AggieNurse99

Pre-op or pre-GI lab. If ultimately you want to go to outpatient or home infusion, dehydrated patients needing access outside of the AC are good building blocks to becoming very good with difficult sticks. Also, aseptic technique for accessing mediports and central line dressing changes is vital.

I don’t like to give IVP phenergan in a peripheral IV - you must treat it like any other dangerous vesicant - and our policy on IVP vesicants has us using the side port of a free flowing (ie gravity) primary set. ISMP has a lot on the subject http://patientsafety.pa.gov/ADVISORIES/documents/200703_07.pdf ISMP also highlights the dangers of using prefilled flushes to dilute meds. https://www.pharmacytimes.com/publications/issue/2018/october2018/an-unsafe-practice-reuse-of-prefilled-saline-flush- I’d draw 0.25 ml up in a 1cc syringe and then slowly inject into a primary as above over at least 2 minutes. Alternatively I’d ask pharmacy to prepare it in a 50 ml piggyback. Also I routinely suggest phenergan suppository and IM phenergan due to extravasation risk if the patient does not have a central line or port. IVP phenergan is a very dangerous practice outside of the standard of care.

If the NDAs weren’t in effect, you could ask the nurses who worked during the Ebola crisis at the hospital in Dallas how well it went.

This should bring the worst global sanctions against any country that operates this way, IF and only IF, proven. Not saying the authors research wasn’t done or is incorrect. The global populace needs to start taking up this cause, to stop forcing people to donate organs because they are a prisoner or a marginalized group.

When your coworker refuses your help with the confused, 90 lb. little old lady....

"I don't feel very good. I missed my dialysis." CMP came back = K+ was 11 !!!!!

Jesse "Mama" from Code Black... when you're in trouble, your mama's got your back!

Hello from the other side....

I think I'm allergic to that.

Got it in 1 stick!

You get the assignments that only you can handle. - a wise charge RN

"Make him a DNR but do not tell him," the worst order I ever had given to me! Yes, the doc ended up without privileges.

So I worked as a bus driver while in college. We had true random drug testing. Once a month, a computer program would spit out 50 or so names from 500 employees and we'd have to go pee in a cup. CDL requirements of my state. Bathroom door open, no flushing, no hand washing. Very very strict. Not been my experience in nursing. Pre employment screening. Health insurance annual nicotine test. For-cause -- suspected impairment & on the job injury testing.

My mom's friend is really and truly allergic to brewing coffee. Can drink coffee, cannot be in vicinity when being brewed. I Took those 2 ladies through the Starbucks drive-thru and she started having stridor!!! Epi-pen then straight to the ER next door. Crazy & never believed her until I saw it.

Our team stopped placing in areas of loose skin. We use Bards new dressing, securis, with very good results. Also never steeper than a 1.5 cm vein.

DONT take nursing research at this time. At all costs. Take that class when you have 5 weeks with nothing scheduled on Fri-Sat. Health Assessment is pretty straightforward.

In it with y'all. So far it seems just like any other UTA RN-BSN AP class...just follow directions. Yes, I bought the text, and have found it useful. I think it was specifically stated in the directions not to have graphs, though, to write out stats.

Safe Harbor would not have protected your job. But if you had filed it, you would have whistleblower protection from retaliation if it was made in good faith. Safe Harbor would not have even protected your license or liability if something had gone wrong -- you'd still be held accountable for your actions or lack thereof. Your employment report as not eligible for rehire is legit for the company - what you can do (after talking to your attorney) is attach a letter to your HR file AND the local healthcare background check "consumer report" firm (here in DFW we have Group One). Your employment as a shared employee may have been contingent on remaining eligible for rehire, you would have to look in your paper work or the HR policies of both employers. Good luck, and hope you find a good fit - we need more pt safety advocates!

Um, I had to get a recruiter at a corporate event to smooth the process...then it went fast, like enrolling in classes 2 days later.

You can add me to the list. Did some Pre-Req's missing from my first 2 degrees, and hoping the nursing classes are much more cohesive. I had high school students in some and creating a discussion thread got downright painful at times. Art Appreciation just about killed me as the class was organized to an 'artists' sensibility. Looking forward to getting these nursing classes knocked out!

So our usually calm, quiet, and sedate M/S unit is a good place to work. Only real issues tend to be over-narcotic or drug reaction or a fall. Today: Afib RVR/Febrile pre-op/new onset AMS; bedside thoracentesis; accidental chest tube removal; air embolism; and a crumping as we speak....5 different patients all within 45 minutes. wow. I am still trying to debrief. everyone made it though. Still not quite sure how....but we did it! Hooray for med-surg!

Part of the problem is sometimes that RRT'd pt is draining too many resources on the unit - i.e. me, my tech, my charge, my mgr, staff bystanders and if that is the case after the initial 10-15 min I will go and check on my other 4-5 patients. I love our RRT RNs at my work because of the fact that they will tell me exactly what they need. One shift I had a RRT pt at the same time a fresh postop and sedation pt came off the elevators within 10 min of each other. The charge RN and I were circulating on all 3 rooms, assisting the RRT as directed.

I feel really silly but about 6 months ago we changed our charting and now have to select code status for pts. I've asked and asked and asked collegues, MDs, and education but what is a DNO? Not quite gotten a straight answer, but is it do-not-operate?

Do you give routinely scheduled PO medications? I know we have to give beta blockers, so I usually give all as I would if the pt was PO. A new grad took offense when I questioned her about holding synthroid.

Unless specific reason exist for a fast push, i.e. adenocard, you should always go over at least 2 min, regardless of the line. My first day in nursing clinicals, for whatever reason, a pt had a bedside echo with contrast of some sort. This pt had a PIV in the right hand and the primary nurse, myself, and my instructor were stunned that in less than 5 seconds the first 'push' of contrast had already made it out of the heart and into circulation. I wish I remembered what the test was.