nerdtonurse?

nerdtonurse? BSN, RN

ICU, Telemetry

Member

All Content by nerdtonurse?

  1. Cardiac Cath Closure Devices....What Is the Difference?

    nerdtonurse? replied to Michifura's topic in Cardiac

    All I can add is that the folks I've seen with starclosures seem to report more pain after the cath, but that may just be our docs, not the

  2. tele/step-down nurses pulled to ICU

    nerdtonurse? replied to fusster's topic in Cardiac

    I'm in a small rural hospital as well, but we get it the other direction -- we call it the "ER miracle" Pt comes in, doc says they need ICU, no additional nurse to staff the ICU, so... (((miracle...

  3. Vultures

    nerdtonurse? replied to icyounurse's topic in General Nursing

    "if you've taken a blood thinner and ended up on dialysis or had a stroke" Hello, most folks on dialysis or who've had a stroke are ON these drugs and for a good reason. I had a dialysis pt who saw...

  4. When good vent threads go bad.....

    nerdtonurse? replied to squeakykitty's topic in General Nursing

    :rotfl: ***wondering if we can get elephant "stickies" to put on the charts of PITA patients as a warning to the next

  5. Who here actually uses percussion when doing assessments?

    nerdtonurse? replied to student456's topic in General Nursing

    The only time I've done it outside school was on the lungs and liver. The liver for folks with liver failure/hepatitis etc., and that was more out of curiosity than anything else -- if you've drank...

  6. Has any dr tried to get you to do something outside of your scope?

    nerdtonurse? replied to NurseyPoo7's topic in General Nursing

    I had a pt with a abdm surgery, heart that bounced between afib and a flutter all the time, 7 days post removal of half his large intestine, still on a rectal tube over a period of 3 days. The...

  7. what would be your 1st intervention for pt aspirating?

    nerdtonurse? replied to IngyRN's topic in General Nursing

    All of the above, plus if the CVA was this admission, I'd do a neuro check and compare to previous -- is the stroke exacerbating? If the hx of CVA is not recent, are they having another one? Bad can...

  8. Family Doesn't Want Patient To Know?

    nerdtonurse? replied to missjennmb's topic in General Nursing

    I've also had patients tell me not to tell their familes they are terminal. At least it's the patient's decision to make but I also tell them they are robbing their families of a precious gift -- the...

  9. When good vent threads go bad.....

    nerdtonurse? replied to squeakykitty's topic in General Nursing

    Sure, when I've got a PITA pt or family, I try to reason and talk with them. However, a lot of these people (my opinion) were probably the bullies on the playground, and now they're grown. They...

  10. Oddest things found in a patient!

    nerdtonurse? replied to Antikigirl's topic in General Nursing

    Oddest thing found in a patient? Common

  11. MRSA and Isolation

    nerdtonurse? replied to tgirl84's topic in General Nursing

    What we do: + or waiting for a test result --- iso. And they have to be negative twice to get the iso stuff taken down. Single room, or if it's a double, no roommate. Seems like we could at least...

  12. MRSA and Isolation

    nerdtonurse? replied to tgirl84's topic in General Nursing

    I can't find it right off the bat, but a hospital in Texas did a study on their rooms after a MRSA pt left. They found MRSA on walls, floors, phone books and the Gideon Bible in the room. Now,...

  13. Im very sad, I made my patient fall

    nerdtonurse? replied to ava'smomRN's topic in General Nursing

    There are 2 kinds of nurses (or CNAs or NAs) -- Those who have had a patient fall Those who haven't had a patient fall -- yet. Two weeks off orientation, still nervous as a cat and thinking I'm 30...

  14. a patient who things she's in a hotel

    nerdtonurse? replied to uscstu4lfe's topic in General Nursing

    No, he didn't get any pain med from me; when he started throwing a fit, I called the house doc -- not "Doctor Pusher" and he was told he could get thru the night on tylenol or leave AMA. He left AMA....

  15. Oddest things found in a patient!

    nerdtonurse? replied to Antikigirl's topic in General Nursing

    We had a "gerbil" incident several years ago. Guy comes in complaining of pain, nurse gets him naked and starts doing a visual assessment, and can't help but notice the little gerbil nose peeking and...

  16. a patient who things she's in a hotel

    nerdtonurse? replied to uscstu4lfe's topic in General Nursing

    We have a pt comes in, usually last week of the month, positive for everything on the tox screen -- and of course, he's 10/10 for abd. pain all the time -- he's been PET'd, CAT'd, MRA'd, MRI'd and...

  17. I Quit!

    nerdtonurse? replied to Super Nurse JoshuA's topic in General Nursing

    We have a system.... Charge nurse gets there early, scopes out the census, scopes out who's on (did anyone call out, etc?). If it's bad, we get a text message not to clock in. We've had to do it...

  18. Spin Off: Nurse abuse?

    nerdtonurse? replied to MIcrunchyRN's topic in General Nursing

    FYI, I tell a pt up front, "I'll stick you twice, and if I can't get a vein, I'll go get the best sticker on the floor." If I look at a LOL who's dehydrated, every vein blown, etc., I just go...

  19. Spin Off: Nurse abuse?

    nerdtonurse? replied to MIcrunchyRN's topic in General Nursing

    "Their lack of coping mechanisms does not constitute my becoming a punching bag. "

  20. Spin Off: Nurse abuse?

    nerdtonurse? replied to MIcrunchyRN's topic in General Nursing

    Think about it. If you were in a condition which impaired your cognition -- say, a head injury after a MVA or a fall -- and we listened when you said you didn't want to eat or drink or keep on your...

  21. MRSA and Isolation

    nerdtonurse? replied to tgirl84's topic in General Nursing

    Had a pt with MRSA in the skin, nares, blood, and probably hair follicles -- I mean everywhere. Everywhere we swabbed was positive. Guess where he works? The only McDonalds in town. "Would you like...

  22. potential murder/suicide?

    nerdtonurse? posted a topic in Psychiatric

    I'm not a psych nurse, just a ICU stepdown/telemetry nurse. I've got a patient that I'm very concerned about. He's on our floor d/t diabetes outta control, diabetic foot ulcer that's not healing...

  23. Choose your words wisely....

    nerdtonurse? replied to Jo Dirt's topic in General Nursing

    We had a local facility go to a "no restraints" rule -- and their fall rate skyrocketed. We've been getting a LOT of broken hips, 2 subdural hematomas that I've looked after, plus others I haven't....

  24. What is the dumbest most degrading, most unprofessional thing...

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

    "Hourly rounding" -- if the NM of our floor actually ever stuck her head out of her office, she'd know we're in and out of our pt's rooms all the time, between nurses, CNAs, RT, OT, PT, lab, etc. I...

  25. New options for handling disruptive patients

    nerdtonurse? replied to 3rdcareerRN's topic in General Nursing

    We have a code green as well, and during the day, we get the "testosterone patrol" -- security, burly guys from facilities, etc., in addition to the NM for the floor issuing the call, extra nurses,...