NurseSonata

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1. forced to work when sick?

   NurseSonata replied to Skylar86's topic in General Nursing

   I'm not certain how I would handle the situation with your manager; however, I would point out the importance of NOT working when you're unwell. It really is a serious patient safety issue. Last year, I witnessed a nurse who was still recovering f...

2. Got a nurse aide fired... did I do the right thing?

   NurseSonata replied to Live.Love.Nurse.♡'s topic in General Nursing

   You did the right thing. These facilities have very tight budgets and can't afford people to sleep on the job. What disgraceful behavior. I've seen more of this than I care to over the years and good on you for having the courage to speak out. Fo...

3. Bicarbonate HC03 - As High as 43?

   NurseSonata replied to NurseSonata's topic in General Nursing

   No blood pH was taken at the time - so this is why just looking at this alone is a bit like stabbing in the dark. Sodium and Chloride lower than normal ranges - so definitely compensating.

4. Bicarbonate HC03 - As High as 43?

   NurseSonata replied to NurseSonata's topic in General Nursing

   No ABGs were taken at the time - as just routine bloods. 02 Sats 88% on 1 L/min. Sats a bit lower than usual for this PT, but since she was laying flat and sleeping, not surprising.

5. Bicarbonate HC03 - As High as 43?

   NurseSonata posted a topic in General Nursing

   I haven't seen this before - and was wondering if this is common? I have a 72yo PT with COPD. Very fragile - multiple health problems. She is a chronic CO2 retainer. 24/7 02. Her HC03 has been as high 39 mmol/L previously over the years, but sh...