nerdtonurse?

nerdtonurse? BSN, RN

ICU, Telemetry

Member

All Content by nerdtonurse?

  1. Black tarry stools, negative colonoscopy

    We had a LOL come in, tarry stools, completely demented. She got scoped --EGD, colonscopy, ultrasound, ct, etc., couldn't find anything, nothing on med reconciliation that would cause the tarry...
  2. I have a BS in Business, should I go for BSN or ADN?

    No idea if this will work for you geographically, but.... My plan: 1)get an LPN, if I like it (I did and I do), then: 2)get an ADN RN (in progress) then 3) because I have degrees in other fields, I am...
  3. Scheduled meeting with manager, HR and union rep

    Me too. Sounds like they are PO'd you're going to PT, so they are going to find a reason to make you miserable enough to quit, or fire you for some imagined infraction... And no, that's not just in...
  4. Ideas for bedside shift report

    One issue I see with bedside report is "incidental findings" -- I had a pt who came in, had a bleeding ulcer clipped. Doc took an xray to confirm clip placement, and surprise, there was a tidy 4.5 cm...
  5. Mental Stability of Elderly person

    On the floor, it would be a psych consult followed by a call to our social worker for possible APS intervention... Just as a thought, could she have a UTI? I've seen elderly go stark raving crazy due...
  6. Everyone feels that way when they get thru with their boards...whether they shut off at the minimum or get all the questions. And 3 folks from my class got all the questions and passed, so don't...
  7. paying for edu. in xchange for 2 year commitment

    Ours says you commit for a year past the end of the semester/quarter you took the money
  8. It would be interesting to know what kind of pain meds he/she was on prior to the lami. I had a pt come in, hysterical about pain after a lap appy. I mean, 4mg morphine an HOUR weren't enough for...
  9. So...do you really use this stuff in the hospital?

    I'm an LPN now in RN school, studying nursing theory... Today we have to do our "personal nursing theory statement" -- mine is "Logical pathophysiology/psychology/social work done with caring and...
  10. RN or LPN signature

    That's a question I will (hopefully, please GOD) face in another year -- does the RN automatically cancel out the LPN? I know if you call the board's automated line, they will give you the LPN number...
  11. Cussed out by a family member

    This is why I couldn't do LTC -- we get our share of psycho's on my tele floor, but they eventually go home. With LTC, they can be there for years. Don't hesitate to call the cops. We've had to do...
  12. Tunnel vision is associated with what level of anxiety?

    It's the level just before you gray out and pass out...4, bumping on 5, according to our
  13. Ethical Issue: Nurse with MRSA

    Let's talk about CA-MRSA for a second. 1 -- MRSA can live for 11 days on a non-porous surface 2 -- The actual MRSA staph is no more aggressive than non MR staph; it's just that it doesn't react to...
  14. how do you improve morale in a unit?

    I had an idea last night. Ever heard of the "swear jar?" You swear, you have to put a dollar in the jar. Maybe we could have a b***h jar at work -- you complain, you have to drop in a dollar, and...
  15. Advice for student nurses

    Saunders to review, but of all the NCLEX guides I looked at, the Hurst book had suggestions for approaching the questions that really, REALLY helped me, at least get thru LPN. Now I'm doing RN, so...
  16. how do you improve morale in a unit?

    Whether it's in nursing or computers, I've found that dysfunctional hateful people attract other dysfunctional hateful people. I've seen groups that went from dynamic, "be there for ya" groups to...
  17. ROFL! Yup, I've seen those, too. Come to think of it, the "kiss up twins" do that a lot too. I'll have to tell the guy beside me we have two additional "Bobs" in class....he happens to be named...
  18. Hurricane coming: evacuate or stay and work?

    What happened at Oschner in New Orleans was they divided critical staff -- docs, nurses, RT, etc. -- into 3 teams. A team stayed, B and C teams left town so they'd be able (alive) to come back once...
  19. In my RN class now, I'm looking for the next "It's All About Me." So far, I've got 2 candidates who are doing dueling "kiss up" to the teacher....Front row, right in front of the slide screen,...
  20. Warning Signs

    I second (or third or whatever) the "getting better enough to die" things....like suddenly improved BP, HR, respirations, suddenly more A/O than they have been in a long time, etc. Someone says,...
  21. If the person really doesn't understand a concept, that's one thing, or if they just can't get their head around something, that's fine. Who hasn't looked at something in their textbook and wondered,...
  22. Need a good explaination of "Ethical Delimma"

    Here's one: You're a nurse in Germany, 1939. You are told to assist in the euthanization of infant "undesirables" such as the mentally ill and those with birth defects. In 1939, these children...
  23. Pronouncing someone with a pacemaker

    Thanks everybody. Unfortunately, the family has reversed the DNR, so now we will essentially be coding a
  24. LPNs: What if your pt codes while an RN student?

    Today, they told me I can do CPR, and that's it. No airway, no pushing meds, just CPR until the code team
  25. Pseudo-seizures

    Not as good as the eyeball thing, but... We've got one of those, has had so many MRI/MRA/CT/PETs (that were all clear) that the only thing I'd worry about was radiation poisoning. Last time she came...