nerdtonurse?

nerdtonurse? BSN, RN

ICU, Telemetry

Member

All Content by nerdtonurse?

  1. Dressing up on Halloween... unprofessional?

    I think a lot of it would depend on where you worked as a nurse. If I was working in a school, or admin at the hospital, I'd dress up to a degree. However, in ICU, the most I'd do would be a fake...
  2. I typed it up, handed her the note, and had faxed a copy to HR just before I went into her office so that she couldn't "lose" the resignation and then say she didn't get a full 30 day
  3. when you cant let it go (long vent after a crappy day)

    There are 2 rules of nursing. Rule 1: Everybody eventually dies. Rule 2: You can't change rule 1. It used to tear me up -- what did I miss? I had a patient who was A/O, walkie talkie, came in for...
  4. To be blunt, I'd ask what options gave me the best quality of life for the longest time; don't keep me here for the sake of one more week if I'm sick and miserable. I'd focus on the quality of life...
  5. Really disappointed with the reality of nursing.

    People who don't the job don't understand. They think we work in "Grey's Anatomy" when the reality is a lot more like "Barney
  6. Cath'ing Females

    Trendelenburg is your friend with "fluffy" patients, assuming they can tolerate it for other reasons. Everything shifts north, and sometimes that helps line up the internal anatomy better....and I've...
  7. The ten cent answer is angina pain usually goes away with nitro and rest; an MI the pain keeps going. However, having said that, I have seen "silent heart attacks" where the person had no pain at...
  8. Heparin and RBC

    Dialated veins are probably from heart disease or CAD, not transient inflammation. This is what I'd want to know: Patient has a thrombus in their superior vena cava. Is their heparin dose theraputic...
  9. How to turn a patient???

    Make sure you examine the patient's skin before you start turning them, especially if they are elderly. People tend to have a favorite side to lay on, and there might be stage ones over the hip bone...
  10. Question about morphine

    I work in ICU, and we've got a strong dose of the "fix it" gene in play, just like ER....it's broke, let's fix it. But there are things we can't fix...the fix is, we send them home on hospice. I've...
  11. Emotional disaster

    I read in a book (God, I wish I could remember which one, I'd love to read it again), that there are a lot of times in life where we can't "DO" anything but "bear witness" -- we can't "un-cancer" or...
  12. Okay, just an idea that whacked me up side the head... Do you get that irresistible sleep urge anywhere else OTHER than the car? I had a coworker who was having that kind of problem, kept getting his...
  13. Recent MSN nurse graduate

    Let me tell you what I see the NM's do (the good ones, anyway) at our hospital. They run codes. They are resources for patients who are going down the tubes and for whatever reason, the doc's not...
  14. Narcissistic Personality Disorder

    Keep in mind, some floors have a dress code. I personally don't like the all white look, because I'm fair skinned and it makes me look sicker than the patients. Not to mention I'm a complete klutz...
  15. Writing an essay regarding ethical dilemmas

    Autonomy -- the mom has autonomy to make her own decisions AND her minor children unless you can prove she can't give informed consent/refusal of care. Beneficience -- well, obviously the best thing...
  16. Lvn's who became Rn's... how did you do it?

    I signed up for both programs, LPN had the first open seat, did the LPN first. Graduated in December, started the RN in August. I worked 3 12s, Thur-Fri-Sat, and basically was sleep deprived,...
  17. ED Safety: Assaults up, drug calls up, security down

    We had multiple school shootings, but it took Columbine before people started even thinking about school safety. Sadly, I think it's going to take a "Columbine" scale shoot out in a ER/ICU with...
  18. Resident re-education to call bell

    While your equipment is probably different, what I've done with "escape artists" is tape the box to the back of the chair, and then tape over the button (or wrap it in kling). They may have to pick...
  19. Exploitation

    Keep in mind, nursing is a very small world. You fuss that you worked for a EMT with 20 years experience -- honey, that person has more knowledge in their little finger than you've got in your entire...
  20. Would you ever own a motorcycle? YES or NO?

    You guys just be careful out there. Feet that are facing the wrong direction make me nauseous.....guy put his foot down (had to lay the bike down because an idiot pulled out in front of him), and his...
  21. What's the difference between medicine and nursing?

    Doctors diagnose. Nurses care. And anyone who doesn't think nurses prescribe has never had the "Dr. Smith, Mrs. Jones in 3920 came in with CHF decompensation, her BP is 212/118, manually, and her...
  22. How easy is it to get TB?? Help!

    I had a friend that worked at the health department in the surveillance area/dept -- they tracked the reportable diseases. I asked her about TB after I had the same kind of experience you did, and...
  23. Fluid restrictions vs Patient rights

    About ice chips.... I've seen a patient -- frequent flyer, diabetes induced renal failure, HTN, CHF, dialysis pt -- who begged ice chips from everyone who hit their door. Doesn't sound that bad, does...
  24. I'm not an immunologist, but I've seen a doc disregard a patient's stated iodine allergy because he didn't think a person could actually be allergic to it. Maybe he wasn't, maybe it was the...
  25. Denial

    :hug: Been there, got way too many of those tshirts hanging in the closet. If it's possible, and there's anyone in the place with guts, see about getting a court appointed guardian. We had to after...