RachetRN

RachetRN

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All Content by RachetRN

  1. nursing as a career

    Yes I recommend nursing as a career, it has a multitude of choices...Dr. office, hospital, agency, goverment, psych, ped's, wound care, just to mention a few...and LPN, 2 yr RN, 4 yr RN, 5 yr and on & on... Not many other careers have this room t...
  2. "Pregnancy-induced hypertension" aka "Pre-eclampsia"

    I have seen q5min during bolus, q15 min X 1 hour, then q30 min X 1 hour, then hourly. Also, to add to the mag. protocol, we check output qh...PERIOD, and with less then 25-30cc output an hour, mag. is stopped & doc. is notified. Stay safe out t...
  3. emt push narcotics?

    Hi ya'll Absolutly everything that canoehead said AND: I live in a very rural area and our EMT's can give med's but only if a doc or ER charge RN is on the radio with verbel approval/orders. They do often give SL nitro and/or a GI cocktail to r/o hea...
  4. Are larvae still used?

    I know it is a strange thing to say -- but maggots are a good thing:cool: At least for a nonhealing, necrotic, ulcer -- especially on the heal of a diabetic patient. It is non painful, continuious debredment that promoted wound healing. Just a coupl...
  5. Future of Nursing

    Great debate!! I think Rosy said it best, but many others made excellent points. I would like to add my two cents... Get organized (the non-4-letter word 'Union' comes to mind) and support $$/join a strong lobby group. We as nurses address the power...
  6. Enteral Feeding

    Hi I work with pedi's so my info may vary but, 1) How do you assess tolerance? Check VS & BBS before and after feeds. 2) What do you use to flush? Tap water, unless contraindicated, ie distilled water for a CF or DI child -- cannot tolerate even ...
  7. RN's removing surgical drains

    Hi I am a nursing student. On my first rotation to the ICU I watched an NP remove a chest tube. I guess it was my bad because I did not ask more questions about this and just assumed (and we all know what assuming does to U & ME!) she did it beca...
  8. Med-Surg Telemetry

    Hi I am an RN student, but find the same situation...the telemetry beds on the floor are monitered by the RN's or LPN's on the floor, but when I quizz them on the meaning of the report info., they are vague. They usually respond that the ICU would ca...
  9. pediatric HIV/AIDS nurses?

    Hi nurs20 Your question is: ANYONE WORKING WITH CEREBRAL PALSY KIDS WITH TRACHS? ANY IDEA WHAT CAUSES THIS. OFFICIALLY THE CAUSE IS UNKNOWN, BUT WOULD LIKE TO HEAR YOUR THOUGHTS. All of the CP kids I work with are Trached & on vents, mainly becau...
  10. attitude adjustment needed?

    Hi Nancy, I have worked on both sides of the fence...CNA in high school/technical school, then to LPN, and now to RN...Remember the old saying? You catch more flies with honey than you do with salt? When I statred out as an LPN after working there a...
  11. Use of Unlicensed Assistive Personnel

    WOW!!! I am at a loss for words. I cannot imagine using UAP's in such a dangerous manner. Over load of fluids, incorrect data on a strict I & O client, JP maintinance... all too important not to be done by a trained professional. Since they are a...
  12. Hi I am a nursing student and this past week did rotations through rehab at Childrens Hospital. It appeared to me that the average day held 4-6 patients for the RN's on duty. The Nurse Techs about 7-9 patients. I am rather inexperienced and took care...
  13. pediatric HIV/AIDS nurses?

    Hi:eek: Here is my two cents. I do private duty and all the children I work with have a G-tube of one type or other (cath system or Mic-Key) so the problems with noncompliance of giving meds is influenced by bad tasting meds, but only on the surface...
  14. Circumcision Debate

    Circumcision and the Cultural Component I think the AAP did a great job with the new guidelines it established for circumcision procedures. They established the procedure to be "potentially beneficial" (medically speaking). Had the research been les...