I was wondering if any o fyou out there use computer software to do your drug titration tables, and what type of software is it? Recently we had a change over in our monitoring systems and the company failed to provide us with the right titration so...
Thanks for the replies. I am still working on it. I am aware of a few errors already. Luckily they have only been "underdosing" thus far. However, most seem to be getting the hang of it now, which makes it a little more comforting....I think. Sti...
Actually, I am too. The new monitors do some calculations, they are just set up differently than our previous monitors/program. I actually had one individual ask me to make her a list(she didn't want to do it herself) about how the drugs are actual...
My shoes don't go into my house...but the rest of my stuff does. Our hospital does not provide scrubs, nor do they provide a place to change and keep your belongings. On the same token...I'm hoping that other hospitals have a protocol in place regar...
We had a guy one time with lead poisoning because he stuck a pencil up his because he couldn't pee....yeah, stick a pencil in there buddy, don't pick anything hollow like a straw...a pencil might help!!! JS
I believe that a person must consent before having a placebo, which means that they could sign a general consent for a treatment that says that may, or may not receive a placebo instead of the actual drug or treatment. They don't necessarily have to...
Okay, I just need some opinions as to what to do about this situation, besides freak out. On Tuesday I went in for surgery to have my submadibular gland removed. In January, my allergist felt a nodule/mass right underneath my jaw....and in February, ...
Our facilities celebreates nurses week quite well actually. The nurse managers hand out cards and presents (usually a pen, or calculator, note pad or something....last year we got pedometers). They also arrange for a free lunch or BBQ and have them...
I've got three stories... The first one about me...when I was two, I stuck a piece of yellow chiclet gum up my nose. When my parents asked me why, I told them "Petey did it!" Mind you, Petey was our german shepard. It bought me a trip to the ER wh...
At our facility, holidays are worked on a rotational basis. You have a "holiday partner" for which you work one holiday, they work the other (on one, off one). The following year, it is switched around. You can offer to switch or work two holidays...
I ran into a situation last night that I wasn't quite sure how to handle. I work in a CCU/MICU and was in charge last night, which is actually the norm. Anyway, a fellow nurse, who is rather new, had a patient with respiratory failure who was vente...
tjsmom123: I'm glad that you found confidence in what I said. I truly hope that your experience is a great one, and remember, its what you make of it too!! I haven't had a chance to work very much with this particular nurse....for one reason and one ...
Today I learned that there is at least one nurse manager, one director of critical care (MD), and at least 3 committees full of people who reviewed a policy and not one of them can spell the word dysrhythmia. I was looking over some material to teach...
Today I went to a Code Blue on a medical / oncology floor. Turns out that the doc did a pleural tap and according to him he pulled off 3.5 liters of fluid and then the patient coded (v-fib arrest). Anyway, I was there and a few other nurse mangers ...
The other night (at 1am mind you)....I was helping another nurse bring her patient to CT Scan and as we were going down, her I-Med kept beeping. Anyway, I saw her keep pushing a few buttons and then it would stop for a few min, then beep again. Wel...
A couple of weeks ago we had a kid who almost died because of a fentanyl patch. He didn't freeze it, but he did scrape the gel off and chew on it. After we saved his life and discharged him, the narc guys were in and it was all over the news that a...
Yea....I'm 4'11"...my steps aren't that big! Plus....I acted as the gopher, not giving patient care....but when the PA is standing there with sterile gloves waiting to put his chest tube in and I have to go to another floor...I think it's justified....
While I understand where you're coming from, I think it would be best for you to give your two weeks notice, unless you feel the situation is too unsafe and you are risking your life, your patient's life or your licence. If that is the case...talk t...
JSRN81 replied to supernova004's topic in Emergency
At our facility, at least 6 months of critical care or other acute care experience is recommended before working in the ER. We have two "internships" available for new grads every year, and they undergo over a year of training under a preceptor in t...
We recently had one that weight upwards of 700lbs. We had to order all special equiptment for him and he ended up being trached because we could not intubate him when we needed to because of his neck and inability to position him properly. His wife ...
Sheri!!!! I too had a CT scan last week (r/o enlarged lymph node vs. parotid gland mass) with contrast. Needless to say, I felt terrible the rest of the day and into the night. I am so glad you mentioned the hearing loss though....I was doing the d...
Our Chief of Cardio-Thoracic Surgery ruptured a PA about a year ago when he was attempting a PCWP. At our facility, we do not wedge following an open-heart, whether it be a valve or bypass unless we are specifically told to do so. Luckily for the nur...
This is a totally new concept to me. How does one exercise the 5 (or 6, depending on where you are) Rights of medication adminstration with this? I have never heard of it, and I am supposing you use it in a certain patient population (one where you ...
I agree with calling to the specific unit, just not the EXACT room number. They used to call just wing and floor, say E5 or A6 south, but now they actually all it to A607b or something like that. Jen