nerdtonurse?

nerdtonurse? BSN, RN

ICU, Telemetry

Member

All Content by nerdtonurse?

  1. Sometimes it's hard to tell a drug seeker from a patient in pain.

    nerdtonurse? replied to tiroka03's topic in General Nursing

    I used to try to educate, find non-pharmacological solutions when people were obviously not tolerating the demerol or dilaudid or whatever narc they were taking for whatever issue they said they had...

  2. RN lost her first patient today

    nerdtonurse? replied to srg4784's topic in General Nursing

    I don't think I'd get her a "present" so to speak, but I would "share" a copy of "When Bad Things Happen to Good People" by Rabbi Harold Kushner. It can give you a real sense of peace when confronted...

  3. Do Not Send to Hospital From Nursing Home

    nerdtonurse? replied to toughjob,nurse's topic in General Nursing

    I think everyone who's in long term care needs to have a hospice eval at least once a year...they might not want it, or need it, but they need to know it's there when it's time. You've got docs out...

  4. Low Urine Output Following Suburethral sling placement

    nerdtonurse? replied to anastasia158's topic in Nursing Student Assistance

    I work in ICU, and we get people post surgery. If I only saw a 50cc output in a 4 hour period, my first thought wouldn't be kidney failure with a normal BUN and creatinine and an empty bladder. I'd...

  5. Flu Vaccine, enough already!

    nerdtonurse? replied to Bklyn_RN's topic in Disaster Preparation

    I think Do-over has an excellent point. Mass vaccinations work at reducing disease because it reduces the number of potential hosts -- Measles can't get going if there's greater than a certain...

  6. Things you'd LOVE to be able to tell patients, and get away with it.

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

    Yup.... Had a patient who was so "crippled up" with her fibromyalgia that she couldn't do anything for herself, wanted us to hold her tissue to her nose so she could blow, wipe her backside, hold her...

  7. Personal advice needed!

    nerdtonurse? replied to bailee4's topic in General Nursing

    We all have favorites -- some like the little cross tempered Alzheimer's patient that they can get a smile out of, others like the person in with their first DKA, where maybe they can be instrumental...

  8. Sudden code & death of suspected meningitis pt... opinions please!

    nerdtonurse? replied to IheartICUnursing's topic in General Nursing

    I had a patient who had a stroke in the brainstem, herniated, and her course was almost exactly like what you described -- respiratory depression, biPap --> NRB --> vent. We didn't code mine,...

  9. Nurse Report please answer

    nerdtonurse? replied to Wantoknow-rn's topic in Emergency

    Chart what you did, and do any stat ordered on your time that you have the med for. As someone who does ICU and ER, it's frustrating when someone comes up with orders, and you can't figure out if...

  10. Flu Vaccine, enough already!

    nerdtonurse? replied to Bklyn_RN's topic in Disaster Preparation

    When I was a kid (dad was in the Army), it was nothing to see the base doc and a couple of nurses come in, line up everybody in the place, and give us vaccinations. Against what, I don't know, but it...

  11. complete bed bath

    nerdtonurse? replied to mrnewman's topic in General Nursing

    And if we've got someone who's really unstable on a vent, major cardiac incident, we chart "partial bath, 3 assists" which means, it took all of us to do it, and we got the pits, the bottom, and...

  12. Fecal Transplants- What do you think about this?

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

    They had something on NPR this morning, saying that they think that's part of the function of the appendix -- it's a reservoir of "good" bacteria to re-seed the colon after something like cholera....

  13. Anyone else dealing with anxiety/emotional issues?

    nerdtonurse? replied to rntj's topic in General Nursing

    My first 6 months as a nurse, I had a copy of a labyrinth in the back of my notebook == http://zdi1.zd-cms.com/cms/res/files/382/ChartresLabyrinth.pdf When I would start feeling frazzled, I'd stop for...

  14. Becoming a Nurse After 40

    nerdtonurse? replied to PacoUSA's topic in General Nursing

    I have a sticker on the inside of my locker-- "How old would you be if you didn't know how old you were?" There are days I feel in my 30's and days I feel 90. I finished my RN in 2010, my LPN in...

  15. Odd requests

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

    I was thinking...for her lawsuit scrapbook. The only way I'd let a patient take a picture of me is if I was in L&D, and even then, I'd try to escape. "See, your Honor, this is the first woman who...

  16. HIPAA in "semi private" areas

    nerdtonurse? replied to psu_213's topic in General Nursing

    The key with HIPAA is "deliberate." I've never heard of anyone getting into trouble in an ER with curtains, or semi private room, as long as efforts are made at providing reasonable privacy -- you...

  17. You know it's gonna be a bad day at the home when

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

    Or...when your at a NH/SNF/rehab combo as part of your hospice work, and one of the nurses runs up, says, "You work in ICU at your hospital, right? Can you come look at my patient.?" Oh....rats. A PE...

  18. Ever accepted a position knowing it was a mistake?

    nerdtonurse? replied to Gratefulprn's topic in General Nursing

    We had a guy who came in for his first day, took one look "behind the scenes," went to the cafeteria to get a sandwich and never came back. I've taken jobs to get the experience to get the job I...

  19. Staff Satisfaction / Turnover

    nerdtonurse? replied to NurseyPoo7's topic in Patient, Colleague Relations

    We had an "anonymous" survey that the boss handed out when I was in computers. I happened to feel the back and felt a small bump. Turned it over, and he'd made indentions in the letters that spelled...

  20. Odd requests

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

    I had a redneck who was about 90 years old and head of the local branch of the KKK threaten to have his brother meet me in the parking lot some morning after work if I didn't go to the liquor store...

  21. Speaking foreign languages

    nerdtonurse? replied to wanderlust99's topic in General Nursing

    While I'm US born, my Dad's side of the family came over from the old country around 1910. My dad was military, and we lived all over. So I can actually speak reasonable Spanish to a patient (I may...

  22. popping and squeezing boils

    nerdtonurse? replied to tjnurse67's topic in General Nursing

    I'm always yelling, "Get under it and make sure you get the sack out, idiot!" and "Wash your hands and put on some

  23. How to explain depression/PTSD to young children

    nerdtonurse? replied to verivici's topic in Patient Education

    I was a child during the Vietnam war -- we had a lot of dads on base with undiagnosed PTSD. What our 1st grade teacher said really stuck with me. She said that some of the Dads were stationed in a...

  24. Discharged at the point of death.

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

    I'm in a small rural hospital. We have a set 2:1 or 3:1 ratio, but that would affect our admissions (like holding someone in the ER until another nurse gets in from home) -- and when we are full,...

  25. popping and squeezing boils

    nerdtonurse? replied to tjnurse67's topic in General Nursing

    Hey, at least we not like the cyst poppers on YouTube who pop cysts bare handed, no gloves, and seem to want to do it in their kitchen for some reason...right? We're not, right? BTW, I love the ones...