nerdtonurse?

nerdtonurse? BSN, RN

ICU, Telemetry

Member

All Content by nerdtonurse?

  1. Pronouncing someone with a pacemaker

    Thanks, I'll pass that on to the shift tonight (I'm actually off). She's 100% pacing, and the family is waffling on the DNR -- 2 kids want to reverse it, the POA is still trying to follow mom's...
  2. Grossest Thing You've Ever Seen

    I got 2 I can't decide between, so.... 1) Homeless guy, living in the woods, had maggots in his rectum. Doc told me later that he thought the guy'd had hemorrhoids that flies had laid eggs in, eggs...
  3. Every other weekend- what century are we in?

    I've worked every weekend but 3 in the last six months. I'm actually off this weekend, and a little shocked that I'll be off on a weekend that's also a
  4. Giving IM Injections

    What I was told was if you see blood, stop, waste the med (get a witness if it's a narcotic, of course), DOCUMENT, then get a syringe and try again in another spot. I asked a nurse who's been a nurse...
  5. Differences b/w rural hospital vs. a large city hospital

    I'm in a rural hospital (84 beds) and we see a good mix, and like others have said, we "bag'm and drag'm" up the road to Duke if things go bad; if it's a bad trauma, we may stabilize, but then they...
  6. Is nursing really all that bad?

    i'm in a small rural hospital, and we see it all -- non compliant diabetics who end up needing their foot/leg removed, CVA, MI, a lot of cancer and a lot of substance abuse and untreated psych. How...
  7. Alcoholism: disease or choice?

    I've got a good friend at church who's been in recovery for 25 years, and when I became a nurse, I asked him what did I need to do to help the alcoholics I see at the hospital. He invited me to the...
  8. Preemies and Knitted/Crocheted Hats

    If anyone's looking for patterns, or wanting their hospital to be a recipient, http://groups.yahoo.com/group/All_Crafts_4_Charity/ is a group I've sent things to for years, long before I became a...
  9. Help with Lab reference sheet-taking med surgical nursing

    First: Get a book on diagnostic testing, like Saunder's Nursing Guide to Laboratory and Diagnostic Tests. You will be in that book all the time, once you're out of school. I'll help with one, but...
  10. How Many Times During the Night Do You Wake Your Patients?

    One thing I do is if the pt is admitted to the floor at 0300, for example, a lot of the q24 drugs will be scheduled -- guess when? 0300. I call pharmacy and asked, "Hey, can I get this rescheduled...
  11. How Many Times During the Night Do You Wake Your Patients?

    One thing I do is if the pt is admitted to the floor at 0300, for example, a lot of the q24 drugs will be scheduled -- guess when? 0300. I call pharmacy and asked, "Hey, can I get this rescheduled...
  12. Ever give thorazine(chlorpromazine)IV?

    Same here, for a pt who'd had major resection of his colon, leaving him about 6 inches of functioning large intestine. Worst case of hiccups I ever saw. We did it
  13. Bad Patient Care at Boston Medical Center?

    Sounds like it could have been written by the guy I had night before last, grabbing his chest and yelling that he was having an MI -- with a heart rate of 80, BP of 122/78, and his EKG showing the...
  14. Terms we will not admit to using

    ER miracle -- as in, the ICU's full, pt needs an ICU bed, and ***miracle happens*** They are suddenly better enough to come to the floor, and they proceed to code within a few minutes to few hours of...
  15. Nursing School Bloopers

    I was giving my very first IM injection -- now, I'd given a ton of sub-Q's, but this was an elderly alzheimer's pt getting his flu shot into the deltoid. I explain what's going on, he seems pretty...
  16. WHY do we need more nurses

    Last year it was me in class, being all idealistic and puppy dog excited; the difference is now I have real world experience. Nursing school generates a falsely idealistic picture of what life on the...
  17. Desperate need of advice

    Okay, this sounds completely awful, but... Move out. If there is a caretaker living in the home, your parents will be the last to get any help. Tell their doc you are moving out of state in 30 days,...
  18. Patient in Respiratory Distress

    I think you did the best you could at the time. Did the pt have a hx of emphysema or lung disfunction (other than the pneumonia)? How old? The only thing I would have done different, and maybe you...
  19. What would you do?

    Gee whiz, so I guess instead of yelling "call a code to 42!" out the door to a passing unit secretary because the Code blue button in the room DIDN'T WORK, I should have walked to the station and...
  20. PDA's

    I have a Palm TX, and have on it.... Nursing Constellation, containing: Davis's Drug Guide Diseases and Disorders RN Notes Davis's Lab and Diagnostic Tests Tabers Archimedes Med Alert Medlines Life...
  21. Do you accept tips?

    Cash vs. Stuff? Think about it. When do you give "tips" -- you give tips to waiter/waitresses, cab drivers, bellhops, -- ever gave a tip to your doctor? Your accountant? Your lawyer? The...
  22. Night Shifters: Do you sleep?

    I couldn't sleep at nightshift because I have sleep apnea and a) would feel worse when I woke up from my lunchtime nap, and b) the snoring would wake the entire
  23. Radiation and sterility in males

    I'd be more concerned over what kind of "throat" cancer did he have -- esophogeal, thyroid, larynx? How long ago was his surgery, and how long has he been cancer free? Females are born with all the...
  24. CNA trying to hit me up for drugs.

    What are you going to do when she DOES tell you to give her drugs or she's going to report YOU for diversion? What are you going to do if you find out she's been diverting from patients (taking off...
  25. CNA trying to hit me up for drugs.

    Okay, run, don't walk to your supervisor. Repeat what you were asked, because the next step this person may take is stealing from the medcart -- distract you during the med pass, help herself, and...