Bethy-lynn

Bethy-lynn

ICU

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All Content by Bethy-lynn

  1. retro-per. bleeder

    Bethy-lynn posted a topic in CCU, Coronary, Cardiac

    Had a post PTCA w/stent to rca pt this week that had a lrg retro-perit. bleed. They came back with lines out, and a Neptune patch. The site was cdi when it got to me no tenderness to flank, hip, or...

  2. Dumb Question?

    Bethy-lynn replied to WeakAnkles's topic in MICU, SICU

    Our a-line kits have a 3-way attatched to them right out of the package, most likely for blood draws if a vamp is not available (like when they come back from cath lab or OR, where they don't...

  3. Protect your profession...

    Bethy-lynn replied to markdanurse's topic in Diploma, ADN, BSN

    3. Midwives originally birthed babies, not physicians. In fact, the first known Um, I feel the need to remind you that back in the day when only nurse midwives delivered babies, the mortality rates...

  4. DNRs and ACLS

    Bethy-lynn replied to GardenDove's topic in General Nursing

    Where I work, we have sort of an "all or nothing" policy when it comes to DNR (i.e. they either want to be a full code, or not, we don't do chem codes, or intubation only). In fact, according to our...

  5. TPN - refeeding syndrome or sepsis?

    Bethy-lynn replied to steu's topic in MICU, SICU

    I'm wondering about a few other lab values here...What were the ABG's, lactic acid, liver, bun/creat? Those will give you a better indication about sepsis. Also, look at glucose. Also, what did the pt...

  6. ICU Nurses with OCD!!!

    Bethy-lynn replied to nursern20's topic in MICU, SICU

    I'm so OCD that my students laugh at me. The tease me about not being able to function unless I have all of my lines labeled (and, yes color-coded...Red labels on Xigris and Bicarcb, green on ns,...

  7. Excessive secretions No Gag Any Ideas senior nurses?????

    Bethy-lynn replied to kampswas's topic in MICU, SICU

    E-gads, Intubate, intubate, intubate. Remind your physician (politely and nicely) that the pt is no longer able to protect their airway, despite the ok abg, along with the requirment of very frequent...

  8. Doctor comebacks

    Bethy-lynn replied to NiceShot's topic in MICU, SICU

    While being respectful is always he best policy (i.e. the ol' please don't speak to me that way, walking away, etc...), I personally am a big fan of "Do you need a hug?", sometimes preempted by "my,...

  9. Best Thanksgiving Complaints

    Bethy-lynn replied to JRapha'sRN's topic in Emergency

    I (during my pre-wisened professional days) once lopped off most of the tip of my thumb, including part of the nail, while making mashed potatoes...Never found the missing piece, but everyone seemed...

  10. Extubated my patient

    Bethy-lynn replied to BlueEyedRN's topic in General Nursing

    if your patient was alert enough to shake her head "yes/no" appropriatly to ques., then she probabaly would have died a very uncomfortable death if you had let her wait, and pass on the vent. She was...

  11. Terror in the OR- please advise !!!

    Bethy-lynn replied to jd494's topic in General Nursing

    For the love of God, and All things holy, please call the state. And which should you be more afraid of...loosing your job, or a patient (like a six year old having a tonsilectomy) dying because he's...

  12. Do you ever check CBGs by IV rather than capillary?

    Bethy-lynn replied to SpudID's topic in Ob/Gyn

    Whenever we have someone on an insulin gtt, we aim for an a-line.. otherwise we go for capillary...try sometimes lower on the fingers, and on the meat of the hand, near the thumb, or pinch well and...

  13. What's a magnet hospital???

    Bethy-lynn replied to np_wannabe's topic in General Nursing

    My Ho is trying to go magnet (isn't everyone?), but so far it seems that the only thing that has changed is that now we spend more of our time filling out paperwork and documantation than we do on...

  14. Redeployed to ITU and hating it

    Bethy-lynn replied to MVH119's topic in MICU, SICU

    Perhaps it would benifit you in the meantime, seeing as there is a hiring freeze and all, to start focusing on the great things about ICU. Not every patient on a ventilator and Inotrops is supposed to...

  15. Best Underwear to wear under scrubs??

    Bethy-lynn replied to Rn2bKatie's topic in General Nursing

    I just have to say this. Love the idea of going commando, especially in the Summer or in the dead of Winter, when they finally decide to turn the fricken heat on, and of course, it's stuck at three...

  16. Shoes

    Bethy-lynn replied to ghost's topic in General Nursing

    I LOVE my Birki Professionals. I tried Danskos, nursemates, sneakers in every variety, but my Birki's are the best. The Professionals are wider that the superbirki, so when my feet have swollen by the...

  17. Is this a HIPAA violation

    Bethy-lynn replied to avalynn's topic in General Nursing

    So, yes, as everyone has said, this is a great big, supa-fat HIPAA violation in the worst way. BUt tell your friend not to be too embarressed about her stay at the HO. Pretty much every nurse I work...

  18. Quick question?

    Bethy-lynn replied to thsnursluvsgeriatric's topic in Geriatric, LTC

    I've never worked on a teeneage sex offender in my life, heck, not even an adult one, but I still thought the same thing. I'm just a

  19. Counrtry doses

    Bethy-lynn posted a topic in MICU, SICU

    In our unit, we tend to give a lot of "country" doses (such as adding on a couple extra units of insulin if someone's sugars are high, or giving the extra mg of Ativan to the resident Meth od). We...

  20. Need some personal help here! (long)

    Bethy-lynn replied to Pepper The Cat's topic in Geriatric, LTC

    My mother in-law also has alzheimers, and we live a six hour flight away. When I first met her, she was closer to the moderate stage, currently, she is very end stage (she has declined very fast)....

  21. Counrtry doses

    Bethy-lynn replied to Bethy-lynn's topic in MICU, SICU

    Thank you, neneRN, for understanding the grey areas. Just to clarify...we do have standard orders, IE DT protocols (Librium and Ativan), low, med, and high dose ss, insulin gtts, ccu standing orders,...

  22. Medicare Abuse

    Bethy-lynn replied to RunningWithScissors's topic in General Nursing

    Please excuse me if I sound a little defensive here, but MD's don't get paid anymore for having a patient in house longer, and particullarly not for keeping them on the vent longer. Many times there...

  23. Best Underwear to wear under scrubs??

    Bethy-lynn replied to Rn2bKatie's topic in General Nursing

    I love this question. My favorite underpants are the Victoria's Secret Pink Hipsters because they don't have elastic around the legs, so they don't cut in and give you a double butt- you know, when it...

  24. Am I Liable For Prescribing Narcotics???

    Bethy-lynn replied to drrosenPM's topic in General Nursing

    You probabaly could be liable...Let's face it, if your pt wipes poop in a surgical wound that they themselves have picked open, you could still be sued. Like the post above eloquently said, you should...

  25. Just a uniform question

    Bethy-lynn replied to SaraO'Hara's topic in General Nursing

    Most programs have a very specifc uniform tha tyou will need. I do agree that the dress is more comfortable, but it wasn't as practical once I got started (too much bending over, bending down,...