stevierae

stevierae

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All Content by stevierae

  1. Where are the catheters?

    stevierae replied to Mimi2RN's topic in Ob/Gyn

    Could you use pediatric feeding tubes or red rubber Robinson catheters in the meantime? Or Salem Sump NG

  2. Any Texas PACU RNs here?

    stevierae replied to stevierae's topic in PACU

    Yeah, I guess you are right---I just checked the CNA website for the mandated RN to patient ratios in PACU, and it is 1 RN to 2 patients---just like where you live. If you want to read more about...

  3. Drug seeking or real pain? How do you tell?

    stevierae replied to JudyPRN's topic in Pain Management

    great post, catlanta! this, too, goes into my "pearls" file---you know the one. :) i did not know about the medtronics protocols, even though i have been involved in the surgical process of...

  4. Britney demanding background checks for her L&D nurses..

    stevierae replied to Peachy720's topic in Ob/Gyn

    Heck, what's wrong with asking for autographs? I actually had someone relieve me in my room just for a few moments one time in San Francisco so that I could go out to the waiting room and get Phil...

  5. Anesthesia Clinical question (Ketamine)

    stevierae replied to CougRN's topic in Certified Registered Nurse Anesthetist, CRNA

    I am wondering if, since he was obese, he may have also had GERD and /obstructive sleep apnea, and would have benefitted from a pre-op dose of Bicitra to neutralize stomach acids, as well as some...

  6. Any Texas PACU RNs here?

    stevierae replied to stevierae's topic in PACU

    Since 1990, when I moved to Oregon from CA, I noticed that there were always 2 RNs to 1 patient (at the bedside) in every PACU at every Oregon hospital I was staff or registry at---all shifts, and on...

  7. Any Texas PACU RNs here?

    stevierae replied to stevierae's topic in PACU

    But, don't ASPAN standards dictate 2 RNs to 1 patient, in the PACU immediately post-op? That's how I interpret them, from reading on their website at http://www.aspan.org Here's an excerpt: "Position...

  8. What's Your Best Nursing Ghost Story?

    stevierae replied to steffck's topic in General Nursing

    Same here----I get so scared I can't get to sleep---I keep hearing "noises--" but I come right back to the computer and start reading again..... I've never seen any ghosts, or spirits, but I've had...

  9. What's Your Best Nursing Ghost Story?

    stevierae replied to steffck's topic in General Nursing

    That's a beautiful

  10. Any Texas PACU RNs here?

    stevierae replied to stevierae's topic in PACU

    2 RNs per patient, correct? Not 1 RN per 2 patients? Just want to make sure I am understanding you correctly. Thanks for your

  11. My best friend's nightmare

    stevierae replied to Antikigirl's topic in Patient Safety Issues

    You know, it's just truly bizarre that she was sent home-------she could have a perforated uterus; she could be septic. She needs not only to be transfused; I think she needs an emergency D&C to...

  12. petechiae on legs

    stevierae replied to elizabells's topic in General Nursing

    Could be idiopathic thrompocytopenia purpura, which is a clotting disorder. You need to get bloodwork done ASAP with particular attention paid to platelets. Let us know what happens. Get yourself...

  13. Our baby was stillborn... Please help me understand

    stevierae replied to nurse_wannabe's topic in Ob/Gyn

    (((((((((((((((((((((((((hugs)))))))))))))))))))))))))))))))))))) I am so sorry, nurse_wannabe. You and your spouse are in my thoughts and prayers. It's OK to cry. Don't fight it. It's all part of...

  14. Tom Cruises' take on Psychiatry

    stevierae replied to Katydidit34's topic in Psychiatric

    I am not sure that Katie and Tom will be able to have kids---his kids with Nicole Kidman were both adopted. Don't know which one of them, if either, was infertile--maybe they were just both too busy...

  15. Palliative Care and Euthanasia

    stevierae replied to bracken's topic in Hospice, Palliative

    I disagree, too. I think many of us do. I hope that when I am dying (if that is in my cards) of some terminal illness, I have a liberal nurse to whom I can frankly say, "Just assume I am in pain...

  16. Post operative TURP irrigation

    stevierae replied to chingathk's topic in Operating Room

    Why would you use blood tubing, which has a built in microfilter which I suspect makes it more expensive than what we normally use--that is, either cysto tubing or TUR tubing, which also has a "Y" so...

  17. Palliative Care and Euthanasia

    stevierae replied to bracken's topic in Hospice, Palliative

    I wonder how many, also, are embarrassed to ask for pain meds (opiates, I mean) because they know that severe constipation may result and they would feel humiliated by the thought of having to receive...

  18. Palliative Care and Euthanasia

    stevierae replied to bracken's topic in Hospice, Palliative

    Kat, maybe I am an "old fashioned" nurse, but I don't think that ANY patient should have to ASK for pain medication---let alone a dying patient. I was taught to round frequently on my patients (not...

  19. evoked potential monitoring

    stevierae replied to chicoborja's topic in Certified Registered Nurse Anesthetist, CRNA

    I know of neuroanesthesiologists who do SSEP and MEP monitoring---however, that is their ONLY role during the case---there is ANOTHER CRNA or anesthesiologist up at the head of the table, giving...

  20. What squicks you out?

    stevierae replied to elizabells's topic in General Nursing

    What are "death dumps?" OK, I am guessing it refers to post-mortem evacuation of colon--is that

  21. Ab or vag prep first?

    stevierae replied to IVyPush-her's topic in Operating Room

    Ditto. That's what we were all taught---clean to dirty. Truthfully--these days everybody gets antibiotic coverage anyway. If your infection rate is low in your operating room, it probably doesn't...

  22. How Many is Too Many

    stevierae replied to Fiona59's topic in Ob/Gyn

    I agree. They even proudly call it just that-----"bleeding the beast." So, I guess we are the beast, and they feel we owe them. And, I've heard over and over that the "funny looking kids" that...

  23. suicide

    stevierae replied to surreal's topic in Patient Safety Issues

    What's really tragic is the ones who try, but end up in a chronic vegetative state or worse, from brain damage. I saw this guy who tried to kill himself by putting a shotgun, I believe, under his...

  24. What do patients say that irks you?

    stevierae replied to NurseforPreggers's topic in Ob/Gyn

    But---isn't there such a thing as "large for dates?" Like, say with a baby of a mom with gestational diabetes, that may just keep getting bigger? Or just that she wasn't sure about LMP or time of...

  25. Denying Meds

    stevierae replied to Faith Nurse's topic in Correctional

    This is a sad situation and, if accurate, tragic. Now, my OWN brother- in- law had the opposite problem. He had brittle diabetes and was in and out of the prison infirmary (is that the proper name for...