nerdtonurse?

nerdtonurse? BSN, RN

ICU, Telemetry

Member

All Content by nerdtonurse?

  1. In the time I've been a nurse, I've only seen 1 CNA that drove me nuts about this; I'd be in the middle of trying to do my q2h neuro check on a new onset CVA, or waiting for a notoriously "don't make...
  2. How to bring up hospice discussion?

    When we have people admitted to the ICU, we bring up code status during the admission. What I usually say is, "if your heart were to stop, would you want us to put tubes in your throat, hook you up...
  3. New to er and iv question..

    For rolling veins, get a big paperclip, place it to the left side against the vein, and stick from the right -- not a 90 degree angle, just enough to make the vein bump against the paperclip. Keeps...
  4. dealing with confused patients

    If it's someone who's temporarily disoriented (waking up after surgery, for example), I reorient. If they've got Alzheimers, dementia, schiophrenia, etc., you're not going to be able to reorient...
  5. advice needed from one nurse to another...

    You might try the Bob Woodruff Foundation (remind.org)...while they focus on service members with TBI, they may know of the best "civvy" resources as
  6. Blogging and HIPAA

    The point of HIPAA has been lost. HIPAA was originally designed to be something where you could not be denied coverage due to a pre-existing condition via insurance company A ratting you out to...
  7. Aspirin and ibuprofen bad combo?

    How much, how often, and do they have any GI bleed history or use of coumadin, on chemo...? I had one doc who would prescribe a tylenol/advil combo, he said the 2 together worked better than either...
  8. The Patient I Failed

    I just "Googled" the title of my article. Oh...my...God... I'm mentioned on hundreds of webpages and there's Twitter and there have been over 74,000 views of my article on this site alone.... I think...
  9. Interesting article

    I will never forget one guy I had as a patient...sweet, befuddled, "pleasantly demented" and he needed something relatively simple (chole? appy? I don't remember now), so we had to get consent. I...
  10. why nurses cannot have a nail polish..?

    Even if you don't wear polish and have outside plumbing, we love you guys anyway...*grin* Besides, there's a guy in our ER who's been a nurse since the days of the Ark, and he makes awesome chili, and...
  11. The Patient I Failed

    Geek, in my state, a doctor has to sign off the DNR order, whether in the hospital or for a patient at home. Her PCP wouldn't do it (possibly because of the family dynamics he was so busy trying to...
  12. We had a family member try to take the satellite receiver out of their room. When asked politely "WTH were you thinking" not in those words, the pt's family member said, "if it's in the room it...
  13. Do people actually do safety checks?

    When I'm getting an admission, I check to make sure everything works before the pt hits the room. I've heard horror stories about a patient who choked to death because the suction in the room didn't...
  14. why nurses cannot have a nail polish..?

    The CDC guidelines can be found at: http://www.cdc.gov/mmwr/PDF/rr/rr5116.pdf. Great slideshow about the NICU K. pneumoniae outbreak that was linked to the fingernails of 2 nurses:...
  15. Is this what I should expect in the nursing field...?

    Saw it all the time in IT and engineering. To quote Sarte, "Hell is other people." A good crew can make your night, a bad crew can make you want to throw yourself off the roof. And I often wonder,...
  16. Just a vent

    We've had 3 female surgeons, and they seem like any other doc. But the guys -- geez, they need some lessons in how to behave in
  17. Just a vent

    What a jerk. Why does it seem like so many male surgeons
  18. All LPNs laid off in a day

    How fast can you clean out your locker? Take it from an old IT person who got laid off/outsoucred/rightsourced multiple times -- when they start cutting people, it's to save money. But -- and here's...
  19. Ah, the lovely non-compliant frequent flyer. Has a host of conditions which they might decide to ignore or exacerbate at least monthly-- CHF, DM, COPD, ETOH abuse, drug abuse, drug overdose. We,...
  20. The real pay in nursing....

    There are days when I wonder why I ever left computers; usually, that day is payday. I make a little more than half of what I used to. And there are times when I feel like I should just record "I...
  21. I take it personally...

    They day it gets easy is the day it's time to do something else. When I see death, it's usually at the end of a long life, and even that can tear me up. A baby? Hon, you're doing what I never could....
  22. DNR does not mean do not treat, people!

    I'm all for routine care, maintenance meds for someone who's a DNR -- why wouldn't you give them their coumadin if their coag panel is okay and they're not aspirating everything that goes down the PEG...
  23. What you're running into here (and will in the real world) is something called heuristics. I've got a degree in English, a Master's in Computer Science, and an ADN in nursing. While I had good...
  24. Hi, I'm a nurse who used to do computer engineering (MS in Computer Science). First, define the scope. You say you want to use it for medical records. Are you talking about data entry in the form...
  25. extended stay patients

    I was getting these kind of patients 3 years ago, so I don't think it has anything to do with current legislation. The insurance companies run hospitals