Crocuta

Crocuta RN

Med-Surg, ER

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All Content by Crocuta

  1. patient identification

    Use of two patient identifiers is a Joint Commission National Safety Goal and if you're the only staff member using them, your facility is going to get a major ding on the next JCAHO inspection. At my...
  2. Why IV pumps for Central Lines?

    Mine was a Protonix IV in a central line. It was set up by an LPN with 20+ years exp, she always does those IV's with a non pump set. I glanced at it on my way out of the room and came back in three...
  3. night shift depression

    I would suggest finding a good doctor and getting a full workup to make sure that you haven't developed a medical condition that would explain your symptoms. Hypothyroidism, adrenal disorders and...
  4. Just want to vent about a coworker.

    My wife is a very fragile sleeper. If she's woken up in the night, she usually can't get back to sleep and then she's tired all day. We don't keep a regular phone in the bedroom and I gave my...
  5. The patient's family members

    Family members of hospital patients are going through their own issues along with the pt. They may be worried, scared, have feelings of helplessness, grieving, etc. Sometimes they don't know how to...
  6. Stupid question

    Transistor radio? Do you realize that you just seriously dated yourself? I just know there are people right now thinking, "What's that?" Say "about the size of a PDA." It sounds more hip. Oops....
  7. Apparently the same one you do. You're describing my job. My point is that is not all there is to nursing, and there's nothing to say that a nurse can't have a successful career without ever doing...
  8. I can't believe it, I just got my dream job!

    Congratulations!!! :balloons: I've read about these telehealth systems but I've never seen one in operation. I hope that it's everything you hope it will be. Another fine example that nursing isn't...
  9. Why would you say this? Nursing isn't all acute-care-running-up-and-down-halls-hefting-300-pound-patients-all-day-long. There are so many areas of nursing! I know a 80 year old RN who could never...
  10. Oh boy......I ticked off the charge nurse

    Ooo! Can we start a thread just about you? Inquiring minds want to know! J/K!!!
  11. kicked out of school- failed professionalism!

    Odansteron (Zofran) comes in 2mg/ml, 2 and 20 ml vials for injection. I can't say whether you were right or wrong in your calculation. You've accidentally mixed your terms up here so it's hard to...
  12. IV push ativan...please help this student!:)

    What? You don't think it's fun to blow out the end of the tube and spray morphine over everything within five feet? The real embarrassment comes when you have to find someone to co-sign the wastage....
  13. Looking for answer about syringe pumps

    I keep hearing at my facility that JCAHO will be nixing the mini-infusers in the near future, but I haven't seen anything in writing. Anyone else hearing
  14. IV scenario

    TPN's going into a vein. I don't think that the stomach and residuals come into play
  15. Do you call your patients by first or last name?

    In my facility all staff except managers and doctors have only first names on our ID badges, so everyone is on first name basis professionally. Personally I like it because I'd rather my psych...
  16. Discharge orders you'd LIKE to write!!!

    I discharged a patient a while back who had thrown himself into acute CHF after gorging on a nice salty Chinese buffet. Doc wrote in big letters on the discharge form under Special dietary...
  17. Can I give half a dose?

    Be aware that JHACO is putting the quash on these types of orders. e.g. 1-2 mg q 4-6 hours is considered too imprecise. It should start hitting before too
  18. Sick of working short

    Wait a second. I need a clarification here. You're saying that 1 RN and 2 LPN's had 8 patients each? Did the lone RN take responsibility for assessing all the patients? If this is a hospital, I...
  19. Have you considered working in a doctor's office? Depending on the office, there shouldn't really be any lifting at all, it's mostly 9-5 work which would be good for you as a single mom, and would...
  20. Tipping a doctor, acceptable?

    here's the ama policy on the matter. hope this helps. http://www.ama-assn.org/ama/noindex/category/11760.html code of medical ethics e-10.00 opinions on the patient-physician relationship...
  21. meds

    See, now I'm more inclined to use the central line because the more it's being used, the less likely we are to get fibrin growth and occlusion in it. What's the current thinking on this?
  22. meds

    Just my thoughts: 1) If I've got a central line, I use it. Dump everything into that big fat turbulent flow. Flush the Heplock q shift per facility protocol to keep it patent. If I had maintenance...
  23. pinning ceremony participation

    See, and I'm obstinate. If my school had this policy, I'd be inclined to force the issue, even if I had wanted to go to pinning. I'm funny that way. That said, I didn't go to my LPN pinning, and I'm...
  24. IV Protonix tubing

    All - I'm looking for some hard evidence regarding IV Protonix. In my hospital, we hang a lot of IV protonix and every nurse I've talked to says that it requires new pump tubing with each dose. When...
  25. IV Protonix tubing

    thanks everyone for the replies. i've seen that protonix has been formulated for ivp now, but our pharmacy isn't supplying it that way yet. by the way, for reference, i found the product info on...