Elvish BSN, DNP, RN, NP

Community, OB, Nursery

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All Content by Elvish

  1. Elvish

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

    Elvish replied to mzsuccess's topic in General Nursing

    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

    Elvish replied to psu_213's topic in Disaster Preparation

    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. Elvish

    A little ICD-10 humor, especially for outpatient nurses

    Elvish replied to klone's topic in General Nursing

    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

    Elvish replied to DaveAlmendarez's topic in Nursing Student Assistance

    This is AN done
  5. Elvish

    NAS, How do you score?

    Elvish replied to luvmybabes's topic in NICU, Neonatal

    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?

    Elvish replied to luvmybabes's topic in NICU, Neonatal

    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

    Elvish replied to twahls65's topic in Ob/Gyn

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

    Males considering nursing?

    Elvish replied to gaits72's topic in Men in 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...
  9. Elvish

    16 years ago, a doctor published a study, and it made us all sick

    Elvish replied to wtbcrna's topic in Disaster Preparation

    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...
  10. Elvish

    16 years ago, a doctor published a study, and it made us all sick

    Elvish replied to wtbcrna's topic in Disaster Preparation

    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,...
  11. Elvish

    16 years ago, a doctor published a study, and it made us all sick

    Elvish replied to wtbcrna's topic in Disaster Preparation

    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...
  12. Elvish

    Level IV NICU Model of Care

    Elvish replied to BabyRN1023's topic in NICU, Neonatal

    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...
  13. Elvish

    16 years ago, a doctor published a study, and it made us all sick

    Elvish replied to wtbcrna's topic in Disaster Preparation

    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...
  14. Elvish

    Med error help

    Elvish replied to Tink1987's topic in Ob/Gyn

    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...
  15. Elvish

    Love AN...Too much...Goodbye

    Elvish replied to AcuteHD's topic in General Nursing

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

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

    Elvish replied to ixchel's topic in General Nursing

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

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

    Elvish replied to ixchel's topic in General Nursing

    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....
  18. Elvish

    Babies on a plane!! (and also cord clamping)

    Elvish replied to adventure_rn's topic in Certified Nurse-Midwives, CNM

    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...
  19. Elvish

    You are NOT allergic to...

    Elvish replied to BuckyBadgerRN's topic in General Nursing

    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...
  20. Elvish

    What Is Your Most Gross, Yucky, Disgusting Nursing Horror Story?

    Elvish replied to yazisizit's topic in Nursing Humor

    That sounds like an abusive
  21. Elvish

    What Is Your Most Gross, Yucky, Disgusting Nursing Horror Story?

    Elvish replied to yazisizit's topic in Nursing Humor

    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...
  22. Elvish

    Every Nurse has that one patient they'll remember forever

    Elvish replied to Brian's topic in General Nursing

    I agree. I remember his name, his face, and what room he was in. There was so little anyone could do to fix
  23. Elvish

    Every Nurse has that one patient they'll remember forever

    Elvish replied to Brian's topic in General Nursing

    Lots of patients. The first HIV patient I took care of as a nurse. He was 30-something and in what was at the time called full-blown AIDS. Being both gay and HIV+ was a recipe for being disowned by...
  24. Elvish

    Illegal immigrant nurses can now be licensed in California

    Elvish replied to Guest07/13/15's topic in Immigration Advice

    Again. You did nothing to 'earn' your citizenship. You fell - as did I - out of the right person's uterus at the right time in history. Tell me again how that makes you a better person.
  25. Elvish

    So...What Kind of Nursing Task Do You LIKE?

    Elvish replied to VivaLasViejas's topic in General Nursing

    Ear wax irrigation. It used to gross me out but like the rest of you, it became gratifying to have all these huge chunks of wax come pouring out. AMAZING how much of that stuff could fit in one ear...