TooterIA

TooterIA

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All Content by TooterIA

  1. Sure signs your pt. is sick

    TooterIA replied to danger's topic in Emergency

    You must have never worked in an ER. So the patient I had last week that came in because he couldnt sleep was a sign of

  2. How can I prepare for my first teaching job?

    TooterIA posted a topic in Nursing Educators, Faculty

    I currently have my BSN and will finish my MSN next spring. However, I dont plan on actually applying for my first teaching job (which I hope will be a nursing instructor at a community college I...

  3. How can I prepare for my first teaching job?

    TooterIA replied to TooterIA's topic in Nursing Educators, Faculty

    Sorry, I am just now getting back to reply. Thanks for all the great ideas! I will check out the recommended books. I also am in the works of talking with the Red Cross to see what areas they need...

  4. What alcohol level do you admit for?

    TooterIA posted a topic in Emergency

    Nothing drives me more crazy than the drunks. We have people that bring in their friends who are fine, but have an alcohol level of 200, so we admit them overnight for IV fluids. What level does your...

  5. Is this Common?

    TooterIA replied to tinybabynurse's topic in Emergency

    Common, we do dopplers.

  6. What alcohol level do you admit for?

    TooterIA replied to TooterIA's topic in Emergency

    I guess I should have clarified, we admit patients for a BAC of 200 even though they have a sober friend who is capable of watching them and the pt has no problem protecting their airway, they are...

  7. TNCC renewal the same as a new provider?

    TooterIA posted a topic in Emergency

    I am set to renew my TNCC next month. My DON is telling us that guidelines have changed and people taking the class for the very first time will be taking the same class as people renewing. So I have...

  8. Phone advice? Do you give it?

    TooterIA posted a topic in Emergency

    We were recently instructed not ot give any adivce over the phone because of liabily issues. We were given an ask-a-nurse phone number to give out but I called it and it is with a different hospital,...

  9. Phone advice? Do you give it?

    TooterIA replied to TooterIA's topic in Emergency

    So do you just say "You will have to come to the ER" and hang up or what?

  10. Does nights or first shift give your insulin?

    TooterIA posted a topic in General Nursing

    In my 25 bed hospital, nights does fingerstick blood sugars between 6-7am, and our shift ends at 7:30. Days comes out of report at 7:30 and gives sliding scale insulin based on the blood sugars...

  11. Isolation in your facility

    TooterIA posted a topic in General Nursing

    I am curious what your hosptial does as far as isolation in the following instances: positive for CDiff MRSA in urine MRSA in a covered wound MRSA in sputum My facility supposodly has policies saying...

  12. packing a child in ice for a fever of 105 degrees?

    TooterIA posted a topic in General Nursing

    In report the other morning, night shift told us of a 8 year old who had a fever of 105 degrees axillary so they packed him in ice (put ice packs all around him) and gave him Tylenol. They were happy...

  13. packing a child in ice for a fever of 105 degrees?

    TooterIA replied to TooterIA's topic in General Nursing

    Thanks for all the replies. I have no idea why they were in such a hurry to bring it down.

  14. What exactly is so bad about Med Surg?

    TooterIA replied to Lisa CCU RN's topic in General Nursing

    I think it will vary widely, depending on the facility you work in. I work in a 25 bed hospital and we have very good nurse-patient ratios, usually 1-5. It also depends on your coworkers-for the most...

  15. What would you do?

    TooterIA replied to Windshadow's topic in General Nursing

    Yep, I am looking to do it right now. I hope to get hired for the job I interviewed for, $3.50/hour paycut, 10 minute longer drive, but it is in an area I have long wanted to pursue and there will be...

  16. Are there any meds to help uncontrolled A-fib that dont dorp pressure?

    TooterIA posted a topic in General Nursing

    Are there any IV meds that you can give to help decrease the HR but it wont decrease the BP? I had a patient last night that his uncontrolled A-fin was in the 150's but his pressure was only 70 and...

  17. Are there any meds to help uncontrolled A-fib that dont dorp pressure?

    TooterIA replied to TooterIA's topic in General Nursing

    MedicalLPN, we were confused why the Dr was doing was she was doing also. She wrote in her progress notes that the patient was comfort care only, yet she still had many orders in place that were...

  18. Can you see pulmonary emboli on a plain chest film?

    TooterIA posted a topic in General Nursing

    Title says it all, can you see pumlonary emboli on a plain font chest film? I Mean just the film, w/o running a D-dimer or anything else that would clue you in.

  19. Walkie Talkies on Your Unit?

    TooterIA replied to NursingAgainstdaOdds's topic in General Nursing

    Hope I never have to work with you. What do you do if these people come up to you IRL? Walk away? Wow.

  20. Are there any meds to help uncontrolled A-fib that dont dorp pressure?

    TooterIA replied to TooterIA's topic in General Nursing

    I had a lot of conversations with the family, they are waiting on the Pts daughter to come from a 6 hour drive, then they will feel comfortable turning off the meds. It is unfortunate though-I had to...

  21. Walkie Talkies on Your Unit?

    TooterIA replied to NursingAgainstdaOdds's topic in General Nursing

    We dont but I would LOVE it. But we are only a 25 bed hospital so they think we are easy enough to track down. I would even settle for the tags that workers wear that when you are in a room there is a...

  22. Are there any meds to help uncontrolled A-fib that dont dorp pressure?

    TooterIA replied to TooterIA's topic in General Nursing

    Ericenfermo you answered my other post about teh PE's, this is on the same Pt. I copied what I put in the other post about this pt. But since he was pretty much unresponsive he didnt have any Sx I had...

  23. Can you see pulmonary emboli on a plain chest film?

    TooterIA replied to TooterIA's topic in General Nursing

    Wow, Ericenfermero, that link was AWESOME! I really learned a ton, thank you! I will give you a little more background on my question, if you care. I had a 92 year old Pt come to the ER Fri night with...

  24. Question about leg numbess related to epidural or surgery, other postop questions

    TooterIA posted a topic in General Nursing

    Warning, this is long! I ask these questions because we never do epidurals for surgery in our facility and I have never seen these posto pcomplications before. Any thoughts you have would be...

  25. Question about leg numbess related to epidural or surgery, other postop questions

    TooterIA replied to TooterIA's topic in General Nursing

    They did do a chest xray after placement and placement was ok. Would it have been possible to nick the lung and it wouldnt have shown up in the postop line placement xray? She had no Sx of the lung...