Castiela

Castiela

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All Content by Castiela

  1. Inmate patients- keeping the guard happy too

    Castiela replied to angiebelle440's topic in General Nursing

    Ultimately it comes down to that despite the patient being a prisoner, they are still entitled to the same care and respect that every patient is entitled to. It isn't our job to judge or withhold...

  2. Reducing CLABSIs by prohibiting blood draws from line?

    Castiela replied to fartjohnson's topic in General Nursing

    We are discouraged from using the central line and they prefer us to have lab poke the patient. We also need to change the cap whenever we draw blood. We circumvent this a bit by attaching a vamp line...

  3. passed CPRNE but dont have english test

    Castiela replied to bitterhon's topic in Nurse Registration

    Did you study in Canada? If not, where are you applying from? Each province will have an outline of what is needed to gain registration including international applicant

  4. lateral violence in nursing school

    Castiela replied to SugarPlumIce87's topic in General Students

    I'm really sorry you experienced that. I don't believe that is the normal nursing school culture, at least I really hope. I honestly think you made the best decision by withdrawing the semester. You...

  5. Do you think I have a case? HIPAA

    Castiela replied to msoncnurse17's topic in HIPAA Challenges

    Even posting items not about your employer but that show "questionable moral turpitude" can get you fired. I've just given up on posting in social media. It's easier and I never have to second Gus's...

  6. Flu Shot = Sick

    Castiela replied to Taina33's topic in Activism, Healthcare

    I know there was a BON notice about a RN who was suspended and fired for reporting that he got the flu shot and then didn't. Not really sure how that came to fruition We have the option to wear a...

  7. Needlestick yesterday, should I report it?

    Castiela replied to I like cats's topic in General Students

    I'm not American. You showed poor judgment not reporting a needlestick. We can't assume you didn't follow the same judgment with administering the second dose of insulin which is why you are getting...

  8. LPNs and medication

    Castiela replied to direw0lf's topic in General Students

    In our facility, I believe only chemo trained nurses can administer chemo medications because it is a specialized skill. I imagine it's similar for this question because the side effects of chemo are...

  9. I'm struggling in Critical Care

    Castiela replied to Lemon Bars's topic in General Students

    Maybe try cutting out the caffeine? I find I can't focus when I have any in me. What are these critical care clinical logs? What do you need to do for them? Are you focussing on the need to knows or...

  10. Working while pregnant and sick. Someone help!

    Castiela replied to Cerazo's topic in General Nursing

    Per the terms of service of this site, we can't really give you medical

  11. Need ALL the Help and Advice for IV Starts

    Castiela replied to RN329's topic in General Nursing

    Can you practice and offer to do other RNs IV starts? The first time you do it, have an experienced RN walk you through it and then keep practicing. It's the only way to get

  12. Needlestick yesterday, should I report it?

    Castiela replied to I like cats's topic in General Students

    I'm kind of concerned that you double dosed a patient with insulin... You don't know how much insulin she had absorbed from your first dose. I would have waited an hour, checked her sugar, then,...

  13. When refusing to work is considered abandonment?

    Castiela replied to Leonardo Del Toro's topic in General Nursing

    In our facility, if you leave before your replacement shows up, it is

  14. Patient With a Fractured Hip

    Castiela replied to LM96's topic in General Nursing

    You can use a bedpan if they can tolerate, you may have to pre medicate before hand. Use the ones that look like a wedge if they are available. If you have to turn them, place a pillow between their...

  15. Priority Dx for Case Study

    Castiela replied to ErinLeighRN's topic in General Nursing

    Ya... When I read the scenario, my first impression wasn't that she would stroke out. If you did some dialysis/ gentle diuresis, you would decrease her circulating volume and would likely help her bp...

  16. What should I have done about super low O2 levels?

    Castiela replied to BookishBelle's topic in General Students

    i am pretty sure that's a myth. 400 Bad Request its a good read about the subject and explains why we aim for the 88-92% sats in copd

  17. How to become a PACU nurse in Canada?

    Castiela replied to Brie_Cheese's topic in Canada

    Your best bet might be to contact some PACU managers and ask what their requirements are. I know in BC, LPNs are not hired to critical care areas and generally must complete a 8 month critical care...

  18. Why would med not draw up from vial

    Castiela replied to FutureRN20190's topic in General Nursing

    The higher the viscosity of the medication, the harder it will be to pull out. What were you trying to draw

  19. Priority Dx for Case Study

    Castiela replied to ErinLeighRN's topic in General Nursing

    My vote is kidneys for the primary problem. Impaired kidney function can impair the RAAS system which can lead to an elevated BP and I think the impaired kidney function would be more likely to kill...

  20. Question for anyone who takes colorful notes!

    Castiela replied to misskayy's topic in General Students

    Coloured permanent pen markers/ firm tip

  21. New grad needing time off after 5 months?

    Castiela replied to ksusn's topic in General Nursing

    I would be up front and explain the situation. Most places I've worked for have been pretty good about pre existing vacation plans when I've started a full time line. I imagine you should have accrued...

  22. Unwitnessed fall

    Castiela replied to Koalified's topic in General Nursing

    I'm not sure what Rapids are. Our policy for unwitnessed falls is vs/ neuro vitals q15minx2, q30min x2, q1h x4 then q4h for 24hrs +calling the

  23. New nurse being targeted in ED

    Castiela replied to Newbienikki's topic in General Nursing

    From friends who work in ER, they are started in the areas of ER where the patients are the most stable, and as they progress, they move to monitored patients, to the resusc bay to triage. I know most...

  24. How objective are studies anyways?

    Castiela replied to Emergent's topic in General Nursing

    I've found almost every methodology will have its biases and weaknesses. What strengthens the study is when they acknowledge the weaknesses and assess how that could effect the study. It's also our...

  25. What do you do when a patient refuses treatment and wants to go home?

    Castiela replied to xmilkncookiesx's topic in General Nursing

    It really depends if she was certified or not. If she had been deemed mentally incompetent, then yes, we have the power to restrain them and prevent them from leaving and would be considered liable if...