Fairlythere ASN, RN

I agree drug seekers are difficult to deal with, however at a recent conference on Pain Management, Nancy Pasero, who wrote the Pain Management manual, reminded us that addicts have pain also. They ask for frequent meds because they generally take m...

I work on a med-surg floor and we mostly do gynecological surgeries, though we have others too. It seems most people coming back have nausea/vomiting within a couple hours. Most of our post op standing orders call for Phenergren IV, PO, or PR , Onade...

Okay, so two weeks ago I came down with a right red eye with watery discharge. I woke up after a night shift and found my eye stuck together. After gently washing it, I looked in the mirror, and it was red. :eek:Acckk. I called in and went to the cl...

Hmm, I have seen two kids with the names Blue and Harvest....Last name?? You guessed it! Moon! Recently one named Leaf crossed my path...

At our hospital the CNA's use "robo nurses" to take vitals. It is relatively fast for them, taking BP and pulse and o2 sats at the same time. However the more I work, the less I trust them. It seems like one night the CNA reports all my pts. BP's ...

Here it depends on the unit. Right now there are a few in the ED and PACU in Bellingham, ED seems to always be looking and also the ICU...A half hour away I hear they are laying off non-nursing staff. Funny we are having a shortage and over worke...

Just saw this post, in the Whatcom County area, Bellingham, there is a hospital here that hires LPNs for ED, Mother Baby Post Partum and one med/surg floor. At this time there are a couple openings in the ED I think. Check out http://www.peacehealt...

I have been an RN for about 9 months. Last week the students came to our unit. They are assigned two patients and must have the same RN for both. This means I have to watch them do every med pass, get the meds out of the pyxis room for them, revie...

The threads about diluting phenergren and nexium reminded me. I want some tips. For instance, if you give 12.5 of phenergren, the vial is 1 ml = 25 so you have to pull 1/2 a ml. We use syringes with the sharp tip plastic "needles". If I pull 1.2...

Well, I have been reflecting that I have been clean since June 28, 1983. I am coming up on 25 years, mostly in NA. I sponsor 8 women, I got clean at the age of 24 and am pushing 50. Its amazing. Two years ago I got to awaken a lost dream and be...

Are you thinking of vistaril??That is no longer given IV.

UPDATE 7/28 I have had a few days off. Day after this post, I go in to find my pt. up in a chair, talking to friends, lucid and cheerful; helped back to bed, a lot of pain, but only tylenol. Still, her wound is still weeping serous and dressing soaks...

Leslie, yes the general consensus is that the surgery itself and meds including the ativan and opiates threw her off. She cannot take ibu because of allergy nor can she take toradol. See my next post for an update.

I love the thought of tele and ekg but the docs are all saying its the opiates. Weird thing is she was lucid again all day, just a little confused. And she had nothing all day but tylenol at noon as the docs dc'd everything opiate. Yet at 5 after ...

She actually did have a UA previously but is on abx of course and that has been treated. Hmmm..

She has a foley. She WAS on a heparin drip but that had to be stopped she was bruising so much. Now she is on PO coumadin. But thanks for the thoughts...

Yup, pain and ativan were my first thoughts. Getting the pain controlled in an elderly with her tendency to snow is the tough part.

Yeah, we have 3 ml. Its just that my brain couldnt figure out how to get it into a prefilled 10 cc syringe without losing some of it cause I was too thick headed to think of using a REAL needle rather than a blunt plastic one. DOY! Its interestin...

I agree that if there is an iv running and the drug is compatable it may not have to be diluted, but we are supposed to always dilute toradol and phenergren. My problem is not that I cant figure out how much to draw, its that if I want to dilute wi...

I know how much I NEED, problem is I cannot accurately measure .5 of a 1 cc vial in a 10 cc syringe, as another poster pointed out, the measurements are in increments of 2, 4, 6, etc. Could do 1 cc because there is a mark. Anyway, I like Tazzi's s...

The other day I had a patient who's prn order was Vistaril 25mg IV. It was given diluted in the IV tubing and shortly after was followed with a bolus of NS (for low urine output) so Im sure it was cleaned out of the vein rather quickly. Later rese...

bklynborn, Im sorry you wont be returning to the hosp. I hope you find something that is satisfying and pays well too. I know the local Option Care is less pay but I did a couple days preceptorship with them and they are nice folks. Take care, C...

Oh I wasnt talking about the OR and PACU vitals which are hooked up to monitors and I am sure are VERY accurate! I was indicating the rolling "robo nurse" that the CNAs wheel from pt. to pt on the floors. Thanks everyone, I will definately bring ...

[EVIL]Cooper can say that because she's only been an RN for less than a year. You just wait!. [/EVIL] THAT WAS DOWNRIGHT MEAN! :lol_hitti To the OP: Remember, as in all forums, people will more often come to board to vent than to tell what is r...

Today I had a student RN in year two. I myself only graduated in March last yr and have only been on this floor for two months. Its a mostly surgical floor, some medical. She took two pts., but was not allowed to hang IV meds, give po meds or do...