pebbles BSN, RN

Trauma acute surgery, surgical ICU, PACU

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All Content by pebbles

  1. pebbles

    informed consent

    pebbles replied to ageless's topic in General Nursing

    Informes consent is either a very important concept or a joke, where I work - it depends on the doctor. I had a patient once who got to the OR and tried to refuse surgery just before they were ready...
  2. pebbles

    semi private vs. private rooms in icu

    pebbles replied to samrn32's topic in MICU, SICU

    ROOMS!!! ROTFLMAO.... Our ICU's have "bays", open (curtains can be drawn) to all. Desk area in middle of room, bays lined up on either side. There are i think two or three closed rooms reserved for...
  3. pebbles

    Are Nurses Overprotective?

    pebbles replied to flowerchild's topic in General Nursing

    Going back to Research Methods class here... consider your sample. I noticed that the people who replied to that thread all had a similar style of thinking also. But I don't think that indicates...
  4. pebbles

    RN Clinical Teacher- no teaching experience?

    pebbles replied to Genista's topic in General Nursing

    Several of my "clinical facilitators" were brand-new grads who had little or NO experience in teaching OR in bedside nursing, but felt that they wanted to get more involved in teaching itself before...
  5. pebbles

    Flushing JP Drain

    pebbles replied to lori999's topic in Medical-Surgical

    We get sump drains to wall suction (they are bigger than JP's, and we do fush them at least BID) - NOT JP's though. Non-patent, JP gets pulled. If pt develops another fluid collection or abscess,...
  6. pebbles

    Creepy!!!!!!!

    pebbles replied to huggietoes's topic in General Nursing

    Agreed, Connie! :) I think you'd be hard pressed to find a nurse who has NOT had some form of sexual harrassment at work.... I have experienced this several times, and used the approach you...
  7. pebbles

    Are nurses held to a higher standard?

    pebbles replied to nell's topic in General Nursing

    It used to be law in Canada (don't know about anywhere else) that Teachers were not allowed to drink in bars - public display of immorality or something like that. I don't know if that applied to...
  8. pebbles

    American vs. Canadian Nursing?

    pebbles replied to Natalieboo's topic in General Nursing

    Hi Tiffany. I'm a canadian nurse, so I can comment on canadian grads moving to the US... I don't know how it is the other way round though. Hope this helps.... Good luck in making your decision - it...
  9. pebbles

    Trach suction vs. O2 depletion

    pebbles replied to zumalong's topic in Patient Safety Issues

    Gross! This resident needs to be told that you can irritate and even damage her respiratcory tracts by suctioning too vigorously. You'd be liable for any damage that did occur - short tern or long...
  10. pebbles

    Showing up at work smelling of alcohol

    pebbles replied to srtrn's topic in Patient Safety Issues

    I agree with all the comments about helping this person get help and support that he needs.... but this is work, and patient safety comes first. This person needs to leave the workplace ASAP... his...
  11. pebbles

    Showing up at work smelling of alcohol

    pebbles replied to srtrn's topic in Patient Safety Issues

    Go to the State Board of NUrsing about the individual person. This person should not be practising. There are procedures with most boards for nurses to get their licenses back if the nurse goes into a...
  12. pebbles

    Pixis for everything?

    pebbles replied to NSDRN's topic in General Nursing

    Our Pyxis (recently installed, and some of the "senior" nurses are having a hard time with the concept of computers!) takes fingerprints instead of passwords. Neato Mosquito - except it doesn't seem...
  13. pebbles

    Rude Colleague??

    pebbles replied to MPHkatie's topic in Patient, Colleague Relations

    There is a difference between a bad nurse and a bad day..... We can't all be expected to always be perfectly polite, especially when patients and families sometimes *expect* that we should basically...
  14. pebbles

    "Is your manager a leader? What skills define leadership?"

    pebbles replied to prn nurse's topic in General Nursing

    A big peeve of mine is that in nursing, the people they hire as managers may be experienced nurses, who have a Master's degree in nursing or something else.... but these people do not necesarily (and...
  15. pebbles

    What was most embarrassing moment as a nurse?

    pebbles replied to night owl's topic in General Nursing

    My first clinical rotation in school geriatrics. Mentally challenged patient who also had physical mobility problems. He also had been a bit "sexually inappropriate" and masturbating in the dining...
  16. pebbles

    Lethal injection nurse???

    pebbles replied to Zhakrin's topic in General Nursing

    All these bloodthirsty
  17. pebbles

    Lethal injection nurse???

    pebbles replied to Zhakrin's topic in General Nursing

    I read somewhere that each stage of the "killing" process when enacting the death penalty is done by a different person, anyway. One person prepares the syringe. Another takes it to the chember....
  18. pebbles

    Canadian nurses in the US

    pebbles replied to micki's topic in International Nursing

    Thanks for sharing, Mightynurse, this info is a big help.
  19. pebbles

    Ativan, insulin, alcohol drips on floors?

    pebbles replied to susanmary's topic in General Nursing

    Thanks, Susanmary... I wondered. :) This brings the question of frequency of vitals (and blood glucose checks) as well. How often do we really need to do them for it to be safe? Somebody said q1h...
  20. pebbles

    Ativan, insulin, alcohol drips on floors?

    pebbles replied to susanmary's topic in General Nursing

    I still can't believe nurses are expected to safely titrate the "drips" of these serious medications by hand with a roller clamp. Hey, this is not the dark ages any more - get on somebody's case at...
  21. pebbles

    Ativan, insulin, alcohol drips on floors?

    pebbles replied to susanmary's topic in General Nursing

    Uh huh... :)I hope most places don't do that now though... Could that be what is contributing to the feeling of "unsafe"? I set the insulin rate at 2 units/hr on the machine, I know I don't have to...
  22. pebbles

    Ativan, insulin, alcohol drips on floors?

    pebbles replied to susanmary's topic in General Nursing

    PS huganurse - ETOH infusion IV is given as the antidote to Ethanol (antifreeze) poisoning.... Also - what do you guys mean when you say "drips"? We use syringe infusion pumps to give these
  23. pebbles

    Ativan, insulin, alcohol drips on floors?

    pebbles replied to susanmary's topic in General Nursing

    ETOH infusion only given in step-down (2 pt's per nurse, 4 when someone is on break). Vitals q4h routinely in SDU, more often if pt's condition warrants. Nurse always in the room. Insulin IV...
  24. pebbles

    Canadian nurses in the US

    pebbles replied to micki's topic in International Nursing

    Golly - I was also planning to head south, but am hitting roadblocks. The big one being the requirement for CGFNS certification in most states. The cost of getting that certificate is very expensive -...
  25. pebbles

    For those of you that are a nurse and those of you who call yourself a nurse!!

    pebbles replied to StaceRacer1's topic in General Nursing

    As if the profession doesn't have enough problems without us all bickering amongst ourselves. Not having a completely rounded education with background understanding of patient problems and issues...