paphgrl

paphgrl

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All Content by paphgrl

  1. Placing IVs in shoulder, breast, upper chest

    paphgrl posted a topic in General Nursing

    When I have encontered patients with difficult IV access I have placed IVs in shoulders and sometimes in veins of the breast. I have had good success with these sites. I have not seen other nurses do...

  2. Paracentesis on hospice

    paphgrl posted a topic in Hospice, Palliative

    Does your agency provide paracentisis when a PleureX catheter is contraindicated? I know it is expensive but it is symptom management. Your

  3. Cinnamon challenge dangerous

    paphgrl posted a topic in Emergency

    A patient presented to triage in severe respiratory distress after aspirating cinnamon while doing the cinnamon challenge. Her O2 sat was in the 50's. She was immediately intubated but prognosis very...

  4. Cinnamon challenge dangerous

    paphgrl replied to paphgrl's topic in Emergency

    She was an

  5. What is the most interesting case you've seen in the ER?

    paphgrl replied to BigDiesel's topic in Emergency

    20 something female worth co low abdominal pain. Quite obese. 5 minutes baby born. Didn't know she was

  6. "You've got 4 days to improve or else..." ... advice?

    paphgrl replied to CherryLifeSaver2621's topic in Emergency

    Get out while you can. I had a very similar experience and your post made me sick to my stomach thinking about what I went through. Ed nurses have a long memory and probably won't let this go..I went...

  7. What do you thinkf of "Magnet"?

    paphgrl replied to mauigal's topic in NICU, Neonatal

    My hospital became Magnet. I had thought it was a good thing until I saw the process. Management put on a big show for the magnet folks that came to assess our hospital. Front line nurses were...

  8. reporting med errors

    paphgrl posted a topic in General Nursing

    As long as nurses are afraid to discuss their med errors openly, they will keep happening, and patients will suffer. How many med errors have you made in the last year? Did you report it? How were...

  9. Should a new grad try ED or not?

    paphgrl replied to MegRyanGirl's topic in Emergency

    I started my career in the ER. After nine months, I asked for a transfer to med/surg. I realised my lack of expreience was putting my patients in danger. I will return to the ER in a few months with a...

  10. How Many Nurses are Glad They Have a Union

    paphgrl replied to Simplepleasures's topic in General Nursing

    I wouldn't work in a non union hospital. Last year, our contract was negotiated to include twice a year salary increases. Within months, the other two non union hospitals in the area had to increase...

  11. what is your nurse to patient ratio?

    paphgrl posted a topic in Emergency

    In our ED we generally have a 4 to 1 ratio (sometimes 5-1) We have few techs or CNA's. How do you handle your four patients when one is has a hgb of 6 and is agitated and trying to get out of bed,...

  12. After I graduate can I start right off in the ER?

    paphgrl replied to sphz9471's topic in Emergency

    I started in the ER. 9 months later I decided to transfer to a med/surg floor. Once I get a year of med/surg, I plan to get experience in critical care...THEN return to the ER. Imagine how difficult...

  13. Med errors

    paphgrl posted a topic in General Nursing

    How many Medication errors do you make? Are you afraid to report med errors at your facility? How does your facility handle critical med

  14. new grad leaving er

    paphgrl posted a topic in Emergency

    I am a new grad in the er. Many of my nurse coworkers feel that the er should not hire new grads. After 9 months of constant critisism from my coworkers, my confidence is gone. I did have the support...

  15. new grad leaving er

    paphgrl replied to paphgrl's topic in Emergency

    Thank you all for the kind words and advice. I look forward to starting with a clean slate. This will make me a better

  16. new grad leaving er

    paphgrl replied to paphgrl's topic in Emergency

    I have discussed this with my manager. Many nurses in the dept. are against hiring new grads, and so don't support them. I worked shifts with nurses who watched and waited for me to make mistakes. I...

  17. New Nurse....Please Respond

    paphgrl replied to davis18232's topic in Emergency

    I had a twelve week orientation. After orientation I was thrown to the wolves. I had no support. When I had too many patients, I wasn't given to option to say no to additional patients. I was working...

  18. new grad, just hired in ER, question.

    paphgrl replied to inodou's topic in Emergency

    I am a new grad working in the ER. I love it! I wouldn't want to work anywhere else. That said, I find it very challenging. I want so badly to be good at my job, but that comes with time and...

  19. organizational skills

    paphgrl posted a topic in Emergency

    I am a new ER nurse. I need help with my organisational skills. How does one stay on top of things when you have seven people, (docs, patients, familys, phone orders...) who need your attention right...

  20. nursing podcasts

    paphgrl posted a topic in General Nursing

    Does anyone know of any podcasts related to

  21. Raids on members causing high fever in nurse unions

    paphgrl replied to Brian's topic in Activism, Healthcare

    At my union hospital, nurses who don't care to have their dues go to the union can opt to have it go to other radical leftist socialist organisations like the American Cancer society or the Red Cross....

  22. Nursing diagnosis "altered energy field"

    paphgrl posted a topic in General Nursing

    "Altered energy diagnosis" Do you support this NANDA diagnosis? Or do you feel that this diagnosis threatens the legitamacy of our profession? Nanda still stands behind it. What are your thoughts?...

  23. Raids on members causing high fever in nurse unions

    paphgrl replied to Brian's topic in Activism, Healthcare

    Last year my union voted in a new contract with a wage increase. Within two weeks, the other local non union hospital increased their RN wages to retain their nurses. Though they are non union, our...

  24. Male RN-assist with pelvic exams?

    paphgrl replied to walnuttree91's topic in Emergency

    Injurys to ones genetalia is not funny. I do not "size up" my patients according to their looks or genitals. I found nothing funny about the kid who put a gun to his abdomen yesterday. Maybe there...

  25. Nursing diagnosis "altered energy field"

    paphgrl replied to paphgrl's topic in General Nursing

    How would a diagnosis of "disturbed energy field" and the interventions associated with the dx, when documented in a patients care, hold up in court in a malpractice case? I wouldn't want to be...