Crocuta

Crocuta RN

Med-Surg, ER

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All Content by Crocuta

  1. Any RNs w/ urgent care experience?

    I've worked in Med/Surg before, and I'm currently in ER with occasional coverage of our urgent care area. It is definitely faster in pace and if you're really good and you've got good docs, you can...
  2. IV start tricks

    You may have to start going for veins that aren't readily palpable, but there's no way to explain that in writing. You sound like an experienced nurse. Perhaps you should have someone from your...
  3. IM shot question

    You won't get much blood if you are fortunate and don't skewer a blood vessel on the way in. On the other hand, if you use a z-track method, you'll rarely see blood anyhow. If she got the...
  4. diagnosis

    And the forced isolation may very well exacerbate the delusions and behavior disorders the pt is experiencing. We frequently provide familiar sitters with delusional patients because it can help keep...
  5. diagnosis

    Well, I think that Social Isolation would be the more appropriate diagnosis. The NANDA definition of Risk for Loneliness is "At risk for experiencing vauge dysphoria", whereas the definition of...
  6. Liability issue

    Unless a patient has been declared not competent to make his/her own medical decisions, they have *every* right to refuse any and all medical care. Document, document, document. Document patient s/sx,...
  7. I could see perhaps getting a nursing degree as a first step since it would guarantee that you could make a tolerable wage while in school (it's a far sight better than bussing tables.) But the whole...
  8. Help! Air bubbles! Exam tomorrow!

    I remember in nursing school trying to get every last microscopic bubble out of the tubing. Here are my mostly serious suggestions: It's impossible within the time frame allowed. :-) So, relax and...
  9. Please Need Help: Prioritization Asap!

    There are a couple of ways to approach this problem. Maslow's hierarchy of needs is a good place to start. Remember Maslow's theory as a pyramid in which you must satisfy all lower needs before...
  10. Edt ?

    I would say eustachian tube dysfunction given the references to URI and
  11. ISO analysis of a med error

    I believe the event you are looking for was reported in the May 1998 issue of Nursing and involved a newborn being injected with 10x the I.M. dose of PenG via I.V. Nursing's archive only has full...
  12. Normal Saline in a nebulizer?

    It's great for little kiddo's with various respiratory and airway issues. Fill the chamber with saline and give it to mom or dad to just hold nearby in a blow-by position. Kids tolerate it better than...
  13. There were a couple people in my nursing class that were absolute wizards with the book smarts. You could ask them any question that might be on an upcoming test and they could rattle off the answer....
  14. I don't think that the drop out rate in nursing school is as dire as it seems. I did some quick googling and found statistics indicating that somewhere between 40-60% (depending on the source) of all...
  15. IV opportunities?

    If your rehab center is associated with a hospital, you might be able to spend a day at an ambulatory infusion clinic or in a day surgery department. Both tend to do many IV's per day. Get friendly...
  16. I guess I'm an idiot

    There is another possibility that no one has mentioned. Maybe the OP's preceptor was having an even worse day. By her own admission, she thought that her preceptor was "the coolest nurse on the...
  17. help needed

    My first thought was to inquire with your tribal council. They should have programs set up internally to train and retain tribal members. If they don't, I guess you just found your next cause....
  18. Male staff-Female Pt. - ECG

    I understand your concern. There are a couple of things you can do - Tazzi had a great suggestion, and not just for ECG's. I think that sometimes we don't consider all of our options when performing...
  19. When I precepted in the ER, we had a guy come in from a sawmill accident. The saw blade blasted through the top of his foot, shreding his shoe and removing most of the meat, but left the tendons...
  20. "New grad-itis"...

    My concern in these situations is that there is always the risk of someone who feels that they don't need any input or help charging forward blindly. They can quickly get in over their heads and...
  21. Inserting Foley Cath into Male patient

    In addition to the other suggestions, a couple things have helped me - grab the member and pull it tight toward the toes and then down toward the sheets. I've found that this position gets things...
  22. Hispanic patients

    Something to consider if you are trying to translate your documents in-house: You risk setting yourself up for problems should you mistranslate something. Creating a translation that provides...
  23. patient identification

    I haven't seen anything in writing to indicate that the patient needs to actually verbalize the information, but I'm willing to be corrected if I'm mistaken. Personally, I always have them do so if...
  24. My facility runs three 1 hour staff meetings in the same day for the monthly meeting. The first starts fifteen minutes after night shift ends, the second starts one hour and fifteen minutes before...
  25. central line procedure, discontinuing

    We have the patient positioned supine without a pillow, don sterile gloves, remove any sutures, hold 2x2's soaked with betadine over insertion site, have patient perform valsalva if able (or hold...