nerdtonurse?

nerdtonurse? BSN, RN

ICU, Telemetry

Member

All Content by nerdtonurse?

  1. what was the biggest adjustment from LPN to RN?

    nerdtonurse? replied to picurn10's topic in LPN to RN

    I'm doing the LPN/RN bridge at my local CC right now, and so far, the biggest challenge for me is the "what are they thinking!?!" things in the text book -- like "normal" respirations in a healthy...

  2. The Patient I Failed

    nerdtonurse? replied to nerdtonurse?'s topic in Patient, Colleague Relations

    It may vary from state to state, but in our state, you have to have a "terminal within 6 months" diagnosis (just like hospice) before the doc will write a standing

  3. Another Misleading Story

    nerdtonurse? replied to CapeCodMermaid's topic in Geriatric, LTC

    Okay, I gotta question. Will you put your money where your mouth is? All these folks, talking about how bad it is that these folks are in nursing homes. Fine. You want more staff, better care, then...

  4. nursing diagnosis to use for breast tenderness

    nerdtonurse? replied to cez1128's topic in General Nursing

    disturbed body image chronic pain ineffective sexuality

  5. The Patient I Failed

    nerdtonurse? replied to nerdtonurse?'s topic in Patient, Colleague Relations

    I don't know the answer. Maybe all I can do is just get people talking about a subject most don't want to even acknowledge. It won't bring my patient back, and it won't give her the death she...

  6. Sore Throat, Runny Nose d/t Med Pass??

    nerdtonurse? replied to Chicklet2's topic in General Nursing

    I know I'm allergic (anaphalactic shock) to codeine/morphine. When I pass it, I double glove in case the tubex breaks and let someone know what I'm doing, so if it should snap in my hand, cut me and...

  7. If MRSA gets on our clothes easily, why don't more of us become colonized?

    nerdtonurse? replied to RNfaster's topic in General Nursing

    Keep in mind, there's a difference between porous and non-porous surfaces; it's easier to get a bacteria off a hard metal doornob than a piece of cloth, since the bacteria settles into the nooks and...

  8. nonsterile gloves to do wet-dry packing? This according to a doc!

    nerdtonurse? replied to chenoaspirit's topic in General Nursing

    Hmmm...wonder if he's the guy my hospital just let go because he KEPT KILLING HIS PATIENTS..... This surgeon did the same kind of things -- wouldn't put on any gloves, fingering incisions, then...

  9. Have you had to do anything morally wrong?

    nerdtonurse? replied to EricaSAFJAF's topic in General Nursing

    The ethical stuff I see at work is a lot like this: A person may be trying to do what they think is right -- like a daughter with POA/healthcare telling us to give their mom her lovenox injections...

  10. Dealing w/rude feedback

    nerdtonurse? replied to jjjoy's topic in General Nursing

    I can commiserate. I had a pt, going bad in a big way, pco2 was 90, respiratory acidosis, and just shocky as hell. Doc wants me to give him 2 units of blood, on top of 900 ml of antibiotics in NS...

  11. Perforated Bowel, S/S in narcotic user?

    nerdtonurse? posted a topic in General Nursing

    Had a pt with significant hx of pain (she actually did have a reason, she had degenerative disease in her spine, multiple surgeries and fusions). Came in with back pain to get her normal block, had...

  12. Perforated Bowel, S/S in narcotic user?

    nerdtonurse? replied to nerdtonurse?'s topic in General Nursing

    It was just 3 days when I saw her, and within her normal pattern -- she usually said she had a BM about once a week, but had to take "the green stuff" to make it happen. They started giving her MOM,...

  13. Perforated Bowel, S/S in narcotic user?

    nerdtonurse? replied to nerdtonurse?'s topic in General Nursing

    I asked day shift if they did a digital and they said they got nothing. I think they said the rupture was in the transverse where it made the turn on the left....She had bowel sounds for 2 days after...

  14. Your Favorite thing about being a nurse? Least favorite?

    nerdtonurse? replied to Humanist's topic in General Nursing

    Favorite Thing: Seeing someone I thought was going to die a month ago eating at Cracker Barrel with their family, having a normal day. He looked up, saw me, and came over and gave me a hug, and told...

  15. Things Patients Have Taught Me NOT To Do

    nerdtonurse? replied to Trixxy's topic in Nursing Humor

    Don't decide the way to deal with your constipation (which was d/t a TON of narcotics) is to drink your grandmother's golytely prep. That resulted in the person dying, actually, because their bowel...

  16. HE was sent back onto the streets??

    nerdtonurse? replied to DebRN06's topic in General Nursing

    Because our county has 1 15 bed psych facility, and they don't take violent pts., the doc knew the guy was going to be a clear and present danger to himself/others, but there was literally no where to...

  17. Sitting in/"Challenging" VA LPN exam

    nerdtonurse? replied to sajasm's topic in General Nursing

    Don't bet on it. Look at the hours required for clinicals to get your LPN license; chances are, you haven't gotten that many, plus they wouldn't be "LPN hours." Yeah, they'd be RN, and you'd think...

  18. HE was sent back onto the streets??

    nerdtonurse? replied to DebRN06's topic in General Nursing

    I've had a pt that sounds very similar to the OP's pt -- and we tried to get him placement. However, because he was homeless, had no income, had no proof of residency, had no long standing H/P that...

  19. Telemetry Staffing Ratios

    nerdtonurse? replied to Zee_RN's topic in General Nursing

    okay, don't know what happened, that's: 4 pts on a good night, 7 on a bad night, usually 6. We draw the line at 8 because it's not safe for the kind of high acuity "ought to be in the ICU but the...

  20. Telemetry Staffing Ratios

    nerdtonurse? replied to Zee_RN's topic in General Nursing

    Type of Hospital: (community or tertiary) community Type of Unit: (e.g., surgical telemetry, cardiac telemetry, medical tele, post-cath, etc.)all of the above -- iif t happens here (surgical, cardiac,...

  21. Worst doctors orders ever received

    nerdtonurse? replied to jenfromjersey's topic in Emergency

    "no kill shelter..." Dang, I gotta remember that one.... Had a good one a couple of weeks ago *NOT* -- pt is left side flaccid, on a peg, can't communicate except for nodding his head "yes" -- which...

  22. The Patient I Failed

    nerdtonurse? replied to nerdtonurse?'s topic in Patient, Colleague Relations

    I promised myself after that pt's death was that I'd find some way to a) deal with the anguish and guilt I felt, and b) try to keep it from happening to someone else. Since over 7300 people *OMG*...

  23. Pain is subjective?

    nerdtonurse? replied to lena130's topic in General Nursing

    Yup, unfortunately, I feel the same way with some pts. I had one of our frequent flyers (had every possible test for every possilbe disease that could cause chest pain/abdominal pain/headache, never...

  24. LPNs: What if your pt codes while an RN student?

    nerdtonurse? posted a topic in LPN to RN

    This is something that is worrying me, honestly. I know that we go to great lengths at my hospital to try to keep a nursing student from having a pt's who's probably going to die that shift, but we...

  25. Results of 5th Nursing Article Contest

    nerdtonurse? replied to Brian's topic in News, Announcements

    :tku: