6spdftwtm

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1. What's the longest er wait time you have Even seen

   6spdftwtm replied to Trekfan's topic in Emergency

   There's two very important details that everyone is leaving out: 1 - The ER I'm from is divided into two areas of care. I don't know if many or most ER's are setup like ours, but we have a quickcare sectioned off from the rest of the ER. Esentially...

2. am i a hypocrit?

   6spdftwtm replied to xoxo0414's topic in Career Support

   No worries! You're not a hypocrite. A lot of nurses have fear of going under the knife! That's perfectly normal.

3. Just had to share...

   6spdftwtm posted a topic in General Nursing

   I'm in triage now and this 20-ish y/o lady walks in, says "ya'ah'teh" (Navajo for hello) and shakes my hand. She lays a package of the large tissue/wrapping paper for making backgrounds on big bulletin boards down on the desk and says "this is to de...

4. IV in an artery

   6spdftwtm replied to jrmarr's topic in General Nursing

   I was in a situation several years ago where I was convinced I had started an A-line on a young guy. He was ~18 y/o muscular, fit guy, in ER for intense abd pain and being a little....shall we say dramatic. Either way, tensing abd muscles, or rathe...

5. DWI and taking the NCLEX..

   6spdftwtm replied to EricaSAFJAF's topic in Criminal

   It's pretty unanimous nationwide that the court will require her to complete alcohol safety awareness program. That's a big part of the money-pit. I still maintain that the BON would MUCH rather make you jump through a few extra hoops so they can st...

6. DWI and taking the NCLEX..

   6spdftwtm replied to EricaSAFJAF's topic in Criminal

   "PLENTY of nurses who DON'T choose to put their lives the lives of countless innocent individuals in harms way may be more deserving of a job than those with a history with the judicial system =( " I suppose no one on this forum has EVER picked up a ...

7. IM injections - divide into 2 or keep as 1?

   6spdftwtm replied to samyaira's topic in Medications

   Fact of the matter is, MOST sources will say 3 mL for large muscles, 2 mL for peds VL injections. But the fact of the matter is that there hasn't been much true research on what is an acceptable volume to administer IM. We give clindamycin 600mg IM...

8. "Listening to nurses is key to being a good doctor"

   6spdftwtm replied to turnforthenurse's topic in Relations

   I have been a traveler since March '11...and on one level HATE IT!! Houston, TX was SCARY because NONE of the docs there trusted any of the nurses...especially travelers. "Hey doc, this kid has a GCS of 7 after the meds you ordered....should we con...

9. IM injections - divide into 2 or keep as 1?

   6spdftwtm replied to samyaira's topic in Medications

   If your patient was an adult, they were a WEENIE. The vastus lateralis and dorsal gluteal muscles on a normally sized adult can handle 3 mL (irritating med or not) with no trouble. If I remember correctly, 1.5 mL is max for deltoid. Peds is differen...

10. Does the Clinical Ladder violate Labor Laws?

    6spdftwtm replied to Valerius's topic in MICU

    At our facility, the big push for Magnet status has been well underway for a couple years. The dear people in HR even made a position for our "Magnet status consultant". At any rate, I feel certain that this has something to do with what our hospit...

11. Feeding GI contents to combat alkalosis

    6spdftwtm replied to NHGN's topic in MICU

    "For ever 1meq of hydrogen loss you generate 1meq" I thought matter is neither created, nor destroyed....seeeems like I remember something about that. Give me details on this...I'm curious.

12. IV Push Lasix

    6spdftwtm replied to emilysmom,RN's topic in Medications

    Search for "Lasix IV" and "ototoxicity".

13. DWI and taking the NCLEX..

    6spdftwtm replied to EricaSAFJAF's topic in Criminal

    OCNRRN63: THAT was a total waste of 30 minutes of your time. Anyone with more than two braincells would instantly look right past that useless heap of judgement calls. EricaSAFJAF: The most challenging thing (hopefully) to deal with is going to be g...

14. Calling all peds/ER nurses RE: Tylenol dosage

    6spdftwtm replied to 6spdftwtm's topic in Pediatric

    I had just recently left an assignment in Houston where ANY febrile child would receive a 500mg suppository in triage "per protocol"...regardless of age or weight. The physicians would routinely give orders for the same. "Give the kid some Tylenol."...

15. Calling all peds/ER nurses RE: Tylenol dosage

    6spdftwtm posted a topic in Pediatric

    In your experiences... What is acceptable practice for a one-time dosage of acetaminophen? What is acceptable practice for q4hr administration? Have you ever seen a child that received a one-time hepatotoxic dose ( What about hepatotoxic doses receiv...