brownbook

brownbook

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All Content by brownbook

  1. Whats your perfect fit!!!!!

    brownbook replied to Ginger_22's topic in General Nursing

    Boring basic med/surg exposes you to a little bit of everything and builds up your basic nursing skills. Others will tell you to avoid float pools like the plague. But it's a great way to learn about...

  2. Anxiety

    brownbook replied to MBar1's topic in General Students

    You're not alone. I wouldn't trust any health care professional who didn't have a little anxiety. Whether doing a routine procedure, (that is usually when something stupid, unexpected, goes wrong),...

  3. CPR on Trauma Patients

    brownbook replied to adventure_rn's topic in MICU, SICU

    Agree with all. Wonder if the slight possibility the patient could end up an organ donor makes at least an attempt at ACLS worth the

  4. Hepatitis C question!

    brownbook replied to FutureNP21's topic in General Students

    I'm so curious why you are asking. A patient may be admitted with a broken leg, for example, and have any well controlled chronic hepatitis or HIV viral infection. It may not be routinely mentioned...

  5. Not for me

    brownbook replied to amiss8488's topic in Operating Room

    You have worked in 4 different OR's in one and a half years, two were okay, two were awful? My gut feeling is your current job is in a toxic place. From what you posted the CRNA was inappropriate...

  6. Routine meds can they be given an hour early or late

    brownbook replied to Pamcorey's topic in Patient Medications

    Beware, Pamcory's other post about PRN's was very sketchy, to the point where an administrator told her to talk to her health care provider overseeing her medical treatment, and closed the

  7. Rolling Veins: A Quick Guide to Being a “Good Stick"

    brownbook replied to Krista Vaughan's topic in General Nursing

    Didn't realize this thread was old! I am thin, I am sitting here "rolling" the vein on the back of my hand from one side of the metacarpal to the other. And the cephalic vein from one side of my...

  8. While administering med, why using drugbook instead of instructions?

    brownbook replied to AlexisZ's topic in Patient Safety Issues

    Do you mean those folded up papers, with tiny print, double sided, that come with medications, that are reprints of what you would find if you looked up the drug in the Physicians Desk Reference? That...

  9. Pre-Op/PACU Charge Nurse?

    brownbook replied to WalterWho's topic in PACU

    Yeah, kinda, sorta, it really varies in the different pre-op PACU settings I have worked in. The last place I worked had a supervisor but she made it a point to be available. In addition to the...

  10. Racism in Nursing

    brownbook replied to eastcoastrn586's topic in Patient, Colleague Relations

    There is "evidence based" reporting by respected news agencies that Russia has businesses whose job is to post inflammatory comments on any and every Internet site they can. Their whole purpose is...

  11. To wash or not to wash?

    brownbook replied to sunflower3,RPN's topic in General Nursing

    I know I did not receive much training in bed baths. I guess it was assumed aides would be doing that work! I learned it on the job from CNA's and LVN's. I just wonder if some of your co-workers...

  12. Oral surgery RN or Med-Surg??

    brownbook replied to Annapkk's topic in General Nursing

    Oral surgery nursing is very specialized. Working a few months, as a new grad, on a med/surg floor would look much better on a resume. Of course doing both if you can is fine. I would hope you'd let...

  13. OR to PACU??

    brownbook replied to asnewnurse2017's topic in General Nursing

    OR and PACU unfortunately are not very similar. I'm not saying you couldn't transfer, but! In my humble opinion an OR nurses "patient" is the scrub tech, anesthesiologist, and surgeon. You are...

  14. Seasoned Nurses VS Newbie Nurses

    brownbook replied to Alexx_xox's topic in General Nursing

    As long as there are no egregious breeches of protocol or nursing practice let it go. You could ask 10 of the top bedside nurses how or why to do such and such and get 20 answers. There are very few...

  15. Nursing nightmares.

    brownbook replied to Been there,done that's topic in General Nursing

    My dream is based on the reality that 20 years ago I was night supervisor at a small county hospital. I called in the OR team for emergencies. The absolute worse was stat C-sections. I knew less...

  16. Oxygen order changes

    brownbook replied to Danztam's topic in General Nursing

    Well......you can call the doctor every 1 - 2 hours at night when you change the oxygen, see how long they put up with it! I'd be tempted to change the flow by 0.5 liters up and down 3 - 4 times a...

  17. Diabetes Management in Phase II Recovery

    brownbook replied to AnnoyedNurse's topic in PACU

    I know next to nothing about billing patients. But if a patient or their insurance is charged for POCT without a doctor's order that could be an issue. I think insurance companies won't cover a...

  18. Senior nurse no floor experience besides clinical

    brownbook replied to Nurse440's topic in General Students

    You're a senior nursing student. Does that mean you will graduate from nursing school soon ish? If you can easily get a job as a patient care tech that would be great. But many nurses, myself...

  19. Manual dexterity

    brownbook replied to Genreserieux's topic in First Year After Licensure

    Awful to say, but nothing builds up your self confidence with IV's and blood draws like watching someone who is really really good at them blow it! Everyone blows it once in a while. Yeah, I know you...

  20. how does your facility cover call?

    brownbook replied to stunner127's topic in Gastroenterology

    We had very limited after hours GI coverage for several years. From not having a dedicated GI doctor, to the OR nurses complaining about being called in, to not having a moderate sedation nurse on...

  21. Diabetes Management in Phase II Recovery

    brownbook replied to AnnoyedNurse's topic in PACU

    Why or who would order AC/HS for an ambulatory surgery patient? Did the patient come with those orders from another facility? My first out patient ambulatory surgery job was in a clinic that was part...

  22. Diabetes Management in Phase II Recovery

    brownbook replied to AnnoyedNurse's topic in PACU

    Your manager sounds like an idiot. If it becomes a frequent issue could you ask your medical director to discuss the issue with

  23. Diabetes Management in Phase II Recovery

    brownbook replied to AnnoyedNurse's topic in PACU

    I'm so confused. I've worked ambulatory surgery for 17 years. First of all, how can blood sugar be AC/ HS in ambulatory surgery? Where I've worked nurses have been threatened with incident reports...

  24. Thoughts on Covering Own Shift

    brownbook replied to J.Adderton's topic in General Nursing

    I am not an ophthalmologist but even benign growths on the eye don't sound like something you want to delay for 6 weeks! The assistant director's attitude stinks. I'd tell your friend to get a...

  25. how does your facility cover call?

    brownbook replied to stunner127's topic in Gastroenterology

    I don't remember the details, but I worked in an out patient surgery center that was part of the hospitals regular in-patient OR. We also had a GI clinic. The OR nurses and techs hated it but they...