pebbles BSN, RN

Trauma acute surgery, surgical ICU, PACU

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All Content by pebbles

  1. pebbles

    Was anyone else shocked with this propofol story?

    lol... yes! Shocked and amused! I wasn't really following the MJ story that closely until I heard the propofol bit. I was half expecting drugs, but not this particular drug! Insomnia treated with...
  2. pebbles

    Pentobarb coma nurse to patient ratio

    A pt sick enough to be in a pentobarb coma would always be 1:1 in my unit. Those are the pt's that often get sent for multiple CT's, or require finer tuning as far as their care and physiological...
  3. pebbles

    Burnout rate-experienced nurses reply

    I think burn out peaks in the first year and then after about 3-5 years. Basically, when you are first learning and feel overwhelmed with your job, and then after you develop mastery and begin to...
  4. pebbles

    Theatrical makeup ala tammy faye baker

    It kinda bugs me that in our society, people think you look "dead" when you have no make up on, instead of looking "natural", etc. Most make-up mimics (even subtly) sexual arousal response. I don't...
  5. Here's a good article from Newsweek that refutes the idea that the US doesn't have the heinous wait times:...
  6. pebbles

    so when is it wrong to stand for unfairness...

    I also notice that the OP didn't say if she was one of the people who had been treated unfairly by the instructor. When I was in school, it was an unfortunate fact of being a student that you...
  7. pebbles

    Dealing with ICU visitors

    I'd suggest raising the issue at a staff meeting to see what the consensus is and find some direction from management. Rather than everybody does their own thing about the visitors and then other...
  8. It sounds like that family member may be having trouble coping with her mom's illness itself, not necessarily with you. Some people just react and cope with anger. They really are angry that you...
  9. pebbles

    Is nursing really that stressful?

    Keep in mind that what you read online from nurses is often stress-release and venting, and not an accurate portrayal of ever aspect of the job. These posts and other forums are not intended as...
  10. pebbles

    Bed Bath stress

    BS like this is why my nursing education was the worst years of my life. So glad I'm done. Probably half the ways I do things now are different from what the shrieking harridan in the skills lab...
  11. pebbles

    Ice for a vented patient???

    I wanted to kill a doctor recently who told a patient (without asking the nurse) she could have ice chips. This was a lady who was gagging on her tube, and we had not been able to get an NG in yet -...
  12. pebbles

    CRRT

    14 in one day!!! We have standing orders to get the nephrologist to assess if we go through more than 2 in 24
  13. pebbles

    how should this situation be handled?

    This was a very inappropriate "kidding around" for a workplace. Plus, the person asked her to stop, and she didn't. This was more than just an innocent
  14. Probably best to check with his doctor, who will know how inflamed the pancreas is. If the pot does fine and his blood sugars are normal, it may not be harming
  15. pebbles

    how should this situation be handled?

    An occurrence report needs to be filed, and supervisors need to be talked to. This "other staff" was playing around inappropriately, and dangerously in a workplace. The nurse told the other staff to...
  16. The goal of treatment in pancreatitis is to rest the pancreas. Most patients (especially newly admitted ones) are at least NPO. If they need feeding, and the pancreatitis is still severe, we insert a...
  17. pebbles

    Arterial line caps

    We don't ever administer meds through the hard tubing or stopcocks of a CVP line, so this would never happen at our facility. The CVP transducer line is connected to the port of a central line by...
  18. pebbles

    does your unit test nurses for mrsa?

    No, but I would sure love it if they did (the paid vacation to stay home and take antibiotics would be very nice, thank you!)
  19. pebbles

    I need a professional advice

    If you are going to work in an environment that requires extra training beyond basic nursing school, make sure you apply for a job on a unit that provides that training. In my ICU, we are not set up...
  20. I can remember pt's and their families getting angry at me for taking a break - when they needed things like a hair wash, etc, and I told them I didn't have time.... Yet the public can't believe we...
  21. Writing them up only works when/if the managers care and act on it.....
  22. pebbles

    Am I going to lose my license?

    Isn't it the RN who is legally responsible for the patients and patient care, and not CNA's who are assistive personnel??? Either way, you should probably contact your licensing body about this type...
  23. pebbles

    Do you work when you have The Crud?

    I am really sick of my co-workers coming to work sick and spreading it around. And no matter how well you say you wash your hands around the patients, there are always times when you slip up. Blow...
  24. pebbles

    treating patient anxiety

    Agreed! "What is your anxiety about", etc.... sometimes how you say it can make a big difference. Is there anything in particular that's making you feel anxious? Is there anything I can do to help...
  25. pebbles

    dishonesty in diagnosis

    It used to be the practice many years ago in some places to not tell people the whole truth, or even lie. It wasn't as much part of the profession as it is now to teach and explain fully to people...