nerdtonurse?

nerdtonurse? BSN, RN

ICU, Telemetry

Member

All Content by nerdtonurse?

  1. WHY do we need more nurses

    When we get students on our floor, and they ask me what's the difference between a clinical and a job on the floor as a licensed nurse, I tell them they don't compare at all. Last year I was the...
  2. How does everyone wind down after work?

    When I can't sleep, ( like now, I'm off, my body thinks it's the middle of my shift, darn it) I get the ipod, put on the noise cancelling earbuds, take an Advil PM. I've also found that if I'm a...
  3. poor people get poor tx?

    I had the same reaction as the originial poster when I was in school -- they aren't treating this person's pain because they are poor/addicted/a minority/ whatever. Now I know nursing students may...
  4. ER- HELP: Dumbest reason people go to ER

    Heard this one from a friend in the ER -- I'd have died laughting. Mid 20's guy comes in, says he wants to see a doc, he's having problems "down there." Looks and smells like he's coming off a...
  5. Best Lotion for cracked hands?

    I use Gardener's hand therapy from crabtree and evelyn. It soaks in, not greasy, nice fragrance. I actually started using it when I started doing work with stained glass -- the flux would dry out...
  6. Scheduling Death??

    I had a pt who broke my heart. She had a DNR sheet, a living will stating no PEG, no vent, no CPR, had it notarized and everything. Well, all the family bought into it except one daughter. So when mom...
  7. You know your pt is a jerk if........

    Well, to be technical about it, our condom caths have a 1 inch adhesive strip which encircles the body part, which means the body part in question would have to be greater than 1 inch long. The...
  8. What lab told me -- and it can depend on the test they are running, too -- is they want a 10 cc waste, especially if it's a heparinized line. If it's a saline locked PICC, 5 is okay. I always do 10,...
  9. Why am I not using ANY precautions with MRSA?

    Keep in mind, one case where you DO want to treat it as a droplet isolation is if they are on a trach with a T attachment doing blow-by. Studies have shown that MRSA will be found "down wind" of the...
  10. Nitro & SOB

    Yeah, but if the O2 sat was 80, I'd have made sure I had good O2 flowing, getting the pt a breathing treatment, getting an order for Lasix if there was crackles, and been on the phone to the doc....
  11. WHY do we need more nurses

    :spbox:Soap box warning! Okay, like the name says, I spent 20 years in computer engineering, and 4 in disaster recovery. Why did I leave? MBAs started running (and ruining) the show. And I see this...
  12. You know your pt is a jerk if........

    Okay, at the risk of sounding very Southern--- ya'll ain't gonna believe this.... I had a guy who'd had extensive lower abd. surgery, and they did a saddle block d/t his COPD/CHF/crappy ejection...
  13. When good vent threads go bad.....

    You're being logical again; people often don't want advice, they want
  14. I called the BON and asked them what the deal was with EC? Were the grads running into trouble post NCLEX, lot of them being sued, what? You know what their answer was? Prepare to steam: "Well, we...
  15. I work on a tele/icu stepdown floor. We start a care plan with each pt admission. We click a radio button on that care plan each shift (assessed, evaluated, closed). But since they actually don't...
  16. How do you not get caught up with long winded patients?

    I'm on a tele floor, and sometimes we have time to chat, but most nights we don't. For folks that are scared, fearful, waiting for test results, etc., I've actually called the admin rep to come talk...
  17. I know that was the stumbling block I faced -- there just wasn't a seat for 100 miles, even though I had a 4.0 average, all the prereqs done, etc. I lucked out, but lots don't. What I worry about is...
  18. Night Shifters: Do you sleep?

    We usually too busy to even think about it; on the few times when it has been dead ( I did NOT use the Q word!) d/t low census, administration sends us home. The only one I worry about is one of our...
  19. When good vent threads go bad.....

    Holy crow. 400?! Yeah, and that's the ones I feel sorry for, the folks who have had a traumatic injury, or surgeries where they've had to be on high power pain killers. I had a woman who had a tree...
  20. My family knows if I am ever injured and need surgery, if doc A, B, or C's on call, fine. If it's the guy we call "Doctor Death" they are to medivac me out to another surgeon -- I mean, seriously,...
  21. When good vent threads go bad.....

    Ditto. If you've seen someone doing jumping jacks to get their next fix (abdominal pain and you're doing jumping jacks?) it's hard to believe people automatically.There's a woman who goes up and down...
  22. Death work and talking to the dead

    I often pray (silently) as I do body prep, and the other nurses laugh at me because we'll have the person turned and be cleaning any last stool and they'll look up and I'm patting the person and...
  23. Roll Call, LPN to RN Students!!!

    I just got a call from the Dean, they had a last minut drop and I'm IN!!!!!!!!!!!! I'm currently working on a telemetry/ICU stepdown unit. I always get the giggles when I hear people say, "Oh, LPNs...
  24. WHY do we need more nurses

    I'm in a small rural hospital. I've seen plenty of nurses that no one in their right mind would hire, but they get hired because there's no other "body" to fill the slot. I mean, there are folks...
  25. a patient who things she's in a hotel

    We had one of our seeker frequent fliers come in last shift. She's going to get a SERIOUS surprise on discharge; seems she was in an MVA, and the cops (who came up and made sure we knew to call them...