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Search Results Type: Posts; User: ~*Stargazer*~

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  1. Struggling with ED Orientation, advice appreciated
    Seven weeks with a dedicated preceptor is actually pretty nice. Remember that their goal isn't to bring you along at a pace that feels comfortable to you, it is to get you up and running and out on...
    Sep 21
    Forum: Emergency Nursing
  2. Question on reacting to tachycardic afib
    I mean this in the kindest way possible, but this is a patient that I would definitely be worried about. Not being able to read the hospitalist's handwriting is no excuse for not knowing what the...
    Sep 21
    Forum: Cardiac Nursing
  3. Say no to artificial sweeteners
    This study is not conclusive, it just points to more research being needed. Keep in mind that what happens in mice does not automatically transfer to humans, that the human portion of the study was...
    Sep 21
    Forum: Diabetes / Endocrine Nursing
  4. Question on reacting to tachycardic afib
    Even more concerning to me, is what is the plan for this patient? Even if the patient is asymptomatic, you can't just let them sit there taching away for days and days. What was being done for rate...
    Sep 21
    Forum: Cardiac Nursing
  5. Have you started antidepressants since becoming a nurse?
    No, I have not. I would try cognitive behavioral therapy before trying meds, personally. Your mileage may vary.
    Sep 16
    Forum: Health / Stress Management 101
  6. Pressors with diuretics
    I was going to say albumin! Woot woot!
    Sep 16
    Forum: Emergency Nursing
  7. PARAMEDICS IN THE ED...Do you have them????
    Actually, I have been trained to do both of those things (I've had PHTLS), and according to the laws of the state in which I practice, it is within my scope. It is the facility that I work for that...
    Sep 15
    Forum: Emergency Nursing
  8. ESI Triage concerns
    Remember that you can always increase the acuity level if VS are not WNL, or if the person looks potentially sicker than their chief complaint would have them be. Technically that possible fracture...
    Sep 13
    Forum: Emergency Nursing
  9. Any tips for "spasmy" veins?  Also, PIVs on chemo pts?
    Venous spasm is a fairly well documented phenomenon....
    Sep 13
    Forum: Infusion Nursing / Intravenous Nursing
  10. PARAMEDICS IN THE ED...Do you have them????
    To be clear, I am against it, and I've verbalized my feelings about it, but I've been overridden. I'm not against it out of concern for my or any other nurse's job. Our facility is small, and I...
    Sep 12
    Forum: Emergency Nursing
  11. PARAMEDICS IN THE ED...Do you have them????
    I hope so, too.
    Sep 11
    Forum: Emergency Nursing
  12. PARAMEDICS IN THE ED...Do you have them????
    Nobody did. In my neck of the woods, the ambulance crew consists of two Paramedics. One of them has to drive, or the ambulance goes nowhere. At any rate, we are hiring Paramedics in my ER to...
    Sep 11
    Forum: Emergency Nursing
  13. Like a scene from 'MASH'...
    We're experiencing a similar surge in patient volume, and many of them are truly sick. We also do our own transports since at the moment we don't have techs. The Med/Surg nurses are usually slammed...
    Sep 11
    Forum: Emergency Nursing
  14. Heplock to home hospice?
    Absolutely, they can! There is a good chance the hospice patient will be receiving home infusion services, whether through hospice or through a home infusion service, and having the heplock already...
    Sep 11
    Forum: Hospice Nursing
  15. Any tips for "spasmy" veins?  Also, PIVs on chemo pts?
    Not true. Veins do have a layer of smooth muscle. Granted, it is thinner than that of arteries, but they do have it.
    Sep 11
    Forum: Infusion Nursing / Intravenous Nursing
  16. Help! Straight Cath Giving Blood Only.
    It sounds like maybe when he self-DC'd his foley, trauma to the urethra resulted, and the continuing insult of straight cathing may be interfering with the healing process. This would just be my...
    Sep 11
    Forum: Dialysis / Renal / Urology
  17. Any tips for "spasmy" veins?  Also, PIVs on chemo pts?
    Is there any reason the port can't be left accessed, other than that he doesn't like it? If he's going in to the cancer center three times weekly, then he could just have the needle changed weekly...
    Sep 11
    Forum: Infusion Nursing / Intravenous Nursing
  18. OB ultrasound...foley or no?
    It seems really unnecessary to me. An ectopic is diagnosed by an HCG quant and lack of visualization of IUP, and usually it's not a conclusive diagnosis, but a high index of suspicion. If the...
    Sep 11
    Forum: Emergency Nursing
  19. Learning sick vs. not sick
    I think time and experience are key in developing the ability to do a rapid visual assessment. This is one reason why experienced ED nurses should be doing triage, IMO. There are parts of the...
    Sep 10
    Forum: Emergency Nursing
  20. Difference between apical pulse and pulse monitored on display
    When auscultating apical pulse, you are hearing mechanical activity. The monitor shows electrical conduction. The two do not always coincide. But, as pointed out in the posts above, more...
    Sep 10
    Forum: Cardiac Nursing
  21. Temporal Thermometer Cleaning
    Using anything but alcohol wipes on the sensor will ruin it, according to the manufacturer, so be careful with those Cavi Wipes.
    Sep 8
    Forum: Critical Care Nursing
  22. IV Infusion/ question
    I think Muno is correct that if you are using primary tubing with 50-100mL bags of antibiotics, then yes, this is problematic. However, this nurse should be problem solving and figuring out how to...
    Sep 7
    Forum: Nursing and Patient Medications
  23. MI post heparin drip
    Ask the cardiologist/intensivist/hospitalist next time you see him/her.
    Sep 7
    Forum: Cardiac Nursing
  24. OB ultrasound...foley or no?
    I'm really surprised at how common this practice is. We will typically infuse fluids intravenoulsy, or if the pt is taking PO well, they can just drink water- and ask them to hold their bladder...
    Sep 6
    Forum: Emergency Nursing
  25. MI post heparin drip
    I agree with the above. Whatever the reason, it most likely had nothing to do with the heparin.
    Sep 6
    Forum: Cardiac Nursing


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