Kimmadsim

Yes I was wondering with vegetation or calcification if anticoagulants are recommended?

What is known about a calcified estachian valve showing up on TEE? Big deal or not? patient has history of PE , risk factor of obesity and HTN, recent episode of syncope. Work up showed a negative stress test and cardiac enzymes.

Oh my! I guess the shoe thing sounds weird without explaining she was wearing Ugg slippers. Sawing was “ cutting the teeth with a dental saw or instrument” She also Remembers a nurse wiping her cheeks from tears and “ patting her head” to calm her.

Asking as a nurse and mother: My daughter had dental extractions under IV sedation in office. I thought after Versed she would forget everything but she recalls the Dr conversation, tugging, sawing, felt the stitches, remembers her shoes falling off four times , essentially everything and the pain. Her IV site looked normal. She doesn’t take any meds except birth control . She is a college student ( which Dr afterwards says it’s pretty typical that college students require a lot of meds assuming alcohol related?) I recall Novocaine x 5 injections failing when she was 18 yrs old getting a cavity filled. Thoughts? Anxiety related or a physical cause?

What are some common problems you run into when taking care of pediatric patients either pre op or post op? What has your institution done to combat the problem?

I had the idea of studying ways to reduce pediatric anxiety but that’s been done. Looking into how developmental stages of children affect nursing techniques( a review for the nurses), or something like that. Or seeing if there is a preop screening tool that measures risk for pediatric post op complications but I cannot find any such articles. I just don’t know where to begin.

I have an question and need advice. I am ( for the first time) doing an ambulatory surgery evidence based practice project regarding our pediatric population. I have present the project idea to the manager. I want to do a great job. What all should I include? Any helpful hints? Advice?

I am fairly new to outpatient surgery or my hospital’s ambulatory surgery center ( after 30 + years as a medical Surgical nurse. I was asked to initiate a research project for quality improvement on an issue that our outpatient surgery center faces and implement that change. I have no idea of any research project I can do. We don’t have a high fall rate. Our nurses satisfaction is very high. Does anybody have any ideas?

Thank you for replying. I was told by Employee Health once the Dr releases you or gives you return with restrictions to let them know. If They have a position that fits those restrictions, they can accommodate me but if they don’t have a position that I could do modified then I still will be off of work comp but not necessarily have a job to return to . Honestly it makes me a little frustrated and angry because I got COVID from a patient that should’ve been screened better on admission and not three days later. Then maybe we would be wearing a different mask if we knew she was positive. But yet it’s me that’s in danger of losing my job because I now have a blood clot in my lung from Covid.

I am currently on Workmen’s Comp. pay because I contracted Covid from a patient but also had to use my FMLA time at the same time which now is close to being expired( I got Covid then 10 days llater pneumonia then three weeks later a PE.. all due to Covid) I was told once my FMLA time is expired my job is no longer safe. So I am scared to death. And I do not think it’s fair at all. I wonder if anybody else is in this position or has been? It’s not like I can rush back to work after a PE the doctor estimated a six week absence from work and I’m only at my three week mark

Try to make this short. I have been on COVID leave since Dec bc I developed Pneumonia Dec 22 ten days into COVID And now on leave for a Covid PE. I have been extremely lucky that Workmen’s Comp. has covered my pay as I am out of PTO. The problem now is I have six days until my FMLA leave is expired or the 12 weeks is used up mainly because in November I had to be quarantine for a high risk exposure for 10 days at work. I know I contracted Covid from a patient that I start an IV on who was never tested until two days after being there despite using appropriate PPE. now I am at risk of losing my job was my FMLA leave is completed. Has any nurse had a similar experience where they were on Workmen’s Comp. but still lost their job? I am only three weeks after a PE diagnosis and no I am not strong enough to work 12 hour shifts because I’m extremely fatigued and short of breath still. My doctor told me upon discharge in the hospital that it would be a six week break from work because of the risk of dislodgment. I am so anxious about what is going to happen.