AggieNurse99

AggieNurse99 BSN, RN

Infusion, Med/Surg/Tele, Outpatient

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All Content by AggieNurse99

  1. Where do people like me work?

    My original post does sound kind of arrogant -Sorry!- I truely didn't mean it that way. I had a good reason to go with that pt, it ended up RRT in hallway. Maybe I am overdoing things, but I just want...
  2. maybe I'm missing something too! Propranolol is contraindicated in overt heart failure? Up ad lib. This guy is obviously a fall
  3. I am going crazyyyyy

    As a heads up, find out what your background check may reveal, maybe there's a mistake or confusion with someone of a similar name. Did you leave on pleasant terms with your last manager? Are you...
  4. Not a justification, but I don't know when one of my pts will have a test until radiology/EKG/Sono/Echo either comes up to the floor or the transporter comes to get them. Once I was very surprised...
  5. Nursing Diagnosis assistance....please!!

    Amber, most nursing instructors don't want their students even ficticiously giving
  6. "Clinical Decision Unit"

    So as I was reading online postings, I see a full time day shift RN position on a "Clinical Decision Unit" and that critical care experience is preferred, and that it is a holistic, patient/family...
  7. "Clinical Decision Unit"

    Thank you! That would be a great addition to my current employer. I just might
  8. Whyyyyy? Rant from a Lab Tech

    1. Why is Vanco not running through some sort of central access? 2. If your pt does have a CL/PICC/Port, why is that pt getting stuck instead of drawing through the line by a nurse? If I have a pt...
  9. Should this have been an incident report?

    To the OP: an incident report should be completed any time "risk management" should investigate a process or procedure or if hospital policy is not followed. A problem I find (as a floor nurse) is...
  10. Help w/post-op Vital Sign question?

    I think you need to define when in the post op period you are. There's a different focus with immediate postop, recent postop, then _
  11. INR/PT What am I missing here?

    The INR (int'l normalized ratio?) is a calculation that basically standardizes PT values across laboratories & various testing equipment. You have a pt on coumadin, a blood thinner. PT -...
  12. INR/PTT ranges

    Look up coumadin in a good drug reference. Usual therapeutic INRs are 2.0-3.0 and 2.5
  13. NCLEX Question.

    Why is the 20 year old in the hospital? A pt with DKA would be the first I'd go to in this group, but it is not clear per the
  14. Risk for Infection nursing diagnosis question

    Ok. Look up Daytonite's care planning posts. To come up with a nursing diagnosis, you must first assess the pt. You can usually use risk for infection, but it is not usually one of the more important...
  15. Spinal Anesthesia - a situation

    Um, monitor the incision site for a CSF leak? Neuro checks? Um, also how about routine postpartum? Peripad? Why did the pt have to have a stat CS? Anything there that needs
  16. What nursing diagnosis could I choose?

    To come up with a nursing diagnosis, you must assess the pt first. ADPIE! What problems were found in your assessment? I'm sorry if I sound short, but really, is a pt with renal cancer's biggest...
  17. Overuse of telemetry...anyone relate?????

    Our hospital is different in the fact that all RNs are required to have ACLS. Med/Surg often has our Tele overflow and our Tele often has med/surg overflow. When all are full then PCU has tele...
  18. Care plan: Nanda diagnosis r/t intervenable factors AEB specifics from your assessment. Outcome Statement. Interventions. Evaluation (re-assessment). [Nursing process - ADPIE] So your diagnosis for...
  19. Imbalanced nutrition - is there any evidence of this like poor growth, physical S&S of malnutrition? Could the inadequate food intake be causing some constipation? i.e. constipation r/t imbalanced...
  20. Share Your "Brain" Sheet

    The new grad one I made for interns and students unfamiliar with our charting (print 2 sides, flip on long edge) and there's a time sheet on the back. I use a 1 page per pt brain, even though we take...
  21. How do you feel at the end of your shift?

    Myself, I'm coming up on my 2nd year on a tele floor. There were many days I went home crying my first few months off precepting. Eventually most of it clicked. A few words of wisdom to you all:...
  22. Thinking about it, it all depends on the med and the situation. I can think of quite a few times I've pushed D50 without an order for
  23. Need help with care plan

    What interventions do you have planned? How would you measure the outcome of them? What is acheivable in your shift with this pt? What are you already measuring routinely on this pt? I would like to...
  24. Not the preceptor -- VENT

    but the other day I worked with one of our new grads who is 2/3 into orientation. The primary preceptor hasn't taught correct charting!!!! Felt so bad about having to have the new grad keep making...
  25. What would you do?

    At my facility, PICC dressing changes are Q7days or prn soiling if using a biopatch, and q48H if using gauze under the tegaderm. The statlock needs to be changed with every dressing change; search...