nrsang97 BSN, RN

Neuro ICU and Med Surg

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All Content by nrsang97

  1. nrsang97

    Case Study: Fever

    Treat as emergent. Place in droplet precaution area. CXR, sputum sample, blood cultures, urine cultures. Maybe TB skin test (not sure if done in ER or wait till pt is on floor). Could possibly be...
  2. nrsang97

    NIGHT SHIFT CENTRAL!

    I tried days for 2 years. I just couldn't stand it. I was happy to go back to
  3. nrsang97

    Time for a vacation!! Where do you want to go?

    Northern Michigan or Michigan's west coast. I am going to the Chicago area this weekend for a wedding so not much of a vacation. I really want to go back to Disney world. We went for our honeymoon...
  4. nrsang97

    What color scrubs do you wear?

    Right now the nurses wear navy but in October we will be matching the main hospital and wearing ceil blue. The aides wear burgandy, respiratory wears
  5. nrsang97

    I need advice! please read

    I am so sorry your family isn't supportive. I am so glad mine is. My husband and I both work and he works M-F and the hours are odd too. I couldn't have done it without my family. I know many who...
  6. nrsang97

    Antagonizing patients--just a vent

    I have no patience to work psych, however, I know behavior like this will get a psych pt to smack you fast. CPI is a great class. I really try to take other approaches to getting them to calm down....
  7. nrsang97

    Good News!

    Congratulations! I am so happy for
  8. I imagine the EMT's and medics aren't too happy with a call like that. That just seems way, way
  9. nrsang97

    Any advice on IV insertion skills?

    I agree with finding someone on your unit who is a go to person for IV starts and have them go with you a few times. Just keep trying. The more you try the better you will be. Volunteer to do any...
  10. nrsang97

    When will I quit feeling like a dumbass?

    I have been a nurse for 12 years and I still occasionally feel like a
  11. nrsang97

    And then the MD said.....

    It sure isn't everyday that MD's are willing to help with something so easy. Glad he was there to help
  12. nrsang97

    need help...starting an iv/picc team

    We don't have an IV team. We have a rapid response team and PICC team. Our Rapid response team starts hard to start IVs and if we can't then PICC team tries. It would be nice to have a dedicated IV...
  13. nrsang97

    Taking ownership

    I agree that I would have helped notify MD, call house MD to assess, and called family. I wouldn't have completed the fall report if I didn't assess the
  14. nrsang97

    Support Group for Nurses

    I have been so stressed I went to EAP. I had 6 or so sessions and then if I wanted to continue I had to be referred to behavioral health and develop a relationship with a different counselor. I...
  15. nrsang97

    Nurses need water

    Either someone knocking at the door or ER/ICU/CCU/Staffing/bed management calling
  16. nrsang97

    The way we ask for someone's pain level?

    I flat out ask "Are you having any pain at this time anywhere?" . Where is the pain, number on 1-10 scale, radiation, etc. Give available meds and re assess pain within say 30 minutes. If they...
  17. Oh yes when you hear that they had a good shift and you will too is definitely the kiss of death. I say you just cursed
  18. nrsang97

    Scrub the hub

    Our policy is scrub for 15 seconds then let dry for 30 seconds. I have seen people connect without scrubbing. I make sure I have tons of alcohol swabs in my pocket so I can scrub the
  19. nrsang97

    Tragically idiotic

    There was my classmate in 7th grade who got mad that his team lost a game of college basketball and kicked the TV. He broke his
  20. nrsang97

    When you reach that point of "Yeah, no."

    You have done 3 months and hate it. I see no problem trying to find another position. Don't quit until you have another job lined up. Life is too short to be unhappy. I tip my hat to anyone who...
  21. I was doing good until you got to eyeball hanging to his cheek. I don't do eyeballs. That has to be my worst weakness. I can handle trachs, poo, vomit, blood, etc just don't give me a pt with an...
  22. nrsang97

    Critical drips

    I know on our tele floor they can take amiodarone, and cardizem dirps. NO levo or ketamine. Sounds a little risky to run levo in a tele unit. I can understand stable dopamine or dobutamine drips,...
  23. nrsang97

    help!

    Just like any med error. Notify doc, monitor pt and hang the correct
  24. nrsang97

    Am I still a nurse?

    Go back and re read your first paragraph as a previous poster suggested. That says it all. You deal with the same stuff a hospital nurse
  25. nrsang97

    Lovin it

    What is a vertical care ED? I have never heard that term