fiveofpeep

fiveofpeep

critical care, PACU

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All Content by fiveofpeep

  1. Cold IV fluid through Picc line..?

    Ive heard that that can happen with rapid fluid administration at room temp, but I havent heard of it happening with just the IVPB
  2. Xigris

    maybe its used so infrequently because of the cost? Ive heard it's more than 5,000 dollars a
  3. HR in 40s. Doc insisting on dig IV

    If the md wrote parameters and it was within the parameters I might have been more apt to give it, given that patient was asymptomatic, but I would probably be asking everyone on the unit if they...
  4. thank you all for the good advice. that's a great idea to use this time as an example if I get shot down again when trying to call the md. I did feel good about my SBAR that day. Its so cool when you...
  5. I increased the nasal cannula and she was satting ok about 92-96. I did think in retrospect that I should have tried the venti mask...the thought didnt occur to me until later because the pt wasnt...
  6. Patients Making Up Lies

    well thats a crappy lie. everyone knows that those hypersensitive pumps that go off and make your life miserable with the tiniest bubble, would never let you do that. if your manager believed her,...
  7. oh and PS...I really dont mind calling the doc. Im not afraid to and I know that's why they get paid the big bucks so calling is okay with me. Its more that Im looking for a way to breech the issue...
  8. thanks for all the responses everyone. yeah Im sure the pt would have ended up on the vent anyways. and I think the main reason I didnt call was because I did trust the charge's judgment over my own....
  9. advice desperately needed

    I think the guy with the CL several weeks out AMA is hysterical. Maybe I just have a sick sense of humor though I can totally see myself doing that--being all freaked out by my patient booking it. I...
  10. Gave a patient someone else's unwasted dilaudid

    I have a question. often times at work if a pt is getting 1mg, we wont waste the other mg and leave it locked at the bedside in case it is needed later. if it isnt given we waste it. I always...
  11. How to get a good report from previous shift?

    when I do report at the bedside, as a new nurse I often remember more and give a better report. maybe you can do this
  12. Vent- new grads who don't struggle at work

    I feel like some days go very smoothly but I am always overwhelmed in the first few hours of the shift and when I have a new admit. I can understand how you'd want to compare yourself to others. It's...
  13. Multiple Drips - Did I do the right thing?

    at least in my unit, we never cardiovert without an md despite the standing order because as I was told when I asked, the nurses are fearful that asystole might replace a previous life sustaining (if...
  14. drips connecting at y-site

    thanks everyone. I feel like I understand this more. The only time I could see me having to do this is when we have terrible PIV access and Im already using the "chicken feet" (we call em pigtails)...
  15. drips connecting at y-site

    I understand that. because you are adding something with a faster rate on top of something with a slower rate...but what if you attach something with a slower rate on top of something with a faster...
  16. Top 15 Reasons NOT to go into Nursing

    dont become a nurse if you think you will easily find a job upon graduation dont become a nurse if you arent prepared to feel stupid on a regular basis as a new
  17. Does anyone else like working night shift besides me?

    I love love love nights. I sleep better during the day and Im not tired and night. And my crew
  18. Neuro Yawn

    He was in AC and he was not sedated. I was thinking that we should have tried a different mode too because it was the hiccups initiating the extra breaths that was causing the tachypnea. He ended up...
  19. CHOC interview

    last year they asked me mostly personality based questions and when was a time you saw someone do something wrong and how did you fix it. thats all I
  20. Neuro Yawn

    ahh and what about the neuro hiccups? I had a patient with continuous hiccups on the vent and every time he would hiccup it would trigger a respiration and the vent was always alarming. it drove us...
  21. Love the patient...hate the family

    uggh I so know what you mean. I've been having crazy family members left and right for the last month. I dont know where they are coming from all at once but geeze, leave me alone so I can do my job...
  22. PROM...help me please

    okay what is prom? first I thought it was prom, like the dance, then I thought it was PROM like passive range of motion. now I have no
  23. thanks so much for the advice. I start my first night on my own (off orientation) this week and the advice was much appreciated
  24. Daytonite has passed away...

    this is so sad. I remember learning so much from daytonite. how
  25. for the future, can you print out the MAR and make sure to check the name and mr# or acct # and DOB so you know without a shadow of a doubt you have the right patient? maybe I misunderstood, but how...