Latest Comments by Oh'Ello

Oh'Ello 5,070 Views

Joined: Jul 24, '14; Posts: 228 (68% Liked) ; Likes: 935
Specialty: Heme Onc

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  • 5
    Wisco50, Mini2544, Amethya, and 2 others like this.

    I didn't know this was a thing? Our patients and family members buy us gifts all the time.

  • 0

    How flexible is your living situation. The other side of the state has TONS of acute care opportunities, and I personally know of several practitioners that were hired as RN's (most of them as Casuals and PRNs for supplemental income) because our acute care nurse situation over here is so dire.

  • 0

    Quote from idialyze
    Have no idea what this means, but it sounds intriguing. Care to explain?
    A Minnesota tube is a device used for upper GI bleeds. It's a long tube with 2 balloons and 2 drains. The gastric balloon inflates in the stomach to tamponade the bleeding there, and the esophageal balloon can be inflated likewise. The drains connect to suction to remove the blood from the GI tract. And the tube is set up to traction to maintain it's position. That night we transfused 27 units of blood (amongst other fluids)....And the patient had 30 liters of blood/fluid loss. If you do the math on that, you get a fluid balance that's not consistent with life.

  • 0

    RN's change central line dressings where I work. A select group who've received training change PICC's (simply because of the displacement risk). I'm not sure who else is expected to change them.... Physicians? LOL

  • 6

    I'll tell ya this right freakin now. Yellow wristbands DO NOT HELP.

  • 0

    Not required to double check insulin here. Level 1 Trauma, Teaching, Magnet, Pennsylvania.

  • 0

    i was always under the impression that it was a matter of maintaining the catheter. Some JP catheters are kinda teensie and can clog if you don't strip out the clots. I've never had to or even thought about stripping a chest tube... I just don't even know how that would work. The tubing (at least that we use) is fairly large bore and isn't really very flexible or strechy, so I don't even know what stripping would achieve.

  • 6

    Whether or not someone needs and interpreter is like the 4th question on our admission assessment, lol. I promise you, that nurse probably didn't give any kind of ****. She's just asking the questions that the computer prompts her to.

  • 0

    Quote from Wuzzie
    It's because the monitors calculate the MAP and THEN extrapolate the systolic/diastolic using proprietary calculations not based on what we use when doing manual pressures. Automatic cuffs do it by measuring oscillation to determine the MAP while direct-measure devices (a-lines) measure the wave form. Blew my mind when I found this out.
    Which is why sometimes (at least on our monitors) you can have a crappy wave form and -/- for sys/dia but still have a map in parentheses that makes sense

  • 5

    Minnesota tube, 27 units in and 30 LITERS out. I think that pretty much sums it all up.

  • 1
    Here.I.Stand likes this.

    I also reconstitute In flushes. We don't stock saline vials....Because it's stupid. The ISMP assertion is stupid too. If I drew up 10ml of nimbex, and 10 ml diltiazem, how on earth would I know which one is which?????

    Labels that's freaking how (which is also an ISMP recommendation)

  • 2
    booradley and Cat365 like this.

    I've been a nurse for about 4 years now. My husband was shocked/irate/confused/disturbed/befuddled/concerned when he recently found out that I frequently encounter male genitalia at work. I don't think it's uncommon for "the others" not to know what we go through at work let alone what we actually even DO.

    With that said, I don't really have any advice to offer you other than, he'll figure out it my experience at least.

  • 9
    snoozin, evastone, Nurse Leigh, and 6 others like this.

    There sure as **** is never any toilet paper

  • 2
    NRSKarenRN and TriciaJ like this.

    Are they all in the same health system? Maybe it's just bad culture. I've worked in places (not in nursing) where all of the management were jerks. And then when I transitioned into a management position, I realized why.

  • 48
    twinsmom788, andrea3434, SHGR, and 45 others like this.

    I think it's ironic that your username is "Thank god for ativan" but you're apprehensive about giving prescribed controlled substances per order.

    You aren't a drug dealer because you aren't personally profiting from the dispense of drugs. She has pain meds ordered and they're indicated.If she is engaging in self-sabotage, self-harm, med-seeking, she will suffer the consequences of those destructive behaviors regardless of whether or not you attempt to control her pain. I think its important here to remember what our job IS and what it is not.