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Methotrexate question
Thank you for your help. My doctor told me we needed to wait 2 months, but everything I've found said 3-6 months in order to build up your folic acid levels. Thanks again. Allison:)
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Methotrexate question
Does anyone know how long you need to wait before trying to conceive after having an ectopic pregnancy treated with Methotrexate? Is there a different length of time if you require two injections? I'm not an ob nurse, so I'm a little lost when it comes to this type of stuff. Thanks in advance for your help.:) Allison
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Orienting nursing students in nurse tech role
I was a student nurse tech my last semester of nursing school. The state board of nursing was very strict about what we were allowed to do while teching. We could chart and do a few procedures, but we could never pass meds or do any sterile procedures. It also did not count as part of my orientation time. I felt like it was a good learning opportunity for me. I felt comfortable on my unit by the time I graduated, and I knew quite a few of the nurses that I would be working with. I work ICU and during my orientation I was never assigned a preceptor. I worked with a different nurse every week. I was able to learn a greater variety of skills and information because each nurse I oriented with had different strengths. Allison:)
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Do you wear gloves
I work in ICU, so I always wear gloves. You never know what you might find when you walk into a pts. room. We also deal with MRSA, VRE, hepatitis, etc. You have to be careful and protect yourself and your patients. Allison P:)
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Misdiagnosed- What can I do about it?
fab4fan You're right I am extremely stressed out about this whole situation. I didn't fill the ABX script because I didn't feel that I needed it. I should have refused the injection, but at the time I was in so much pain I didn't feel like arguing with this particular MD. Another question- The vicodin has decreased the pain to a tolerable level, but it makes me jittery for some reason. I can't take it anywhere near bedtime or I just toss and turn for hours. Any thoughts about this? Thanks Allison P:)
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Misdiagnosed- What can I do about it?
What can you do if an MD misdaignoses you? This happened to me this week. My MD diagonsed me with an infection even though I had no symptoms of an infection. No fever, inflammation, normal WBC. He gave me a shot of Rocephin and scripts for Vicodin and an ABX and sent me home. The next day I went for a second opinion. Turns out that I have a mass on my right ovary. Hopefully this will turn out to be a cyst and not something more serious. I'm having a US tomorrow so any prayers would be appreciated. My question is this - Is there anyting I can do about the initial misdiagnosis? I was charged $220.00 for the office visit and labs. This also happens to be an MD that regularly rounds on my unit. I have no choice but to work with him. I don't want to do anything that would cause problems at work, but I'm very upset about the way he treated me. (He's also one those docs who doesn't listen to anything a nurse says and if you ever suggest something to him he will do the exact opposite) I'd appreciate any thoughts. Thanks Allison P:)
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Vent settings
When I do my vent documentation I always include: what level the ET tube is taped at and that it is taped securely(or trach documentation) cuff inflated in-line suction in use type of secretions being suctioned vent settings(these go on our flowsheet) type of sedation (if any) bilateral soft wrist restraints(if in use) vent model Hope this helps:)
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Help! I can't hear a thing!
Mia, One of the girls in my class has a hearing impairment. The nursing department faculty was able to help her find an amplified stethoscope. It has worked wonderfully for her. Allison P.