Elvish BSN, DNP, RN, NP

Community, OB, Nursery

Member

All Content by Elvish

  1. Elvish

    Is it true all nurses get MRSA or C-DIFF?

    C. dif is in your normal gut flora, it's just kept in check - i.e., not allowed to proliferate and cause sx - by the other gut flora. Plenty of people acquire C. dif illness after a course of...
  2. Elvish

    The flu shot making people sick

    Flu shot first thing in the morning at work Saturday. Sore for about an hour. Fine since. Taking kids to get theirs as soon as their office gets some in stock. Husband won't get his. I have to drag...
  3. R46.1 Bizarre personal appearance What I want to know is, why you gotta make a code for that? Why can't a brother just be
  4. Elvish

    Diabetes Mellitus

    This is AN done
  5. Elvish

    NAS, How do you score?

    We have used Morphine + Phenobarb successfully for years. Clonidine we've used in the last year or two, also with pretty good results. We give the meds on a schedule, not prn. Clonidine q6, morphine...
  6. Elvish

    NAS, How do you score?

    We do the Finnegan as well. Occasionally (several times per year) they'll have us do a couple scores with a second person to make sure our scoring style hasn't wavered much. Same as a PP mentioned, to...
  7. Elvish

    Bedadine for vaginal birth

    Nothing but wiping away stool beforehand. A bit of soap and warm water after delivery/repair for pt
  8. Elvish

    The Real Brian Short - Words from a Friend

    I think part of the reason this has generated the response it did is precisely because all of us have had such a terribly difficult time reconciling the Brian we knew with the Brian who did this...
  9. Elvish

    Males considering nursing?

    If you have a stigma against nursing then you will either want to reexamine that to get over it, or maybe nursing is not for you. That said, I am a bit of an intellectual myself and am a damn good...
  10. Do people in developing countries have discussions like these? I'm not trying to be snarky here, but in a place where the gen pop is a lot more likely (for a myriad of reasons) to contract and die...
  11. No one here has said that 100% of vaccines are safe for 100% of the people 100% of the time. Individual chemistries being what they are, anyone can have a reaction to anything at any time. Scary,...
  12. Of course our autism prevalence is higher than it's ever been. The same thing happened with HIV 25-30 years ago. Widen your diagnostic criteria and your point prevalence will increase nearly every...
  13. Elvish

    The Real Brian Short - Words from a Friend

    A couple things come to mind. In 2010 I was fortunate enough to go to DC with the AN crew and help set up/man the AN booth. That's where I got to meet so many of the AN crew. Madwife2002 and I shared...
  14. Elvish

    Level IV NICU Model of Care

    How is your unit set up? Open-bay area for sickest kids, individual rooms for more stable ones or feeder-growers. How many beds? We have bedspace for 53 but certified for 48. 28 of those are...
  15. Elvish

    Your BEST AN memory- in honor of Brian

    Gosh, where to start? I've become friends with so many people thanks to AN. Some I've been fortunate enough to meet IRL, others live in my computer and my heart. I've been lucky enough to...
  16. Vaccination is hands-down THE best primary care intervention in terms of return on investment. This should be glaringly obvious when speaking of childhood illnesses that used to be commonplace being...
  17. Elvish

    Med error help

    If it makes you feel any better I gave an 80-something yr old patient in with bad foot cellulitis 1600mg Motrin one night. Way back before scanned meds and e-MARs, I mistook the second Motrin for...
  18. Elvish

    Love AN...Too much...Goodbye

    Which, if I recall correctly, you may/may not have had a part in composing,
  19. Elvish

    8/22 What I learned this week....

    Yes. I am rarely truly angry. But hangry? All the
  20. Elvish

    8/22 What I learned this week....

    I learned that providers have their fair share of blown calls too....like, some really really badly blown ones. I learned that my trigs are borderline, up from totally normal at my last physical....
  21. Proportionally, it probably does benefit pretermers more than it does full-termers, but it's not by by default harmful to full-termers. Delayed CC increases total blood volume, not just red blood...
  22. Elvish

    You are NOT allergic to...

    This has happened to both my kids as well, both on day 8-9. I sent my son to school with it and wrote a note to the nurse, who fortunately happened to agree with me. I've seen a lot of anecdotal and...
  23. That sounds like an abusive
  24. And that, ladies and gents, is why I always wear a gown and shoe covers in a delivery. No matter how far away from the perineum I am (and that varies with each delivery). Personal experience has...
  25. I agree. I remember his name, his face, and what room he was in. There was so little anyone could do to fix