nerdtonurse?

nerdtonurse? BSN, RN

ICU, Telemetry

Member

All Content by nerdtonurse?

  1. Busiest Time For The ER

    Okay, I saw "4/20" and thought "Hitler's Birthday" and
  2. Strange Story

    Keep in mind, this is the generation that doesn't think oral sex is "sex" The Washington Post did a story about it. So a "feel up" probably is nothing to her. I'd be yelling "NO" and wouldn't go into...
  3. Stupid things said by your non-nurse significant other

    We had a patient that had melanoma that had arisen from a mole. So, we made the mistake of discussing it in actual clinical terms (a malignant nevis) at the nurse's station. A family member is...
  4. Stupid things said by your non-nurse significant other

    I always want to say, "Sundowners, ever heard of
  5. Busiest Time For The ER

    About 2 days after a major drug bust in your city or county -- happened in ours, and everybody ran out of their oblivion of choice within 48 hours, started going thru withdrawal, or worse, tried to...
  6. After termination: A Great Update

    When bad things have happened to me, I'm always able to look back at a later date and say, "gee, if that bad hadn't happened, then this wonderful thing couldn't have happened." Always. There's a...
  7. how long for a stage 1 pressue ulcer to heal?

    Also, it depends on the person's general health, comorbidities. If their albumin and protein are in the toilet, it make take longer, ditto if they have PVD, history of CABG with vein harvest from...
  8. WGU RN-BSN 11/1/11 start

    Woot! Woot! Got my transcript eval, only have to take 7 classes plus EWB. No biochem! But I have to take nursing informatics...and I have a MS in
  9. What I've said, "You cannot live here. We can get a social worker to talk to you about a shelter, but you cannot....live...here." Had one try to throw himself off the stretcher, admitted he "knew"...
  10. Other than UTI, any other reasons foley leaks?

    dishes, the only problem is, in our hospital, we have 1 -- count'm, ONE -- urologist. And he's supposed to be retired ( he's about 105, we joke, "gee, were there kidneys when you went to medical...
  11. Vent: "I should warn you, I'm a tough stick..."

    That's me. "Okay, you're a hard stick so where do they usually put an IV?" When I get a blood draw, I do make a point of telling the lab tech not to use my R basilic vein -- it looks beautiful, and...
  12. Checking visitor's vitals

    I had a family member visiting a post MI patient, and I walked into the room, started my "Hi, I'm Nerd and I'll be your --- sir, do you feel okay?" Pt's son in law was about 300 pounds, smelled like...
  13. First Code

    As horrible as the ones I've seen since -- ruptured esophageal varices, a lung ca bleed out, people who've been down so long rigor has set in, colon CA/GI bleed where every time you pushed down blood...
  14. It's not a "hear" exactly, but... You never want to come in, every phone in the place is ringing, callbells going off, and not one but BOTH the code carts are outside the room with the code blue light...
  15. A/O patients throwing things

    "If you hit me, I'm calling 911. I've sent people to jail for assault before, I have no problems doing it again." (while giving them the "make my day, moron" stare) Never had someone who's a/o throw...
  16. COPD patient wanting to leave to smoke

    I had a person who was on home O2, in with COPD exacerbation, 3 ppd smoker. Got her a nicotine patch. Did a med pass, she wasn't in the room. Now, this is someone who desats into the 70's if she's...
  17. DKA and Potassium

    It's on our DKA protocol to change the fluids in response to the labs, but this particular person thought that if they didn't start the D5 when the fsbs was below 250 that they'd get 2 negatives...
  18. When a person says, "that patient that's been out for 3 days suddenly woke up this afternoon, started talking to family, more "at themselves" than they've been in years..." Oh, rats, get the code...
  19. DKA and Potassium

    Our orders for DKAs in the ER are if the K is > than 6.4, we treat with k/x, start insulin drip, and send to ICU, mainly to monitor for cardiac sequelae (no particular reason for 6.4, I honestly...
  20. Brushing my teeth at work giving me mouth sores

    You can get cheap toothbrushes from the dollar store. However, I wouldn't brush my teeth at work because water splashes in the sink, and all it takes is one drop with god knows what on it on that...
  21. They just intubated Bed 7, but they look funny and their belly keeps going up and
  22. Saying "Goodnight" to patients

    Especially if I have a critical patient, or a patient who's nervous about what's coming that day (cath, transfer for CABG, attempt to extubate) or a family who's dealing with the approaching death of...
  23. Before you get report, go do the shift checks on the defibrillators, quick. Remember that migraine in room 9 that you had yesterday? Well, they did a lumbar puncture this morning and we need to know...
  24. written up

    Don't know if it would help, but here's how I give report in ICU: Mr. Smith is a 89 yo pt of Dr. Smith, Cardiology on consult, Dr. Jones saw him. Pt. came to the ER on 10/11, complaining of chest...
  25. WGU RN-BSN 11/1/11 start

    Just finished the intake interview with Steve Pope. Bless his heart, I was half asleep, he probably thinks's I've got narcolepsy. One more call with him next week, pay the tuition, and I start...