misti_z

misti_z

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All Content by misti_z

  1. If you want to live forever...

    Go on dialysis, is what one resident said to me one time. I get so frustrated with some of our HD patients. Well actually there are just two!! I do not know how to 'knock' any sense into them, and yes we have tried teaching they just do not care. ...
  2. Okay WOW!

    Dang 4 bucks an hour and just as wonderful is the recognition for a job well done, that's awesome man. Good Job!!!!! Congrats!!
  3. Will people ever learn?

    Although I would never consider a nipple piercing, it is a freedom of expression. And I agree it's not a smart decision for a diabetic, but not necessarily a "dumb" one for a 18 year old women. It was probably a decision she made to "fit in" or bre...
  4. Oxygen Tank Storage

    At my facility oxygen tanks must be stored upright in a carrier. If we do not have a carrier the tank must be sent to the resp dept or they may bring us a carrier. There are some units with cabinets that the tanks can be stored in, the cabinets have...
  5. Epogen and Jehovah's

    I work on a renal unit with patients who have chronic anemia. Just two week ago we had a JW pt admitted with a H & H of 6.7 & 19.1. He took epo without hesitation even after in depth explanation. He got outrageous doses of epo.....20000 un...
  6. Do you carry a clipboard

    It would be great to stick our notebooks side by side. On the inside of the front cover I've got dept #s, MD #s, etc. I have a pocket also (first thing when you open it up) that contains blank forms, protocols, care plan. Great minds what.....????
  7. OMG :stone That picture is absolutely haunting to me. How difficult a process to have to deal with for the family. What will that child deal with once it becomes old enough to understand and see that pic? As for the staff, during surgery, that...
  8. Do you carry a clipboard

    I carry a 3 ring binder with dividers. Behind each divider I put my PCAR that I take report and notes on, along with my MAR and Nurse's Notes behind that. I would not be able to function without it. My favorite part of it all is the plastic cover ...
  9. Finding job while in school

    I gained the best experience while in school working as a 'nurse technician'. The position is available at my hospital when you are within 1 year of graduation. You do procedures, pass meds (under RN supervision), and chart. Check your local hosp...
  10. If you're sick...please just call in...please...

    I agree, CALL IN. I had a similar Friday 2 weeks ago. On Friday's one of the staff nurses work as charge nurse without a pt load. The nurse that was to be in charge that day had been up all night pucking and still drags herself into work. One ho...
  11. Computer Charting

    We are in the early stages of computer charting. Admission & discharges are done on the computer now. I am very excited about it and also in the minority on my unit. It is frustrating being in the early stages of it because there are something...
  12. Nurses Will Eat Anything

    I usually bring a banana to work everyday for breakfast on the go. I have to put my name on it to keep it from being eaten by others. By the end of the day--yes it is still there, breakfast is mostly a figment of our imaginations--but the banana en...
  13. Ethics of feeding tube

    I can't imagine that actually being considered by the doctors as an option. If the pt is receiving their daily nutritional requirements per PO intake I don't think insurance would even approve payment for such a procedure. I could, however, hear that...
  14. Potassium piggybacks

    We run it as slow as possible and also try for the larger vein. But I find adding the 'neut'/bicarb very interesting and am curious how much is added per bag. Our IV K+ replacements are premixed 10 mEq per 100cc, so does anyone know the standard amo...
  15. Patients Who Are Prisoners

    Our incarcerated patients receive a '#' beside their name in the system. We do not acknowledge that there is a person by that name in our hospital if someone calls looking for them. A guard (sometimes a County or City officer depending on the facili...
  16. Almost zero WBC count

    Had a patient this weekend...breast CA...who was on my floor (renal) only because our oncology unit was full. Her WBC was 0.5, she was put on reverse isolation. A float nurse who had her on the day shift said that when she goes to the onclology uni...
  17. Monitoring patients on heparin

    Same here. If value >150 is obtained the gtt is off for 30min and another PTT drawn p the 30min then restart per the protocol.
  18. Which would you rather be?

    And then in June she is moving to Chattanooga for me!!!!!
  19. Handling of miscarriage pt.

    I am so very sorry for your loss. Our hospital tries to put s/p miscarriages/stillborn in other areas of the hopital. They do however give the pts the option of staying on an OB floor. Since I have worked on my floor (almost 2yr) we have had one p...
  20. Double check insulin doses

    We do not have any policy for double chcking insulin dosages. Although I personally get a 2nd nurse to check usually high doses and any IV doses, as do most other nurses on my floor.
  21. Nurse wannabe

    You will unfortunately not find anything making at least $17/hr before getting you RN license. But if you can handle a pay cut it will greatly benefit you and your career. I suggest working as a CNA or even an unit secretary, both will offer great ...
  22. Subject: Did You Know.....

    That was great!!!! Thanks!!
  23. Smiley's

    Thanks for the links, they are all great.
  24. Freaky female anatomy

    Had a 600+ male (Our scales top out at 600--later found out he was 990) we had to cath. Took 7 of us to try to find his penis..........2 holding each leg, 2 holding belly rolls, and 1 trying to find his boy parts. After a very frustrating 20 minute...
  25. I have had it the last two years and have not had the flu in those 2 years, before that I got the freakin' flu every year!! Not sure if I will get one this year or not. Anyone know of contradictions in geting the flu shot while pregnant? It is on m...