babynursewannab

babynursewannab

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All Content by babynursewannab

  1. The assessment

    It's really mostly about developing a routine. Write one down and try to do that by memory a few times and then start with the patients. I'm in the CVICU so I have some "external" assessments I...
  2. Are You Hard On Yourself?

    I, too, am right there with you. I've been working in the CVICU as an RN since February and BASICALLY have a comfort level now, but if I know I've made a mistake or forgotton to do something as...
  3. Recommended Reading Nursing Books List (joke)

    Acknowleding your inner passion - a study on self image and sexuality by Ivana
  4. Change with scrub design...

    It would be nice to have tops with shape that accomodate breasts! My choice is to either look like I'm wearing a box or, with the tie-back strings, like I'm pregnant becuase those strings are too...
  5. Telemtery and CCU- whats the main difference?

    The standard meaning of CCU is "Cardiac Care Unit" (In most facilities...who knows about those that like to get creative). CCU is where patients who have the potential to go into sudden failure hang...
  6. My patient coded the other night

    I do have a "funny" story about this topic. I work in the CVICU and had a patient who was a pulmonary nightmare so went panicky with breathing difficulty. He also had a hx of Ativan at home (giving...
  7. Should nurse practioners be allowed to write prescriptions?

    I know the NP's here in Georgia have their own way of working around the no Rx privilage situation. I'm not going to write it out word-for-word here and set up and investigation, but I will tell you...
  8. I've heard of poppy, not sesame, as well...but that's off the point. I think it may be a valid question. However, we all should know about absorption with meds and wear gloves when appropriate. It...
  9. Should nurse practioners be allowed to write prescriptions?

    The Good 'Ol Boy network here in Georgia certainly doesn't think so. I believe we may be the last state without privilages. My opinion? Yes they should have
  10. Code Blue!

    You always check your ABC's first. Call out for help when you see the patient down (as you're approaching them). Then check airway (clear? not?), breathing (do you see the chest rising/can you feel...
  11. Doctors telephone orders???

    Ours is simply the order with the signature line: T.O. RAV Dr. Whoozit/Nurse signature, RN RAV = Read back And Verified and the Drs. are trained to look through the chart each day w/rounds and sign...
  12. Rooming-in Vs. Nursery Care

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  13. Rooming-in Vs. Nursery Care

    My situation was a bit different than most. I live away from most of my family (across the country) and my husband had to stay with our other child. My mother-in-law couldn't come and stay. I was...
  14. Rooming-in Vs. Nursery Care

    hmmm.... While I am all for the theoretical aspects of rooming in, I know from experience it is not always the best choice. In fact, in my case, rooming in was a significant factor in excessive...
  15. Ear Candling !!

    My husband has the most amazing wax capacity in his ears of any human out there, I'm sure....even his doctors are stunned. Candling is the ONLY way his ears get clear. It's not harmful - nothing...
  16. 7p-7a and exercise

    Exact same scenario as me: 7p-7a and CVICU -- so lots of motivation. After a couple of months getting used to the new sleep rhythm, I started hitting the gym in May at 8:30am and did that 4 times a...
  17. Protonix IVP

    I am having a heck of a time with my IVP Protonix doses at work. We give the 2 minute injections. The problem I am having is even when it is supposedly compatible with whatever is in-line, *POOF* we...
  18. Protonix IVP

    Yeah, that's the formulation most people are familiar with. There is a newer formulation that lets you reconstitute 40mg Protonix w/10cc NS to IVP over 2 minutes and then follow w/a 2 minute 10cc NS...
  19. What is weighed more heavily?

    -ouch :uhoh21: Been on this board
  20. looking for feedback/advice on this idea

    suction? How exactly (and please do graphically set up the picture) does the set-up go? I can't seem to wrap my brain around
  21. Blood draws through infusing central lines

    Pt on pressors and blows A-line and it must be dc'd. Pt is now on q1 or 2 min NBP readings for monitoring until new a-line can be reinserted. Meanwhile pt condition dictates (as well as timed labs)...
  22. Blood draws through infusing central lines

    If it is absolutely necessary to draw off of line running pressors, pause the run, then you first draw BACK about 5-7 cc's of blood off the line to remove drug in there. Then, you draw the blood...
  23. Is night shift for me?

    A warm bath and a relaxation yoga tape has me passed out on the floor before it's even over. Perhaps there is an anxiety issue that you're not fully aware of...some aspect of work you just can't get...
  24. Recurrent Muscle Spasms LONG VENT

    Now.. I'm with you on this. Fibro is nasty...I have it. But if her symptoms are like mine were last week? It is certainly not fibro. This particular problem feels like whiplash or a vertebral slip...
  25. Recurrent Muscle Spasms LONG VENT

    Ditch the PCP. You should be able to sign up for a new one easily. At least that's the case w/most insurance plans. This one is too into pharmacotherapy for your needs/comfort. And what's up with...