Beech1184

Latest Activity

1. Deciphering ABG's

   Beech1184 replied to IamVickiRN's topic in General Nursing

   What helps is to keep in mind how acid is produced in the body and how it's excreted, in relation to the patients clinical diagnosis. The lungs excrete approximately 150 mEq of acid per day in the form of carbonic acid.( Co2 + H20 ). The kidneys only...

2. Need neuro nurse advice re spinal injury

   Beech1184 posted a topic in Neuro

   Hi, I'm a CCRN now retired after I was in a high speed MVA 5 years ago when the driver of a crew cab pick-up ran a red light. I have herniated discs at C 6, 7, T2, 5, & L3 all with moderate spinal stenosis. My major concern is movement of C7 as ...

3. How would you make inpatient rooms better?

   Beech1184 replied to Email4KH's topic in General Nursing

   I worked in the Planning Department of Tertiary Referral Hospital of 1300 beds many years ago as the Nursing Representative. We used a Room Data Sheet for every type of room. Here you list all of the normal activities then all the urgent or emergent ...

4. Prioritization/delegation dilemma..help please!!

   Beech1184 replied to rissa47's topic in Student Assist

   Make yourself a grid sheet, along the left margin put all the tasks in order of priortiy, along the top, put a skills required score 1 being low and 5 being high. This will help you determine what to do yourself or delegate to others. You can also do...

5. PTSD after childbirth

   Beech1184 replied to orcagrrrl2003's topic in Student Assist

   I think you want to look at post Partum Depression rather than PTSD. There is a huge difference for women after childbirth. Though it does not seem to be fully acknowledged and well treated in the US it is fully recognized as a serious complication o...

6. Sleeping during nightshift!!

   Beech1184 replied to helpinghands's topic in General Nursing

   As a professional nurse you cannot sleep on work time. You can do anything you want on your break time. If you sleep more than about 3o minutes you will wake groggy and somewhat disoriented but if you sleep for 20-30 mins on your break you will feel ...

7. How to get to work in a snowstorm?

   Beech1184 replied to AfloydRN's topic in General Nursing

   I think you made the right decision in your situation. You must be pretty dedicated to commute 3 hrs per day on a regular basis.

8. Blood Pressure Kits for Obese??

   Beech1184 replied to pagandeva2000's topic in LPN/LVN

   It was tested and proven in a hospital in Canada but like most Nursing interventions it wasn't written up in a professional journal. Best answer for skeptics is to do a comparison test: use a large cuff on the upper arm and a regular cuff on forearm ...

9. ACLS Question

   Beech1184 replied to JenTheRN's topic in Ob/Gyn

   Ours requires basic CPR Ceritification and Povides a Course on Neonatal Resuscitation. I was well schooled and used to teach CPR but the Neonatal course was quite different as their needs and responses are different.

10. Blood Pressure Kits for Obese??

    Beech1184 replied to pagandeva2000's topic in LPN/LVN

    You don't need a special kit. It's been proven that you can take blood pressure accurately on an obese patients forearm. You then use the stethscope over the radial artery. This works with automatic BP machines too.

11. Getting past the interview- need advice

    Beech1184 replied to malenurse2001's topic in SRNA

    Having done lots of interviews when hiring nurses, the main thing is answer honestly. Use examples to identify your skills, don't inflate your experience, be very honest, express a sincere desire to learn and how you plan to do it, identify your stre...

12. respiratory acidosis/alkalosis

    Beech1184 replied to TSHELTON2005's topic in Student Assist

    The main thing to remember is that the lungs are the major way we dispose of acid products of metabolism in the form of CO2 and water vapor or CO3. 13,000 meq of acid are excreted versus 50 meq for the kidneys in 24 hrs. Anything that causes hypovent...

13. Desperately need NIGHT SHIFT ADVICE!!!

    Beech1184 replied to RebeccaJeanRN's topic in CCU

    Take good food to work., and snacks. Try to have a 20 min nap on your break, take an alarm clock or timer. You wake rejuvinated for the last couple of hours of your shift. Eat breakfast when you get home, uplug phone, darken room and sleep as long as...

14. How to get to work in a snowstorm?

    Beech1184 replied to AfloydRN's topic in General Nursing

    It may not work foryou but I worked nights too and I had ordered a taxi but it didn't show so I called the Ambulance service, non emergency line, to see if they had a trip going by my house.The crew was at the hospital and knew that every nurse was n...

15. most difficult skill

    Beech1184 replied to love2shop's topic in Med-Surg

    Clinical assessment is the most difficult, that is using your eyes and ears and sense of touch to make an initial assessment of the patient. Noting color, respiration, tissue turgor, sweating, cold skin, ability to communicate, etc. Train youself to ...