arpeggiated

arpeggiated

Med/Surg

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All Content by arpeggiated

  1. Great inventions, only sleep deprivatio can stimulate

    Bright pink/green o2 tubing. You would be able to see if your confused patient has his o2 on without going near him and risking waking him
  2. The worst or strangest orders you have seen...

    PLEASE PLEASE PLEASE elevate legs on three pillows each PLEASE PLEASE Are you gonna come buy the pillows? Because sometimes it's an act of God to get one pillow per pt, let alone 7! Especially on a...
  3. Sometimes it is the Nurse who saves the patient

    Hm. I seem to remember this poster posting about a year ago about his trials and tribulations (and of course, his book.) Call me
  4. What are YOU taking Fall semester?

    Physiology Phelbotomy Pharmacology The 3
  5. Hospital nursing assistant

    I work 12 hour nights. I have had anywhere between 4 and 14 patients. Our 3 med/surg units hold a total of 54 patients. When we're full, we're lucky to have 5 CNA's overnight (occasionally we'll...
  6. Was this true for you?

    This job is HARD. The patients are fatter, more acutely ill than before. The facilities want you to do more with less. You'll hurt your back, you'll hurt your knees, people will cuss at you, hit...
  7. What is the funniest thing that you have seen while working?

    Today, we had a confused patient wandering in the hall, holding his Foley bag. We get him to sit down, and he frowns at the bag, and then throws it like a Frisbee. The nurse was on the phone with...
  8. Deprovera Long Term Side Effects

    We can't answer medical questions here, although my personal opinion is that Depo is the
  9. Dying residents

    Hmm. Our ER transferred 4 patients last night, all to the same ICU room. Maybe the "they go in threes" rule is
  10. Violating a Code Status...

    One of our docs constantly puts that his pts are DNR status on the H&P when he dictates. I see it, I go look in the chart, and he's ordered full code. Sweetest man alive, but really. He does...
  11. Ideas for peer interview questions

    If you can get up and around, have them show you some transferring skills. Do they transfer from bed to chair safely,
  12. Complete and total disregard for Visiting Hours! (vent)

    Dying patients we try to put in a private room so family can visit as much as they please. There was one patient if I had on an assignment again, I was going to be very unwise in my choice of words....
  13. Hospital Hierarchy

    In my hospital, there's the CNA (take vitals, clean up patients, organize rooms, collect supplies for procedures/during codes) who takes orders from the nurses. LVNs and RNs are equally respected...
  14. LTC tips please!!!...

    Until your patient aspirates his
  15. Pt stole from a worker?/drama

    I don't bring any money to work. It sucks when someone wants to make a Starbucks run, but at least I don't have to worry about anyone stealing my (non-existant)
  16. How would you make inpatient rooms better?

    Our hospital is planning to break ground on a new campus this summer. I was bored and made a little list of things I want to see in it. -LOTS of pillows. I hate turning patients and having to use...
  17. What does your hospital do for patient satisfaction?

    We're the only hospital system for 30 miles. They'll come
  18. Highest BP you have ever seen on a pt

    We had a pt come in last week with K+ of 8.8 Highest BP I've taken was 262/128 on a pt withdrawing from
  19. C-Diff

    I've been collecting stool samples for c diff pretty regularly... no one's come back with it yet though. Of course, it's because most of my patients we're testing are on full liquid diet. Not...
  20. Clinicals question??

    Heck, I don't even take vitals without gloves. Tried once and got trach sputum smeared on me. Ick. So pretty much anytime I walk into a patient's room, I grab a pair of gloves. If I don't need...
  21. Collegiality- Bedside Nursing vs. CRNA

    Congeniality?
  22. I work at a >60 bed hospital. We have 3 units: DOU, which is supposed to be tele but is just regular med/surg, is 12 beds; unit 100, is usually kept for mostly surgical pts, is 14 beds, and West...
  23. On my med/surg floor, we can have up to 14 patients. Of course, this doesn't take into consideration acuity at all. The charge nurse just draws the line and if you have self-cares, great, if you...
  24. What is a Direct Observation Unit?

    Our DOU is "supposed" to be a mostly tele unit (r/o mi, a-fib, etc)... but it's really just used as another med/surg
  25. Disclosing personal info to patients

    I had an old grumpy patient one night. Snapped at everyone, complained that he couldn't sleep. I offered to get him some milk if that would help. "It won't do anything, I worked nights for 30...