nerdtonurse?

nerdtonurse? BSN, RN

ICU, Telemetry

Member

All Content by nerdtonurse?

  1. Have you ever heard of this?

    I have seen someone sling their steth around their neck in a code and the bell whipped around and split their lip and chipped their front tooth (a little extra adrenaline, maybe?). So I tend to put...
  2. syringe to collect specimen from foley?

    I was just wondering if we let the urine "cook" in the bag we'd get the bacteria bloom that would be more indicative of what the patient was growing -- don't know, just a random thought. I'm writing...
  3. Discharged at the point of death.

    Not where I work! If I got to pick who was admitted or discharged, we'd have a lot of rich whinny behinds who are the CEO's best buddy or "politically connected" get kicked to the curb so I could...
  4. A doc I work with who's usually hateful to the female nurses isn't to the male nurses -- he knows that the guys would punch his lights out. So, yes, the testosterone may help in that regard. I don't...
  5. Sonny Boy's a jerk. Let "Legend in his own Mind" go be crazy on someone else's time, I wish we had more sitters; patient outcomes would be better! Not just for the person who's trying to take their...
  6. syringe to collect specimen from foley?

    Port, here. But I did have a thought....we worry about "contamination" of the urine. It's a sterile setup when we place it. The only bacteria that should be in the bag should be what came out of...
  7. I had a cousin who lost a baby when her water broke -- she said the water broke, and she just felt the baby thrashing. Went tearing to the ER, and no fetal heart beat. Turned out the baby strangled...
  8. Surviving a passive aggressive co-worker?

    There are a lot of resources on "Toxic" work relationships on the net. People like this drive away good employees, people coming in to be interviewed take one look and say, "H to the no!" so you tend...
  9. Discharged at the point of death.

    I'm so sorry. It's horrible when the daughter or son in you is trying to think, "maybe they're getting better, maybe we'll have more time," and the nurse in you knows what's going to happen. I...
  10. Discharged at the point of death.

    What breaks my heart is when we get people in the unit who are able to tell us, "I just want to go home" -- home being their house, their SNF, whatever -- and the family won't let us do the right...
  11. Do they not want the truth in exit interviews?

    What I heard from someone who worked in HR: 1. They're looking for people who might be a problem -- EEO complaints, ethics complaints, etc. They will take what you say -- and go protect the company....
  12. insulin help!!

    I work in ICU, so we may be different, but we never get parameters on a standard scheduled aspart dose (8 units AC, for example). With AC/HS or q6h fsbs we do. I never hold Lantus unless the patient...
  13. Hitting bone/nerve with IM injection

    I've hit bone twice, in extremely emaciated patients despite my best efforts not to. Neither one of them seemed to be able to tell, but it freaked me out. Since Aurora said the same thing, now I...
  14. What in the heck are private LPN programs?

    There was a recent piece on NPR about the "for profits" basically stalking returning soldiers to separate them from their GI Bill money. One guy'd spent a fortune only to find out his school wasn't...
  15. Do I have a sign over my head?

    If your hemoglobin is below 5, you have tissue paper for a colon, and you manage both hemochezia and hematemesis at the same time, or decide to pop an esophageal varice and Nerd's on shift in the ER...
  16. Extremely Offensive ER experience

    1) Never trust a patient to tell you what they do or don't have unless it's visible trauma.... "I didn't have s/s of meningitis" -- really? I have seen people with meningitis who presented with a...
  17. So what exactly is a bed alarm?

    That particular surgeon was one of those who wouldn't believe the sky was blue if it was a nurse who told him it was...I told them, and documented that I told them that the pt would pass out if they...
  18. So what exactly is a bed alarm?

    I've spent the night trying to keep someone with a carotid thrombus alive -- if they turned their head to one side, they would black out and try to die. We finally but them in a neck collar and made...
  19. Religion

    I'm not agnostic/atheist, I'm Catholic in the rural south. And they like me just about as much. I can't tell you how many people want me to go to their church, that if I saw the "real Christians"...
  20. So what exactly is a bed alarm?

    When I worked on the floor, they always went off when I was on the other end. I'd sprint from one end to the other, and the patient would already be up and out of the bed. It's better in ICU where...
  21. Things that make ya go, Hmmmmmmmmmm

    You said you're a student, so let me go over a few things your instructors won't bring up (there's enough they have to cover!) 1. You're hospice and palliative, or you're not. Medicare/medicaid/most...
  22. Transfusion Reaction

    The only time I've had a patient have a reaction I sent everything to the lab except the 20g catheter in the patient's arm. Started blood (something like 3rd unit out of 4, patient was GI bleed), and...
  23. medication to dry up breast milk?

    They did the same thing in the 60's when my mom had my sister and me; they gave you some kind of shot to make your milk dry up. My mom swears the cabbage leaves did a better job, however. Supposedly...
  24. H20 post op

    Uh...when there's: a) an order. And if a surgeon's involved, follow it exactly. I've seen nurses get their backsides chewed for giving sips of water when the order was "ice chips." b) and most...
  25. Nursing students...I can't believe...

    It wasn't that long ago that I was in nursing school, so please listen to me on this one: Nursing is heuristic learning. What that means is you can be incredibly book smart, but the world rarely goes...