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Search Results Type: Posts; User: Anna Flaxis

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  1. Grief - how can we avoid it as nurses loosing a patient?
    Losing. You don't avoid grief. While you can't go around sobbing all day while at work, you can take a moment to allow yourself to cry in the bathroom or something, then come back out ready to be...
    10:36 am
    Forum: General Nursing Discussion
  2. Nurses,what is the highest BP you've ever seen recorded on a pt.?
    350s systolic- intubated trauma patient whose arm had been nearly ripped off.
    10:14 am
    Forum: General Nursing Discussion
  3. If you wear Danskos....
    I have a soft spot for Danskos, but I find the footbeds to be really hard, and the height of the sole tends to make it easier to roll my ankle. I still wear my Dansko mary janes sometimes, but for...
    12:55 am
    Forum: General Nursing Discussion
  4. Overflow in the er
    ^ Yes, that's part of it. Spending a good portion of your shift trying to appease patients and families over something you have no control over can be incredibly taxing. I can only apologize so...
    Mar 25
    Forum: Emergency Nursing
  5. Where's the infection?
    To recap: Other things can elevate WBCs, from tobacco smoking to intravenous glucagon (I did some poking around and found out that glucagon raises WBCs, including neutrophils and bands). ...
    Mar 25
    Forum: General Nursing Discussion
  6. Where's the infection?
    ^ That. I remember when I worked cardiac, it was completely expected that post MI patients would have elevated WBC counts. Some other less obvious sources of infection can be osteomyelitis (not...
    Mar 24
    Forum: General Nursing Discussion
  7. IV bolus ordered because pt hypertensive
    We don't know that he's septic. A single positive preliminary blood culture does not confirm the diagnosis. There isn't enough information to come to the conclusion that he has sepsis.
    Mar 24
    Forum: Nursing and Patient Medications
  8. IV bolus ordered because pt hypertensive
    The more I think about it, the more I am convinced that the patient might not have been septic at all, and that there was something else going on. As Muno pointed out, false positives are not...
    Mar 23
    Forum: Nursing and Patient Medications
  9. To tell or not to tell!
    This makes no sense. The purpose of wearing gloves to administer a blood transfusion is to protect the nurse in case of accidental exposure to the blood product. It does nothing to protect the...
    Mar 23
    Forum: General Nursing Discussion
  10. To tell or not to tell!
    Sadly, "orientate" is a word. I wish it weren't true, but it is. ~Sigh~ Orientate - Grammarist
    Mar 22
    Forum: General Nursing Discussion
  11. To tell or not to tell!
    How does not wearing gloves when starting a blood transfusion adversely affect the patient? Just curious....
    Mar 22
    Forum: General Nursing Discussion
  12. Moved to a new ER, now I don't feel like I'm a real ER nurse anymore
    Thank you for reminding me of why I prefer my small community hospital ER! But seriously, there is no one size fits all response here. Some people say give a new job at least a year before you...
    Mar 22
    Forum: Emergency Nursing
  13. Being an individual
    I like to wear socks with bright colors and crazy patterns. It is often an ice breaker with patients and can help lighten the mood in a place where it's pretty easy to be serious. I find that...
    Mar 21
    Forum: Men in Nursing
  14. Taking Up Extra Shifts!
    The house supervisor has to turn every stone to find adequate staffing to cover shifts. That means calling/texting everybody. There is nothing personal about it. If you don't want to come in...
    Mar 21
    Forum: General Nursing Discussion
  15. IV bolus ordered because pt hypertensive
    Sounds like maybe a patient with a cardiac history and sepsis. Without knowing more, it's really hard to say with certainty what was going on, but this is my best guess.
    Mar 21
    Forum: Nursing and Patient Medications
  16. Problems with ER
    Actually, that happened to me today! I dropped off a patient smack dab in the middle of shift change report on the Med/Surg floor, and you know what kind of response I got when I tried to...
    Mar 20
    Forum: Nursing Issues On Patient Safety
  17. Conscious Sedation in ED
    We usually use Propofol for procedural sedation. Sometimes you have to do a jaw thrust or bag a little, but it does wear off quickly.
    Mar 20
    Forum: Emergency Nursing
  18. Problems with ER
    Reading between the lines, it sounds like your hospital is trying to reduce ER throughput times, and that delays in giving nurse to nurse report have been identified as a factor. I agree that no...
    Mar 19
    Forum: Nursing Issues On Patient Safety
  19. The HARD Truth for most nurses :(
    Bedside nursing isn't for everyone.
    Mar 19
    Forum: General Nursing Discussion
  20. Pseudoseizures and screening for sexual abuse
    I would imagine that any sort of severe emotional trauma, not just sexual abuse, could manifest as pseudoseizures. Generally speaking, in the ER, we treat the distress, but it's not really our...
    Mar 18
    Forum: General Nursing Discussion
  21. safe assignment
    Rules about staffing vary from state to state. Some states mandate that hospitals have staffing committees responsible for formulating staffing plans. Does your hospital have one? Are nurses...
    Mar 15
    Forum: General Nursing Discussion
  22. Conscious Sedation in ED
    As described, this was not a procedural sedation because a depressed level of consciousness was not induced.
    Mar 15
    Forum: Emergency Nursing
  23. first code/compressions
    When I do compressions, I usually have to get up on a stool. Even a gurney at its lowest position is too tall for me to be able to do effective compressions. Yes, it should go without saying that...
    Mar 14
    Forum: Emergency Nursing
  24. Pain relief without fostering addiction
    Chronic or repeated use of proparacaine can cause scarring of the cornea and vision loss. There is a story at my workplace about a guy who pocketed the bottle that had been left at the bedside, and...
    Mar 12
    Forum: General Nursing Discussion
  25. I'm starting to feel like I'm done
    Maybe a change of scenery?
    Mar 12
    Forum: General Nursing Discussion


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