nerdtonurse?

nerdtonurse? BSN, RN

ICU, Telemetry

Member

All Content by nerdtonurse?

  1. You just can't make this stuff up....

    No, just the denizens of the local trailer park on the rampage....we get EMS runs from out there every payday or check day....I can still hear the "circular logic" between the doc and "John" -- "why...
  2. Dreaming about work?

    I've not exactly dreamed it, but I've always been worried we'd come in to a packed house, patients in overflow, and we'd forget to assign a nurse to someone until the next morning when we'd be going,...
  3. I use the McDonald's calculator. When I was in school for my BA in 1980-84, a small hamburger, small fry, and small coke was 1.04. Now it's 3.86 in rural areas, more in specialty markets. So, I...
  4. need tips how to measure BP on really obese patients

    What we do: 1) upper arms 2)wrists (of course, that may be where your only IV access is, so that can be a problem -- and we've also had folks so fluffy that the IV cannula can't reach the vein, it's...
  5. OT vs NURSE

    Okay, watched too many murder mysteries this weekend, so first thing I thought was, 'what did she do to the patient that she didn't want you to
  6. ER and strange phenomena

    We had a "river runs thru it" GI bleed period...I kid you not, we had 5 GI bleeds admitted in a single shift, and they were rough -- hgb in 3's, 4's....not from the same place, some from home, others...
  7. What makes a co-worker someone you look up to?

    1) They're smart AND curious -- why is that patient sweating? why is their rhythm suddenly having peaked T waves? 2) They treat their patients like family 3) They aren't "too posh to wash"--...
  8. Patient fell and died a few days later, was it my fault?

    To the OP: If you've been a nurse for a while, you've had patients fall. I had one on a bedside commode and he threw a seizure (no prior history) and slammed his head on the sink while I was making...
  9. Keeping TV on while sleeping = Depression??

    I work nights....I listen to audiobooks to drown out the daytime noises...I love reading "I, Claudius" by Robert Graves, but it's boring as all get out to listen to...puts me to sleep every
  10. Work bags: What do you take and what's in it?

    I don't do a work bag, as I have a locker...but in the locker I have: Power bar/breakfast bar Advil ACLS book ICU Book steth flashlight/penlight scissors imodium pepto tums 5 bucks in 1's (bad side...
  11. Bedside procedures---any of them stand out?

    I've wondered how many cases of "elder abuse" are people who can finally turn the tables on their abuser. I had a pleasantly demented old man, sweet, "yes ma'am, no ma'am," who needed something like...
  12. Bedside procedures---any of them stand out?

    Kneeling on the floor under a surgical drape holding a patient's hand trying to start an IV. The MD was trying to put in a central line on a crashing patient, I managed to get another IV started...
  13. what are these yellow gowns for?

    At night, sometimes your body temp falls around 0300, and I've seen nurses throw on a yellow gown because they are
  14. nurse extern in ICU

    Externship is a wonderful way to see what nursing's really like. It's good if you can get one like those at our hospital, where you spend 2 weeks in each area of the hospital -- OR, ICU, M/S, PACU,...
  15. Report without Orders?

    LOL @ vacu-colon! And we've got some frequent fliers who'd line up for one! I swear, if I had a dollar for every time I said, "Ma'am, do you usually get up at 3 am and give yourself a soap suds...
  16. Domestic Abuse

    Ruby, keep in mind this was back in the 80's -- we honestly didn't know what else to do, we were in a rural area that didn't have women's shelters and groups to help. We were just trying to get her to...
  17. Report without Orders?

    With us -- nightshift, anyway... 1) we get the heads up that we may be getting one -- we let the ER know know many beds, how many nurses we have. That gives the charge time to decide if we need to...
  18. Float ICU RN to Med-Surg?

    I wonder if the OP went from nursing school straight into ICU? I'm lucky, in that I started on a telemetry floor and ran nights with 8, sometimes 12 telemetry patients, so I know how to run a crowd....
  19. First -- call the cops, and what the #*#*Q( was wrong with your ER that they didn't report the abuse themselves? A hand print is a hand print, and I've called the county on folks before. Second -- I...
  20. BBB and ST elevation after pacer insertion...

    I've seen patients pop in and out of BBB after insertion (my gut tells me it's the heart reacting to the presence of the pacer leads...). When we've had BBB that occurs post pacer, it usually clears...
  21. PT/INR/PTT info?coumadin/heparin-

    Coumadin is warfarin -- it was actually used as rat poison until the 70's. Think "Kats kill Rats" -- vitamin K (K for Kat) is what's used to treat a high INR from too much coumadin. Heparin has a "P"...
  22. Domestic Abuse

    A million years ago when I was in my 20's and worked retail, we had a cashier that would come in with black eyes, obvious hand prints on her arms, split lip, etc. So, we all decided to do what would...
  23. MD: Why did you get a BG on this diabetic patient???

    If I see a patient who's sweaty, confused, just seems "off" and then says they're diabetic, I'm going to get a blood sugar. And any doc who yells at me about it on the wrong day is going to get a big...
  24. vip floor in a hospital

    I read that and thought -- the floor I'd never be able to afford to be a patient on, and the one I'd NEVER want to work on. It's like when we get VIPs in the unit....who are in the unit to get the...
  25. Are the "chest thumpers" new?

    They're a life saver for the nurses when you've got "Team Do Everything" as a family. We had a guy go into arrest 4 separate times in one shift. We put in a temporary pacer, had every drip in the...