrade RNs, the RNs don't do anything. Pt needs to be ambulated? A doc does it. Pt needs meds, a doc gives them. Basically, everything RNs do every day...
    Oct 5, '13
    Forum: About A Nurse - Nursing Cartoon Series
  15. Why do Nurses tell students to go BSN??
    I got my BSN mostly on loans, but with a few grants and scholarships, as well as a decent veteran's discount. The program was a private "ground up" 8 semester deal including prereqs. Credit hours...
    Sep 7, '13
    Forum: General Nursing Student
  16. Why do Nurses tell students to go BSN??
    We had a talk from our Chief Nursing Officer recently in which she noted that the Magnet standard would be moving and that we were aiming for 80% BSN among our RNs (we're currently at about 64%)....
    Sep 6, '13
    Forum: General Nursing Student
  17. Will ER nurses help me answer a few questions, please??
    I worked for a year in a medical stepdown, basically a MICU overflow. I recently accepted a position in our ED. I think already being ACLS certified and used to intubation and codes helped me,...
    Aug 9, '13
    Forum: Emergency Nursing
  18. "I don't want him as my nurse"
    Back on page one I think, it was noted that the value of any pain scale is that it allows you to reassess after your intervention. Since this is a Joint Commission evaluable activity, it's even...
    Aug 5, '13
    Forum: LPN / LVN Corner
  19. Can an RN Get a job in a hospital with out a BSN.
    Yes, you can still get hired as a ADN, but if you're competing with BSNs for jobs, depending on the hospital it could get dicey. I work with a lot of ADNs, they're fine nurses. I am not a "better...
    Jun 26, '13
    Forum: Registered Nurses: Diploma / ADN / BSN
  20. Hey is anyones life as a nurse like greys amatomy?
    I wasn't aware they even had nurses on that show. The doctors give meds, ambulate patients and basically do everything, so who needs RN's? Plus they've got all the time in the world to screw each...
    Jun 19, '13
    Forum: Men in Nursing
  21. Are NCLEX prep courses like Kaplan or Hurst really necessary?
    Well Kaplan is not a review in the sense that there is much emphasis on remediating material. And, honestly, at this point, why would you remediate? You've been paying attention, right? No, what you...
    Jun 19, '13
    Forum: NCLEX Discussion Forum
  22. Poop in nursing
    Poop is natural. But as has been pointed out, we're hardwired to stay away from it. Improper and/or inadequate sanitation has been and still is the cause of a lot of health problems. If we take...
    Jun 18, '13
    Forum: General Nursing Student
  23. Poop in nursing
    When I was a student I honestly believed I would never get used to inserting urinary catheters. Guess what... ...I did.
    Jun 13, '13
    Forum: General Nursing Student
  24. Poop in nursing
    Isn't it funny that we take a certain stoic pride in cleaning up all this poop and snot and blood. And we have to be, nothing is worse for pt morale than seeing ones nurse lose their mind over the...
    Jun 12, '13
    Forum: General Nursing Student
  25. Poop in nursing
    It might be a good idea if students could be exposed to pictures of pts with C. difficile, or a video of a particularly juicy tracheal deep suctioning. Ideally, this would happen at the "Welcome"...
    Jun 12, '13
    Forum: General Nursing Student


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