nrsang97 BSN, RN

Neuro ICU and Med Surg

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All Content by nrsang97

  1. nrsang97

    Abdominal IV

    nrsang97 replied to dmurph615's topic in General Nursing

    I think the general concesus is that a central line or IO would be best, but the ER didn't place
  2. nrsang97

    Abdominal IV

    nrsang97 replied to dmurph615's topic in General Nursing

    Just because you haven't seen it done before is silly logic to use as to why something can't be done. I still think an IO or central line would have been better. At my facility the only nurses...
  3. nrsang97

    Is there such a thing?

    nrsang97 replied to OCRN3's topic in General Nursing

    Esme12 just said what I was
  4. nrsang97

    DO NOT pass on the poop

    nrsang97 replied to durantetodalanoche's topic in General Nursing

    I would not have left that for the next nurse. I would have cleaned the pt up myself. I would never knowingly leave a pt that had been incontinent to be cleaned up by the next
  5. nrsang97

    How many patients do you get on night duty?

    nrsang97 replied to uniquegifts1's topic in Patient Safety Issues

    EEK 8 on a cardiac stepdown unit! Wow that seems way high eatmysoxRN. Our cardiac stepdown and ICU stepdown max is 5 at most. Our tele unit is 6. Ortho unit the nurse that has the ortho patients...
  6. nrsang97

    Standing up to my charge nurse prevented a mistake

    nrsang97 replied to 002rn05's topic in Patient Safety Issues

    Sounds like a midline isn't the best choice for this patient. Sounds like they need a central line or a PICC. If the only way labs are able to be obtained is when the pt is in dialysis then...
  7. nrsang97

    Abdominal IV

    nrsang97 replied to dmurph615's topic in General Nursing

    Your supervisors reaction was so silly. I have seen IV's in other places like legs, feet, and the superficial chest veins. I am surprised that they didn't opt for IO or a central
  8. nrsang97

    Unusual Names for Medical Diagnoses

    nrsang97 replied to flashpoint's topic in General Nursing

    Things like Plavix are anti platelet aggregating agents so not too far off depending on what med they are speaking of I
  9. nrsang97

    Night shift and body mechanics

    nrsang97 replied to weirdscience's topic in General Nursing

    I agree how is raising the bed any more disturbing to the pt sleep than going in for a lab draw. I do tons of them as rapid response. I turn on the light and raise the bed. Like the first response...
  10. nrsang97

    PT/INR clarification for new nurse

    nrsang97 replied to ricksy's topic in General Nursing

    I agree a likely dosage increase. The INR needs to be 2-3 to be therapeutic for A fib, or PE or
  11. nrsang97

    "Fake" or Nonprescriptive Eyeglasses

    nrsang97 replied to DemosthenesRN's topic in Patient, Colleague Relations

    Funny thing a few seconds ago there was an add for eyeglasses at the top of the page. No seriously don't get fake glasses for the fact it makes you think your taken more seriously. How you carry...
  12. nrsang97

    Anyone Working in Organ Donation?

    nrsang97 replied to aTOMicTom's topic in General Nursing

    I have only ever seen the RN's interact with families. As a tech you would most likely be working like a surgical tech in the
  13. nrsang97

    Anyone Working in Organ Donation?

    nrsang97 replied to aTOMicTom's topic in General Nursing

    I don't work for them either. Our agency in MI is gift of life. I love the OPO nurses. They are so informative. I have taken care of brain dead donors and DCD (donation after cardiac death)...
  14. nrsang97

    You know you've been a nurse too long when...

    nrsang97 replied to wooh's topic in Nursing Humor

    I have personally given my dad the scary nurse lecture more times than I can count about his BP and DM meds. Still non compliant. When grandma passes out in Meijer and you have to convince EMS to...
  15. nrsang97

    medication mismanagement?

    nrsang97 replied to Eyerly's topic in Patient Medications

    I agree with
  16. nrsang97

    The dumbest things you've heard from a provider

    nrsang97 replied to PeepnBiscuitsRN's topic in Patient, Colleague Relations

    When I worked in the same facility before we had to try before we called the IV team. I can't understand not wanting to be able to get an IV, or not trying so if in an emergency you could get an
  17. nrsang97

    The dumbest things you've heard from a provider

    nrsang97 replied to PeepnBiscuitsRN's topic in Patient, Colleague Relations

    She did need the fluids. She was NPO and on a colon prep. I was tempted to start it, but I know it is a no no to do that. I work somewhere where I am the IV team LOL as rapid response. There is no...
  18. nrsang97

    IV insertion problems

    nrsang97 replied to nursing_problem's topic in Emergency

    When I am called to start a difficult start I will tell the pt that I am going to promise I will get it the first time. I assure that I will try twice and if not I will get another staff member....
  19. nrsang97

    Everything is our responsibility. Rant.

    nrsang97 replied to dudette10's topic in Patient, Colleague Relations

    The printer, the fax, copier, the pyxis, the BP machine, pulse ox, etc. I became "Nick Burns The company computer guy" from the SNL
  20. nrsang97

    Unexpected kindness from a nurse

    nrsang97 replied to Trust in Jesus's topic in Nurses Rock

    Most hospitals don't put RN or RN,BSN on the badge. The hospital grandma is in right now does. Most don't. In the end ADN and BSN are both
  21. nrsang97

    The dumbest things you've heard from a provider

    nrsang97 replied to PeepnBiscuitsRN's topic in Patient, Colleague Relations

    Grandma's IV went bad last night and had to be restarted. The nurse wouldn't attempt a restart and called the IV team. Grandma was going to OR. Never did the nurse once attempt to restart. She...
  22. nrsang97

    A "full" light blue top tube

    nrsang97 replied to psu_213's topic in General Nursing

    Yep blue top must be full. I will make sure that one is full and the rest can be less than full if the pt has bad
  23. nrsang97

    INR results might get me fired

    nrsang97 replied to bevt's topic in Home Health

    Yikes they fired you for that? You drew it in the morning. So have lab amend the time. We dose coumadin off what labs were drawn when it was drawn. I never heard it was time sensitive. Are you...
  24. nrsang97

    ER Doc, "I need Succ!"

    nrsang97 replied to Adenosine6's topic in Emergency

    The last Med Surg code I was at they had compressions going. Monitor on pt. Recording started. I have to say I was impressed. Usually nothing happens until rapid response gets
  25. nrsang97

    Best Burn Centers in US??

    nrsang97 replied to guest454229's topic in Burn

    In Michigan it is U of M Ann Arbor, and Detroit