AKSkier

AKSkier has 22 years experience and specializes in Med-surg.

Latest Activity

1. Feel inadequate-need advice

   AKSkier replied to tolerantgirl's topic in General Nursing

   It bothers me that you would feel inadequate about not being able to admit two patients to the ICU. This is not something that any nurse would be able to do. The floors that I have worked on would never give a nurse 2 admits at a time. You have to ...

2. Auscultating for Bowel Sounds After Surgery

   AKSkier replied to jo716's topic in General Nursing

   I would say it depends on what type of surgery. If it is a major abdominal surgery, of course you will not hear any bowel sounds immediately post op. And you do not need to call the doctor. They don't expect to hear any at first. If it is some oth...

3. So so so Confused!

   AKSkier replied to hisGirl25's topic in Student Assist

   You said you want to go to a school in TN. You need to see what they require to be accepted into their nursing program. Plus make sure the classes you take will transfer to them. Find out what their requirements are to apply to their nursing schoo...

4. Heparin and PICCs

   AKSkier replied to babedollRN's topic in General Nursing

   It depends on what type of PICC line you have. Usually they have to be flushed with saline then heparin. But recently there are some new products that do not require heparin even though they are PICC lines. One is called SOLO PICC. You only flush w...

5. DVT and Homan's sign

   AKSkier replied to HarmonyW's topic in General Nursing

   I read an article in Nursing 09 - April about venous thromboembolism. It does not say anything in the section about recognizing DVT about using the Homan's sign. I would just assess for and document the other signs and not worry about Homans. It is...

6. New Student - What do I need?

   AKSkier replied to newstudenttx's topic in Texas

   Yes, I would definitely get the Nursing 09 drug book. I would NOT get the Davis drug book. I don't agree with everything Davis says, and I know a few other nurses who also agree. One thing, it would say to hold dig or beta blockers for heart rate o...

7. Student concerned about future...advice needed.

   AKSkier replied to hollycp's topic in Career Support

   Hi, I wouldn't worry about finding a job when you are finished with nursing school. I think the only reason people are talking about not finding jobs, is because the economy is so bad. Some nurses were not working (staying home with kids or whatever...

8. New Student - What do I need?

   AKSkier replied to newstudenttx's topic in Texas

   Your school should have a list of what you need. Definitely some comfortable shoes for when you start clinicals! A stethoscope, watch with second hand. You need time more than anything. Have to prepare for clinicals, write care plans etc. I know ...

9. your nursing career dream

   AKSkier replied to Mecene's topic in General Nursing

   Hi, I hope you recieve this message. You sent me a private message, but apparently I cannot send one. So I thought I would respond to a thread you started. Although this one is from last year, so hopefully you still check. you asked about my nursin...

10. I need some nursing knowledge shares please-new nurse

    AKSkier replied to tolerantgirl's topic in General Nursing

    I do not work dialysis, so not sure about lovenox and dialysis. As far as the SCD and lovenox, I would not leave the SCDs off. They work together to prevent DVTs. Especially if the patient had surgery, I am used to using both. If the doctor has o...

11. Help! narcotic key turnovers

    AKSkier replied to ez2000's topic in Geriatric

    Thought of one more thing. If this continues to be a problem, especially if this is "the norm" as you say, they don't come in early. You are just making more work for yourself and not helping any. If you come in on time, then you just have your work ...

12. Help! narcotic key turnovers

    AKSkier replied to ez2000's topic in Geriatric

    I agree. I would not count and keep their keys. You mentioned they will do this is if the next shift is late. Well, that would be reasonable. But if you are coming in early to get your work done, I would politely tell them that they can just wait fo...