McGyverRN

McGyverRN

ACHPN

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All Content by McGyverRN

  1. DVT Prophylaxis in critical care

    McGyverRN replied to ParrotHeadRN's topic in General Nursing

    I haven't seen any literature, but I can make a couple of educated guesses. SCDs offer intermittent masssaging while TEDS are continuouse compression. I wonder if the SCDs are more effective at...

  2. DVT Prophylaxis in critical care

    McGyverRN replied to ParrotHeadRN's topic in General Nursing

    Our DVT prevention protocol does not allow for use of TEDS. We use SCDs and either 5000 units hep q 12hr or lovenox 40mg daily (sometimes use 30 mg q 12 hrs). When anticoag is contraindicated, we...

  3. Got any funny acronyms at your ER???

    McGyverRN replied to RNin92's topic in Emergency

    I like to add to the manual, don't waste your time on tylenol, aspirin, or narcotics......Use the digoxin, cardizem or lopressor....all of

  4. New Grad ICU Job

    McGyverRN replied to TLC RN's topic in MICU, SICU

    Sounds like you have two good opportunities. You have to decide what you think is the best fit for you. Have you met the staff of these units, do you know how each unit operates, how about...

  5. Safe Pt Ratios for Med Surg

    McGyverRN replied to MedSurgeMess's topic in Medical-Surgical

    I work on a 27 bed medical unit, with an average census of 21. We are allowed 4 rn's 1 lpn and 2 aids on 7-3 shift for 21 pts. Our LPN's have a full pt assignment, just like the RN's. Each RN is...

  6. What is your typical day like?

    McGyverRN replied to jaylynn67's topic in Nursing Student Assistance

    The above is a good explanation of the nursing process. I am a RN on a busy medical unit in a hospital. Here is how my day goes: Every patient has a plan of care that tells us everything we need...

  7. How can I teach Med-Surg.

    McGyverRN replied to daisywill's topic in Nursing Educators, Faculty

    Please do yourself and your potential students a huge favor, and get some good, strong med-surg experience before getting into education. Book work will not teach you everything you need to know....

  8. Difficult to please patients and families

    McGyverRN posted a topic in General Nursing

    I just wanted to pick your brains on this subject. I work on a very busy medical unit. Our patient population is comprised of many elderly and noncompliant patients. It seems that family members...

  9. Difficult to please patients and families

    McGyverRN replied to McGyverRN's topic in General Nursing

    Thumper --If I didn't know you lived in the show me state, I would think you worked with me at my facility!!!! So many times I have been the victim of the "Dump and Run" admission. They don't even...

  10. Difficult to please patients and families

    McGyverRN replied to McGyverRN's topic in General Nursing

    Yeah, It happens all the time. When a pt is ready for discharge and the family tries to find something wrong to keep them in the hospital. When a dementia patient (who is of course, more confused in...

  11. Difficult to please patients and families

    McGyverRN replied to McGyverRN's topic in General Nursing

    Thumper--Thank you for your response. I can so identify with your "coping" skills. I am much the same way. There are times when I dread going into a room where I know there is a demanding, PIA family...

  12. Difficult to please patients and families

    McGyverRN replied to McGyverRN's topic in General Nursing

    Thank you for your response. I can so identify with your "coping" skills. I am much the same way. There are times when I dread going into a room where I know there is a demanding, PIA family member...

  13. Do you have a Unit Council??

    McGyverRN replied to sockov's topic in MICU, SICU

    My unit just started Shared Governance. We have 3 subgroup- Quality Improvement, Research and Education, and Clinical Practice. Each group has had 1 meeting. Every employee on the unit is required...

  14. Failed PULSE!!

    McGyverRN replied to rainswhisper,RN's topic in Nursing Student Assistance

    Yes, the apical pulse is the actual heart rate. I often use the apical pulse when documenting heart

  15. DNR Consent Form??

    McGyverRN replied to bonesrn's topic in General Nursing

    I agree with you. If a pt has a DNR order, that should be enough. What is your facility's policy of a DNR consent obtained from a family member over the phone in an acute change in...

  16. Failed PULSE!!

    McGyverRN replied to rainswhisper,RN's topic in Nursing Student Assistance

    Try listening to the apical pulse with your stethescope while feeling the radial other peripheral pulse. Most of the time they match up. It can help you get the "feel of things " when are hearing...

  17. Charting Bloopers

    McGyverRN replied to AHarri66's topic in Nursing Humor

    The H & P read " the patient uses a homo tube..." (home o2). A nurse's note read " the resident ate two bowels of oatmeal for

  18. 1st Year Nursing Student In Need Of Advice...

    McGyverRN replied to Jazzie0009's topic in Nursing Career

    I think you should go for the RN. Look around your area. You may find an accelerated program designed for second baccalaureate (sp) students. I have a BS in Nutrition and was able to earn my BSN in...

  19. 12 hour shifts

    McGyverRN replied to Caligirlrn2b's topic in Patient Safety Issues

    I think it depends on the nurse. When I started nursing, I worked 5 eights. I eventually started working 3 12's. I'd never go back to 5 days a week. I felt like I had my life back. I actually had...

  20. Fenestrated cannula??

    McGyverRN replied to Shastalee99's topic in General Students

    Shastalee99- I am not specifically sure the specific components of Novasure Renal tube feeding are, but I can guess. Because your pt has crf and chf, he needs a lower volume, higher concentrated...

  21. 10 things you say at work lay people could get arrested for

    McGyverRN replied to sharann's topic in Nursing Humor

    1.) I'm going to give you an oral (as in report). 2.) I have a