AggieNurse99

AggieNurse99 BSN, RN

Infusion, Med/Surg/Tele, Outpatient

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All Content by AggieNurse99

  1. Can an RN work as a sitter?

    Again check with your state board. I believe that even if you are working below your license, you are still held to the liability of an RN. So say your unit has no techs for the day but an extra RN...
  2. What to do when a patient falls

    Um, call for help while moving to the pt. Assessing the pt while assisting back to bed a/o preventing further injury a/o stopping any visible bleeding. Call MD, inform, xrays done, call family inform,...
  3. No Sugar Tonight (Da-un-do-dow dow da-un-do-dow)

    I agree with many of the other posters. You should talk to your peer, if only to say "hey hows life going? - insert chitchat here- I've noticed you seem a little off/preoccupied/different lately....
  4. Delay of care

    So mad at myself for making a (bad) mistake yesterday that delayed care for a pt! I wrote it up, but I still just have a stomach knot! How do I just move on? Having anxiety about going back
  5. Delay of care

    Yeah, I edited out some details. I figure its not always as anonymous here as it should be. I wasn't informed of a pt c/o, and there's probably an adverse outcome b/c of it. No matter no one told me,...
  6. Texas
  7. Heparine, Lovenox, Coumadin... which one?

    Lovenox has no effect on a pt's INR. I would suggest you consult a drug reference, a pharmacology guide, and maybe a physiology book - clotting cascade and platelet plugging. Also look up aspirin and...
  8. i'm an rn on a tele floor - we take six pts with 1-2 techs for 30 beds. 1. what was the situation that occured? my tech took a pt out of restraints and got him up to the chair and then left him alone...
  9. help w/ nursing dx/formulating my thoughts

    What would a K+ of 3.0 lead to? What would the S&S be? Muscle/cardiac? Why is it a problem? What is the GFR or creatinine clearance? How does that effect your meds? Is there any objective evidence...
  10. Do I chart or do I take care of my patients?

    What I do to keep my own head above water: I go see my pts 1st thing, make a narrative note with any abnormalities, then also throughout the day every time something is not normal (gave a prn for...
  11. Labs for possible MI???

    What is the rationale for ordering or not ordering the tests? What will they show? Take the BP - with uncontrolled hypertension, what is the result? What tests would show organ damage? If the plan is...
  12. Like others have said, Great thread. As a general rule if my assessment shows an indication for giving a PRN medication, I give it. Pt reports pain 5/10 dull ache head - give PRN pain medication; if...
  13. PICC line dressing change

    Sorry! Where I work only the open ended catheters are referred to as PICCs! we call the valved ones by the brand, like Groshong etc.! Gotta remeber a PICC is a
  14. PICC line dressing change

    Do it before. Don't forget to change the caps, measure the circumfrence and insertion length, and never saline lock a PICC. It needs to be
  15. Is it okay to use a PICC line that flushes but does not provide blood return? The more senior nurses on my unit make it a big deal when I get a cath flow/activase order because a PICC will not return...
  16. Blood return prior to using PICC or CVC?

    Yes, say it was placed & verified a few shifts ago, now has no blood
  17. Wearing scrubs to clinicals...

    The best tip I ever got for white scrubs --- when removing stains at home, use dishwasher detergent (but only on whites d/t bleaching agents.) A few reasons why you wear whites: the public associates...
  18. *Weird* Patient Allergies

    A friend is allergic to brewing coffee, something gets in the air. Jeanette actually had to break out the epi-pen in my backseat at starbucks' drive thru. Next stop,
  19. Medication Question...

    http://www.emedicine.com/EMERG/topic261.htm Drug section: antidotes From Harper's Biochemistry, 25th ed, p616: "Insulin also promotes the entry of amino acids into cells, particularly in muscle, and...
  20. A bedbath NIGHTMARE!

    one of our PCTs taught me the best trick - 2 droplet isolation masks/surgical masks. This has gotten me through many many stinky situations. Thank you
  21. How do I make these "Measurable Outcomes"

    So you have: Nursing Diagnosis r/t related to factors AEB something. 1. intervention 2. intervention 3. intervention 4. intervention Expected outcome: the pt will...... Goal: met, partially met, not...
  22. Fundraising Ideas?

    Ebay garage sale? Donations to sell on Ebay? with a nice full-class pic and a short paragraph about being nursing students and the pinning ceremony and what left-over funds might be used
  23. *Weird* Patient Allergies

    Kythe is right, multiple food allergies can be quite difficult to live with. Unfortunately, USDA/FDA reg's do allow food manufacturers a reality leeway where trace amounts of non-foodstuffs and...
  24. *Weird* Patient Allergies

    When I was in dietary I always got the wierdest stuff....MSG, tyramine, soy, wheat, corn, tree nuts, peanuts, cow's milk, gluten, sulfites, nitrites, iodine, red food coloring, aspartame, etc... oh?...
  25. New medicatons on NCLEX ????

    I had 4 questions on one med..."Ok never looked it up, but it has a commercial....what can i remember about the commercial....why can't I remember more than the people's faces in the...