nrsang97 BSN, RN

Neuro ICU and Med Surg

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All Content by nrsang97

  1. nrsang97

    analgesia before cardioversion

    I have seen someone shocked without sedation or pain meds and it was absolutely awful. He was in V-Tach and needed cardioversion, but the MD refused to give pain meds. The screams from that pt were...
  2. nrsang97

    ETT Securement and Position Change

    We still use tape. At both facilities I have worked at we used tape. Occasionally we would use tube holders but they usually were switched out for
  3. nrsang97

    A little over a year...

    Quit being so hard on yourself. It takes a year to two years to feel completely comfortable. I know most of us are our own worst critics, but we have to keep that in check. You worry about being...
  4. nrsang97

    Nurse self scheduling

    There have to be rules in place. I am not sure what most units have. We don't use a system in our department. We are small and only have so many that work bedside. There are 7 of us now and we...
  5. nrsang97

    Mom's Working 12's?

    Working 3 12 hour shifts a week is the best thing for my family. I at one time did weekend option Sat,Sun,Mon and was able to use family to babysit. No daycare in our area was convenient for the...
  6. nrsang97

    MDs dont own the physician title

    A doctorate of nurse practitioner is not a physician. They may be called Dr.so and so NP, as the doctor title is earned by one who has a doctorate in anything. Pharmacists, Physical therapists, NP's...
  7. nrsang97

    Foley Catheter Lubrication

    I have only used lidocaine jelly a few times. Only on males. I have never thought to use it on a female. I just dip the tip in the lube and insert like I was taught in nursing
  8. nrsang97

    very very bad day

    Esme12 you are right about the elevated troponins with brain bleed. I have seen it many times working in the neuro ICU. Tropi can be elevated for so many other reasons. OP I am so sorry you are...
  9. I worked inpatient neruo for a long time. Be prepared for patient's to make quick changes. Know about stroke pateints, aneurysm patients, subdural hematomas, epidural heamtomas, post op crani for...
  10. nrsang97

    What's the funniest most unusual baby name?

    So far I have seen a Pepsi, Beautiful ( works in the lab), Twinkles (called me from the newspaper to offer a subscription), the repetitive names like Ali Ali, etc (really?), we also have a La'Aqua...
  11. nrsang97

    Question about noisy/open-glottis pushing

    I made some noise pushing. Not a lot when I had my son, but there was some noise. I do remember telling my mother in law to stop rubbing my feet or she would be killed. I don't know why she kept...
  12. I agree with meanmaryjean. Fan in the room for background, ear plugs if you must, cell phone in another room, turn off the ringer on the home phone if you have one, lock out the cat, and dark. You...
  13. nrsang97

    Why does the VA draw blood?

    I have had blood drawn as part of pre employment. It was to check for immunity to MMR, chicken pox,
  14. nrsang97

    Swollen Feet!

    Sounds like you could use some support hose my friend. Elevate feet when possible it does help. Taking a break put those feet
  15. nrsang97

    Chf and fluid boluses

    If BP was that low I would have asked for a bolus and given it slowly as well. Yes you could encourage oral fluids but it may take longer to correct a low BP. It the pt tolerated it then nothing...
  16. nrsang97

    Night Shift Help!!

    Is your husband overseas right now? If not and he is working after you get home from work do you have someone who can watch the baby? I find that making sure someone can watch my 3 year old after I...
  17. nrsang97

    legal ramifications?

    I am sorry but why didn't someone just empty the darn commode and then put it in the soiled utility room to be cleaned. There was no reason that the pt had to be so irritated that they put it in the...
  18. Truthfully if Baker isn't fully accredited then I wouldn't choose it. I would go with OCC, that way you can easily bridge from
  19. nrsang97

    Delirium room/ delirium unit

    I am in the USA. No delerium units
  20. nrsang97

    Urine laundry

    Baking soda? What about totally toddler? That works well. I have a three year old and it helped with accidents. You can dump it directly in the washer. Totally toddler is for urine stains and food...
  21. nrsang97

    Case Study: Fever

    Update
  22. nrsang97

    LOVE Ortha Heels shoes!!!!

    I noticed a lot of styles do not come in wide width. I would love to try some of the Mary Janes or other sandals but I can't find anything that comes in on the
  23. nrsang97

    Needing shoes

    I am currently wearing the Brooks Addiction 10 shoes. I really like them. They are very supportive. I also have very little to no arch in my feet. I also over pronate as well. I was having...
  24. nrsang97

    ICP monitoring and ventricular drain.

    Same as the pp said. We clamp with positioning, transport to ct, mri, and to get pressure
  25. nrsang97

    Case Study: Fever

    Valley fever. Rash is consistent with this