azhiker96 BSN, RN

PACU, ED

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All Content by azhiker96

  1. azhiker96

    Gonorrhea

    azhiker96 replied to kagkat's topic in General Nursing

    Google has an option under other called scholar. That will give you papers that have been published in
  2. azhiker96

    ACLS=not having to have BLS?

    azhiker96 replied to HeartsOpenWide's topic in General Nursing

    My department requires BLS, ACLS, and
  3. azhiker96

    advise; how do you handle the loss of a patient?

    azhiker96 replied to idnurse2b's topic in General Nursing

    Focus on what needs to be done at the time and then give yourself time to de-stress later. I have cared for a couple of hospice patients and was fine when they died. What shook me more was the...
  4. azhiker96

    What is the best nursing advice you ever got from another nurse?

    azhiker96 replied to HealerWoman's topic in General Nursing

    1. If it's not documented it wasn't done. 2. Document so that when you are called into court 2 years later you'll be able to say what occurred. 3. Generally our patients survive in spite of what we do...
  5. azhiker96

    What is the most difficult aspect about being an RN?

    azhiker96 replied to scott.andrew's topic in General Nursing

    I think you'll find different people have different hot buttons. Mine is lazy coworkers. One thing you might do is volunteer for a few hours a week in a hospital. That will give you an up front look...
  6. azhiker96

    Can I bolus this patient? A legal / practice question about sedatives and narcotics

    azhiker96 replied to simvee's topic in MICU, SICU

    If you are bolusing without orders and not charting it you put your license at risk. Plus, the MDs who read the chart don't get a true view of the pt because they can't see what you didn't chart. I'd...
  7. azhiker96

    O2 Sat 88%-90%, MD no action, opinions.

    azhiker96 replied to NocturneNrse's topic in General Nursing

    I admitted a late 20s female from the OR. She'd had something minor done, hernia repair or skin lesion removed. She came to me with a non-rebreather mask at 15L, initial sats were 88%. In report the...
  8. azhiker96

    Prioritisation of care question

    azhiker96 replied to Jinbei's topic in Nursing Student Assistance

    I'd start with the two who are currently symptomatic. First #4, this could be early signs of a stroke. Needs an assessment and possible call to MD. Then #2, administer anti-emetic to help prevent...
  9. azhiker96

    bandage scissors?

    azhiker96 replied to kasia87's topic in Nursing Student Assistance

    I carry a pair of SS bandage scissors all the time. I prefer to cut coban instead of tearing it and they fit well in my scrub pocket along with a pair of hemostats for loosening stubborn
  10. azhiker96

    legal blood alcohol

    azhiker96 replied to yankee nurse09's topic in Emergency

    Interesting question, and it's one I'm sure the lawyers hashed out long ago. I would say it must be legal or else we'd see commercials with lawyers saying they're the best at getting you off your DUI...
  11. azhiker96

    Dilaudid IV Push

    azhiker96 replied to hdreserve's topic in Emergency

    http://www.fairview.org/static/scope_0803.pdf http://www.thedoctors.com/KnowledgeCenter/Publications/TheDoctorsAdvocate/CON_ID_002959 There should be some worthwhile information in these two links....
  12. azhiker96

    Sibling visitation in PACU - what do you do?

    azhiker96 replied to rstrainRN's topic in PACU

    We allow siblings in if they aren't a nuisance. Today I had a 7yr F post lap appy who asked if her brother could see her. He was 9yr, very well behaved, and she adores him. It was one of the best...
  13. azhiker96

    Ever Refuse a MD order?

    azhiker96 replied to Leelee2's topic in General Nursing

    We do serve as a second check or sanity check for orders. I had an anesthesiologist give me orders for morphine for pain for a pyloromyotomy pt. I asked for tylenol orders instead and explained why...
  14. azhiker96

    Sedated patients in pre-op.

    azhiker96 replied to Mr. & Mrs. RN's topic in PACU

    I'd suggest getting the most recent standards as published by ASPAN. Notify management of the standards and ask who you can give report to on the preop pt when you leave to prepare the OR. If they...
  15. azhiker96

    Transferring from ICU to PACU

    azhiker96 replied to Hoozdo's topic in PACU

    Hello Hoozdo, I think the preference for ICU experience is due to the stability or lack of stability of our patients. We often admit patients from the OR and then transfer them to ICU. Most of our...
  16. azhiker96

    Would you ever own a motorcycle? YES or NO?

    azhiker96 replied to borinick1492's topic in General Nursing

    I've been riding motorcycles since 1973. I'll grant that I'm at more risk in an accident than if I'm in a car. I'm also at more risk in a compact car than a full size car. I'm at more risk in a full...
  17. azhiker96

    What is your opinion on this matter?

    azhiker96 replied to happy2learn's topic in General Nursing

    Write letters to the editor, get others to write letters to the editor too. Name the city councelmen who want to defund healthcare for the working poor. See if there is an organization that will take...
  18. azhiker96

    You might be a PACU nurse if...

    azhiker96 replied to mustanggirl's topic in PACU

    You might be a PACU nurse if you look at your moaning, anxious, uncomfortable patient and think, "You look kinda nauseated. I bet you would benefit from some phenergan right about
  19. azhiker96

    Hypothetical, yet sticky situation for a new grad

    azhiker96 replied to defyinggravity2009's topic in General Nursing

    I have some experience with hospice but it's limited. Generally though when a pt is at home, morphine is given as a sub lingual liquid concentrate. Family members are able to give these meds so there...
  20. azhiker96

    Save my Newbie!

    azhiker96 replied to gentlegiver's topic in General Nursing

    Use this as a learning experience for your orientee. Reassure her that she is doing well and that the problem is not with her. She will have difficult patients from time to time. Learning how to deal...
  21. azhiker96

    "Nurse" wins powerball

    azhiker96 replied to november17's topic in General Nursing

    Maybe she's a CNA. The news is not good at discerning the
  22. azhiker96

    Latex Allergy

    azhiker96 replied to BellaInBlueScrubsRN's topic in General Nursing

    Some house paints, but I've only seen the fumes from wet paint cause
  23. azhiker96

    Mad cow disease- how can you get it??

    azhiker96 replied to Epona's topic in General Nursing

    Chronic Wasting Disease (CWD) is a spongiform encephalopathy present in North American deer populations. It's closely related to other prion caused encephalopathies. It's thought to be spread by...
  24. azhiker96

    Air bubble in Heart chamber

    azhiker96 replied to FREDhp's topic in General Nursing

    To the OP, I think your question has been answered. Also, you have probably figured out that instructors are not immune to giving out bad information. I'm sure she is very knowledgable on a lot of...
  25. azhiker96

    Question regarding a HIPAA violation...

    azhiker96 replied to samegirl's topic in General Nursing

    I can't speak for the hospital. I don't know what they've done or what they will