nerdtonurse?

nerdtonurse? BSN, RN

ICU, Telemetry

Member

All Content by nerdtonurse?

  1. The Patient I Failed

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

    My goodness! I had no idea I'd win. Thanks for all the votes. And I've taken up the suggestions, both public and private, that I do something with this, and I've sent it to Reader's Digest. Thanks...

  2. who should sign DNR for teenager?

    nerdtonurse? replied to patpat's topic in General Nursing

    Tell your friend to go look up "emancipated minor" -- that should help her find the

  3. Am I "too old" to change careers?!

    nerdtonurse? replied to pixieshmoo's topic in General Nursing

    I graduated as an LPN at 44, will *hopefully* complete my RN at 46, and have my nurse prac license by 48. You're not too old until you're

  4. Worst doctors orders ever received

    nerdtonurse? replied to jenfromjersey's topic in Emergency

    Well, I'm in the "urinalysis on an anuric" bandwagon, too.... But my real favorite was 1.0 GRAM lopressor PO --I called the doc, and asked, very politely, "what the sam hill are you trying to do to my...

  5. Questions from Scotland!

    nerdtonurse? replied to rustyshackleford's topic in General Nursing

    Hello, Scotland! Always wanted to go visit.... It would help if you measured apples to apples; like a OR float nurse in your largest city to a OR float in NY or LA here, day shift to dayshift, etc.....

  6. Most memorable thing patient has said to me...

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

    I was having a really bad night - 2 CIWAs, a new acute CVA, a brand new open chole that was still groggy from the surgery, a frequent flyer alzheimer's pt with dementia/hallucinations who was...

  7. 5am "fog"

    nerdtonurse? replied to newtelenurse's topic in General Nursing

    Mine's usually about 4-5. Since a warm drink makes me sleepy, I pop a Crystal Light with caffeine into my water bottle about 0330, and try to head it off at the pass, and then go bathe the total...

  8. Change of shift report

    nerdtonurse? replied to SAL51's topic in General Nursing

    My "brain" is typed up sheet that goes as follows: Pt's last name,room, doc, consults, allergies DNR/Full code, significant hx, admitting diagnosis, orientation (A/O x3, x1?) Fall precautions y/n,...

  9. Detox against their will.....

    nerdtonurse? replied to aerorunner80's topic in General Nursing

    If I get a pt with a hx of ETOH or substance abuse, and they tell me they want help to get clean and stay that way, I will move heaven and earth to get them into treatment. However.... Those of us in...

  10. No She/he Did Not!!!

    nerdtonurse? replied to Maggie in NC's topic in General Students

    No she didn't.... ...try to poor a liquid med down a trach. Happened, the pt was A/O and freaking out (no kidding) and I was walking by the room and stuck my head in, hearing the pt making all kinds...

  11. new grad telemetry floor

    nerdtonurse? replied to curlybear's topic in General Nursing

    I took the same path, since my ultimate goal is to be a nurse practiioner in acute care in the ICU -- sort of a nurse version of a "hospitalist." Know all the rhythms. Get Dale Dubin's book, "Rapid...

  12. Ever had folks assume you're the Aide not the Nurse????!!!!

    nerdtonurse? replied to CaLLaCoDe's topic in General Nursing

    Long before I even thought about being a nurse, my nickname at work was "Doc" -- mainly because I loved to have a bag of baby carrots out to nibble on, but also because I usually had bandaids,...

  13. Most Embarassing Nursing Moments

    nerdtonurse? replied to Jessiedog's topic in Nursing Humor

    My very first pt who died after I was off orientation was a very sweet lady with a caring family. I tried to do all the correct nursing interventions, explaining to the family what was happening to...

  14. Funny dreams about your job as a nurse

    nerdtonurse? replied to mondkmondk's topic in Nursing Humor

    I had one dream 3 days in a row that I was on the floor, alone, and had to coded a specific pt who was a full code but really, REALLY didn't need to be (more stuff wrong than right on the poor thing)....

  15. This is what happens when you don't feed the nurses

    nerdtonurse? replied to ShayRN's topic in Nursing Humor

    Interference -- playin' in the poop --interfering with it getting to it's intended

  16. A Heartening Moment

    nerdtonurse? replied to RenaissancemaN's topic in General Nursing

    I hadn't thought about this in a while....earle58 made me think of it. We had a LOL in bed A and another LOL in bed B, but bed B couldn't talk above a whisper, and really couldn't use her callbell...

  17. What's the best gift from a patient?

    nerdtonurse? replied to Tolle_lege's topic in Ob/Gyn

    A thank you means more than anything, or a card. Of course, chocolate's always good,

  18. Infuriating Responses To Questions

    nerdtonurse? replied to ADPIE10's topic in General Students

    To go back to the original question...I do this with new nurses or students on our floor. If they say, "how do you get the pt to swallow his meds if he has a trach?" instead of ripping the chart out...

  19. Cardiac Nursing Protocols/Research

    nerdtonurse? replied to Adenium's topic in CCU, Coronary, Cardiac

    Most of my pts have PICC or TLCs. I'd like a definitive yea/nay on whether flushing those ports with heparin vs. 10cc NS has any bearing on whether an unused port clogs up. Sometimes you can see...

  20. Triple-Lumen Qestion

    nerdtonurse? replied to LearningTheRopes's topic in CCU, Coronary, Cardiac

    All I can add is that we change the ports every 7 days, and flush with either heparin or NS depending on what the doc ordered q8h; we have a procedure sheet that goes on the inside front of the chart,...

  21. Don't touch that!

    nerdtonurse? replied to nursecass's topic in CCU, Coronary, Cardiac

    I had a "fiddler" that kept messing with settings...you'd have someone on a cardizem drip at 5cc/hr, then after the doc would come in, "fiddle" and you're trying to explain to next shift why the...

  22. Documentation Of A Fall

    nerdtonurse? replied to JettaDP's topic in General Nursing

    I'm on a ICU stepdown / telemetry unit. If someone falls, and doesn't need anything more than first aid, we: 1) Call the doc 2) Enter the incident into the risk management software,...

  23. Hospice?

    nerdtonurse? replied to RNeyeam's topic in General Nursing

    Great link -- I was thinking if someone's in ESRF, wouldn't dialysis be considered a pallative "keep'm comfortable" kinda thing? I mean, that would be like withholding breathing treatments just...

  24. Ever had folks assume you're the Aide not the Nurse????!!!!

    nerdtonurse? replied to CaLLaCoDe's topic in General Nursing

    When I was doing my psych rotation, they told us to make sure the doors closed behind us because they had those folks who wanted to get out. So, I'm going thru a door, and here comes this scruffy,...

  25. MRSA isolation

    nerdtonurse? replied to chenoaspirit's topic in General Nursing

    Here's the places I'd like to see them test: The phonebook in the room after an ambulatory pt leaves (MRSA can live for 11-14 days on a surface) The "menu" section of the pt care book the twisty thing...