TELEpathicRN

TELEpathicRN

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  1. Ketamine for dressing changes

    We use ketamine for procedures/burn dsg's in our Pedi ER. Our policy states that the MD must draw the drug up and also push the drug. Most MD's go ahead with the versed pre procedure and give something to dry up secretions. I haven't seen it have a n...
  2. Again about abandonment during huracane in FL

    You should contact your state board of nursing for their specifics on abandonment, each state varies some. Most states say that if there is nobody to "take" your pts from you and you leave, it is abandonment. Depending on your employer/co-workers, th...
  3. PT Doing wound care?!

    Besides just doing gait training, ROM, etc, PT'S are wound specialists! They are more than qualified to handle these wounds (even the area that it is in). Maybe she needs to see another MD. Also, sedation for dsg changes would make her more comfortab...
  4. Do any of you use PDA'S??

    I was just wondering if any of you ER nurses use PDA'S in your practice and if so, what programs are the best. Are there any free ones out there? I am about to start in a Pedi/gyn ER. I have worked ER before, but it was before PDA'S came in to play. ...
  5. About to start new job!

    Hi, I start my new job on Monday. I will be working in a busy Children's and Women's ER. I've done ER before and feel competant, but just getting last minute "jitters". :imbar I guess I am just afraid of sticking the kids, etc.. since it has been a...
  6. LPN's who can't pass NCLEX-RN??

    I think these are isolated incidents. . May speak for what the nursing school is teaching?? I graduated with my LPN in 97 and RN in 99. I had no problem with the NCLEX-RN and don't know anyone that has failed and were already LPN'S. I would suggest a...
  7. Fibromyalgia

    I too have fibro and am an RN. The only thing I am guilty of is not getting enough exercise! I have never been to the ER seeking pain meds and do not take narcotics for pain as they do not work for the pain of fibro!! I work 40+ hrs per week and none...
  8. CPR/First Aid Training

    Is there anyone out there doing CPR and First Aid training for groups? If so, I am just curious what you charge, how you charge (set rate or based on # in group), etc.. looking for any information that could help me get started. Thanks in advance
  9. Resident in LTC with positive AFB'S

    Thanks for your reply. The health dept is involved, so there is not an option to get a speady culture result. They say it will be 8 weeks. The first one they did was positive! This is the second culture. They say the AFB'S being positive could repres...
  10. Resident in LTC with positive AFB'S

    Here is a question to all of you infectious dz nurses: Should a resident with positive AFB smears who is on TB prophylaxis (hx of HIV and TB. No fever or coughing) be on any type of isolation precautions in a LTC facility? Thanks in advance for your ...
  11. Resident in LTC with positive AFB'S

    Here is a question to all of you infectious dz nurses: Should a resident with positive AFB smears who is on TB prophylaxis (hx of HIV and TB. No fever or coughing) be on any type of isolation precautions in a LTC facility? Thanks in advance for your ...
  12. staff RN's in LTC?

    Does anyone know about the laws in AL??
  13. Do the state inspectors ever show up on noc shift?

    They came to our facility on a Sunday! I never had heard of them working weekends!! They seem to enjoy suprising people.
  14. Care Plans an Exercise in FUTILITY??????

    In LTC we heavily rely on the care plan, they are extremely individualized and really give you a picture of each resident. No, we do not have time to sit down and read each and every care plan before we take care of a resident, but it is a good guidl...
  15. LTC is getting the best of me!

    I feel your pain!! I am a unit manager for a 58 bed unit with usually 10+ Medicare residents. Everything falls on me! I am responsible 24/7 for the operations of the unit. I was supposed to be M-F 8-4:30, but our admin has decided that we need nursin...