nerdtonurse?

nerdtonurse? BSN, RN

ICU, Telemetry

Member

All Content by nerdtonurse?

  1. Does A Bad Shift Ever Make You Question Your Abilities?

    I had a truly horrible shift one night...started out with 4 patients, 2 nurses in the ICU. They were sick, but it was okay. Then it was like everyone who was going to go into respiratory arrest,...
  2. the pressure of passing nclex on the first try

    My new job in ICU was dependent on passing the NCLEX first time. No pass, no job. After I'd put in my notice on my old job...oy vey, as my aunt says. First one to take the test in my class, a lot...
  3. Incorrect oxygen set up

    Oh, yes....had the nerve to sit there and tell me about "A, B, C" and since heart was C we had to fix the heart first. Uh, honey, C's for Circulation, not cardiology. She'd graduated 3 weeks before....
  4. Incorrect oxygen set up

    I've seen people on a regular cannula (not a high volume) turned all the way up to 15, I've seen people on a non-rebreather at 1. Never underestimate the "whaaaa....?" factor in nursing. I actually...
  5. Graduate Level Pharmacology???

    I think you might find it easier since you've practiced as a nurse; I know I was pulling my hair out in my pharma class in LPN school because other than things like my mom's BP meds, I just didn't...
  6. ICU care plan- please please please help!!

    Daytonite passed away some time ago, but her posts helped me during school so much...miss
  7. The happy policy

    We used to hate it...absolutely hate it...when our managers would go off to an IT conference. There would invariably be some idiot with a seminar on "improving employee retention" (just beside the...
  8. WGU RN-BSN 10/01/11 start...anyone with me?

    I do 3 12hr shifts (nights) and work at least 1 day per week with hospice or in the ER. Waiting on my transcript eval. I think I'm going to need nutrition and biochem, then the RN-BSN classes....
  9. Smells like...

    Are they on any antibiotics? That can cause some weird sulfurous smells. And for pete's sake, never, ever get IV meripenum on your scrubs, it will not only make you smell like a person who's been...
  10. Any nurses out there graduate knowing everything?

    And I'm scared of the new nurses who don't ask questions because they not only think they know everything, but they think the experienced nurses know nothing. Realizing what you don't know is the...
  11. The consequences of religious belief..

    I've had this happen to a patient, but it was a GI bleed in a Witness. The family was saying, no blood, and everything I did was scrutinized like I was trying to somehow sneak blood in when I was...
  12. Is it weird that I love wound care?

    Wound care makes my "fix it" gene happy. I have seen a wound-vac do some truly amazing things. Nothing like having one of those leak and you can't figure out what's wrong, you finally get it right...
  13. NCP Help Please

    These things drove me nuts in school...but this may help. 1) what is going to kill your patient first? It's easy to get into "fluid volume deficit" but why is the patient running a deficit, and and a...
  14. 1) You can learn from anybody. Sometimes it's what to do, sometimes it's what not to do. 2) Internet. When I started telemetry, when I wasn't at work, I was crawling the net reading and learning...
  15. IV Push through cvc with triple lumen

    Since heparin can infuse in such small amounts, we usually run it with a maintenance line (not sure, it's not like the line's going to clot off, geeez...). So I'd move the heparin to infuse with the...
  16. How did you study/prepare for lectures?

    I'm the same way, but what I do is visualize myself perform the activity (if it's something like inserting a foley, starting an IV). I would recopy my notes, and listen to MP3s from the study guide...
  17. Would you be insulted if.....

    I always do, but I also tell them they need to make sure their children wash their hands, especially if they're crawling around on the floor with a cookie in one
  18. Please help! disaster drill

    You can also do research on all hazards planning -- your site may have unique issues (are you near a railroad that routinely handles hazardous waste? Fertilizer plant? Strategic resource/gov't...
  19. Problems with straight cath on a male pt

    It was an old man, not a young one, but I had a patient that I could only get his urine to flow if he turned on his side. I'm sure in my case the pt had some BPH, but it's an idea...I also think...
  20. You reprogram the telemetry monitors and now have Mario scrambling over the QRS complexes and hopping over the P waves for extra credit Your patient bradys down from a steady sinus tach to the 30's,...
  21. Which Specialty Do You Have Your Eye On?

    I went in thinking I'd be a nurse-midwife -- my great granny delivered half the babies in the county. Until the first time I had to hand a baby back to a crack mom. It broke my heart and I realized...
  22. diaster drill. PLEASE help!

    Go to this website, http://www.heics.com/HEICS98b.pdf and look at the PDF. This not only shows you how, it has a "train the trainer" component to show you how to train people in HEICS (Hospital...
  23. Sticky poop...I need some tips!

    Maybe you could talk the MD into miralax every other day? Is it a daily BM you're after, or are you addressing a hard bm? Maybe colace instead? My ideas: aloe gel (heals the skin and makes you...
  24. Not Seeking Medical Advice, Just want to know I am not alone

    canuke, me too on the appy. I just knew I' blown my appendix, or maybe my gallbladder. Board like abdomen, pain, temp, the whole thing. All I could think of was a patient we had that died from a...
  25. Who is supposed to police the mean girls?

    What's also pathetic is that someone is getting paid management dollars and not doing the management job. Which also makes me think that if you guys do as requested and try to "self police" Mistress...