AggieNurse99

AggieNurse99 BSN, RN

Infusion, Med/Surg/Tele, Outpatient

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All Content by AggieNurse99

  1. RN doing conscious sedation non-intubated patient

    AggieNurse99 replied to Surgerygirl's topic in Patient Safety Issues

    In TX, you as a nurse competent in moderate sedation with your facilty, can give fentanyl and versed. You are not allowed to give propofol to a non-intubated patient as a

  2. Shift Change

    AggieNurse99 replied to whitecotton87's topic in General Nursing

    I always round if I have the time prior to report, and tell the pt. "We're about to start report/shift change and I just wanted to make sure there was nothing you needed" about 1820-1840. It really...

  3. Suicide on unit

    AggieNurse99 replied to as1234's topic in General Nursing

    Ditto the above, call your employee assistance program {EAP}. This has happened at my employer, it was tough all the way around, from employee's feelings to the blame game to peer review to state...

  4. pt complaint/called to office

    AggieNurse99 posted a topic in General Nursing

    So I'm a nervous wreck. I had a patient complaint about me that I escalated to management. Now I've been told not to work, but come to a meeting today. I've got a letters of resignation written for...

  5. Drug tests

    AggieNurse99 replied to loveishope's topic in General Nursing

    When I've had a drug test for DOT, I had an area where to list my doctor's number for them to call for any questions. If you are that worried, have a release of info form filled out for your OB/GYN...

  6. Discharge paperwork: what do your patients get?

    AggieNurse99 replied to Lunah's topic in Emergency

    Where I work I float (not critical care or ED) but inpatients never get labs without a release of info but outpatients can have labs without it.

  7. pt complaint/called to office

    AggieNurse99 replied to AggieNurse99's topic in General Nursing

    Went much different (better) than I thought. I'm going to think on things for a few days, but I'm leaning towards leaving med-surg. Thanks everyone. Was actually very very impressed with

  8. pt complaint/called to office

    AggieNurse99 replied to AggieNurse99's topic in General Nursing

    Texas, employment at will. Thanks though. Already with 2 other jobs PRN, so more work at other

  9. Vent! Floor v. ED

    AggieNurse99 posted a topic in Patient, Colleague Relations

    So I had a tele admit to the floor (not the unit or step down). Hgb was 4! Blood ready for 1 1/2 hours in blood bank by the time pt got to the floor. Why oh why can't the ER nurse hang the first unit...

  10. PRN A,B,C

    AggieNurse99 replied to LTmurse78's topic in General Nursing

    Wells Fargo apparently lists PRN as not actually employed by the hospital. I had to have the VP for HR attest in writing I was truely employed by the hospital

  11. PRN A,B,C

    AggieNurse99 replied to LTmurse78's topic in General Nursing

    Just remember...PRN is never actually guaranteed hours. You are cancelled before FT/PT staff. The 32 hours is your committment to the hospital (you agree to make yourself available for 32 hours/week)....

  12. Aminioinfusion

    AggieNurse99 replied to winter_green's topic in Ob/Gyn

    Always follow your policy. In my state, the NPA reads that if the nurse is following an approved policy, it is within scope. ALWAYS FOLLOW POLICY. No matter who tells you not to. Your employer will...

  13. Methotrexate in an OB setting

    AggieNurse99 replied to FLOBRN's topic in Ob/Gyn

    Does your hospital have a policy addressing hazardous drugs or chemotherapy? If you have chemo nurses in house, one should be able to come on down and give

  14. HUGE dilemma I need advice!

    AggieNurse99 replied to Peeker19's topic in General Nursing

    My question for you: how can you work in PT? Are you not legally held to the standard of a prudent nurse no matter where in the hospital you are? How does this work per risk

  15. You're TERRIBLE at IV starts?? omg!

    AggieNurse99 replied to Sl1011's topic in General Nursing

    I'm pretty good, but I have my days. Its always when a certain older nurse is working too, a know-it-all type. Argh! Using a warm blanket for the arm for 10 min or so always helps me. Apparently at my...

  16. Vancomycin thru a Picc

    AggieNurse99 replied to 0911's topic in Infusion, Intravenous

    Both hospitals I work at draw Vanc Troughs and titrate the dose. The dose is calculated by the pharmacy and is based on creatinine/creatinine clearance. From online.lexi.com "Renal Impairment...

  17. A floor nurse's rambling late night rant.

    AggieNurse99 posted a topic in General Nursing

    I am proudly a 'floor nurse' and a generalist. I do my job well, I am caring, and advocate for my patients whose needs are met. I have 5 to 6 assigned patients at any given time. Why is the number of...

  18. Need Help with care plan

    AggieNurse99 replied to lucy247's topic in Nursing Student Assistance

    Your care plan is derived from data you collected during your assessment. What assessment findings do you have of this patient that show a problem. "0/10" pain is not a problem! Risk for infection is...

  19. Risk for bleeding, r/t verbiage?

    AggieNurse99 replied to all4ofus's topic in Nursing Student Assistance

    Well, reading your post with increased PT and esophageal varices my first thought is your patient has liver problems. But that doesn't help you. Risk for bleeding r/t (the problem your interventions...

  20. Would like to shadow a nurse in Dallas/Fort Worth area!

    AggieNurse99 replied to sugarmagnoliaRN's topic in Texas Nursing

    Call HR and also the Education department. What part of DFW? Check out your local hospital. The educator in charge of the internships is who I'd look for, they will pair you with a more receptive...

  21. Anti-Intellectualism/Autonomy in nursing

    AggieNurse99 replied to felineRN's topic in General Nursing

    The ICU has standing designated orders. So does the RRT at my work. In my opinion, if my pt can't wait, I call RRT. My track record is quite high. Most get transfered to a higher level of care. That...

  22. How much morphine is too much??

    AggieNurse99 replied to b eyes's topic in Emergency

    My experience being limited to the floor & outpatient... My problem with 32 mg of Morphine in 2 hours is the cumulative effect on the respiratory and nervous systems. I've had s/p lap chole's come...

  23. Can I use "Electrolyte Imbalance" instead of "Risk for..."

    AggieNurse99 replied to itri4vt's topic in Nursing Student Assistance

    K+ of 3.2 needs repleting - look up the evidence for electrolyte protocols. The thing that took me a long time to figure out...the K+ level is your r/t or AEB part of your nursing diagnosis. That is...

  24. Nutrition Nightmares!!!

    AggieNurse99 replied to blueyedgaze's topic in General Students

    As a BS-nutrition who went nursing...my advice is to memorize memorize memorize. Flash cards, like the other poster said. Have you had organic chem or biochem? Nutritional chemistry is very similar if...

  25. Doing a favor vs. being an RN

    AggieNurse99 replied to anon456's topic in General Nursing

    How I've phrased PICC line care to my sister in law: If, god forbid, it becomes infected and I've been taking care of it for you as a favor, your health insurance is unlikely to cover the cost of...