petiteflower

petiteflower

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All Content by petiteflower

  1. Frequent Flyers in the ED

    petiteflower replied to RNin92's topic in Emergency

    We are only a 5 bed ER. I would love to work someplace bigger like that. I would be happy to let you know what I find out. Watch for a pm from me. Like I said. It's not the perfect answer, but...

  2. Tension Pneumothorax or Decreased Level of Consciousness

    petiteflower replied to Rick Bourdier's topic in Emergency

    I'm with everyone else, tension

  3. Frequent Flyers in the ED

    petiteflower replied to RNin92's topic in Emergency

    Yeah, we do have a policy. And we haven't had any problems with HIPPA. But, it is kind of locked up--and if someone asked us for it, we would say (logbook, what log book?) I will have to bring that...

  4. Frequent Flyers in the ED

    petiteflower replied to RNin92's topic in Emergency

    We keep a log book, and medical records watches out too. They get treated, offered alternative medications (which they usually refuse) if they do not follow up. Like I said, we are very small, 3...

  5. Frequent Flyers in the ED

    petiteflower replied to RNin92's topic in Emergency

    Don't know if this is helpful or not---and I am sure that we are alot smaller than some of the hospitals you all work at so we don't have near the number of FF. Our hospital has a 5 time threshold...

  6. Did I miss my calling?

    petiteflower replied to gotaluvtheER's topic in Emergency

    First off---please remember that we are only human. We work in a high stress area that gets to see the bowels of humanity. Really. It's tough dealing with people who on a daily basis don't think...

  7. What's the best path towards Emergency nursing??

    petiteflower replied to sun_chica's topic in Emergency

    I think that it is important to take at least a year on medsurg and hone your nursing skills. Some people do really well going directly into ER, but it is difficult many times for a new nurse. Being...

  8. Suction Settings

    petiteflower posted a topic in General Nursing

    We are trying to standardized the suction settings for LIS I always set it between 40-60 but found that the other nurses all had different settings that they used. What are all of you

  9. Suction Settings

    petiteflower replied to petiteflower's topic in General Nursing

    Hmmmm, Maybe we can just determine what our standard is going to be. Thanks guys

  10. PICC lines

    petiteflower replied to Canada911's topic in General Nursing

    I think PICCS tend to be occluded more often, but not much different to take care of than a central or a Hickman. We use the same procedure for aspirating and flushing as we do for the others. The...

  11. residents in the er

    petiteflower replied to RN92's topic in Emergency

    ER Slave, I am sorry you are so down on yourself---learn from it. I have been in the same kind of situation---and learned the same lesson. I don't give succ unless anesthesia is in house or I have...

  12. dumb question

    petiteflower posted a topic in General Nursing

    this is probably a dumb question, but, what is the difference between an ARNP and an

  13. professional communication mild rant

    petiteflower posted a topic in General Nursing

    I recently had an experience with a nurse at the hospital I work and it really raises some concerns for me. I have a family member who is in the hospital and the family is attempting to determine the...

  14. and the problem is..........?

    petiteflower replied to marcicatherine's topic in Emergency

    How about, PT I have a fever Nurse Have you taken anything for it? PT No, I am allergic to pills. Nurse What kind of pills are you allergic to? PT All pills, except the ones that are from the...

  15. "Bad" rooms on a floor

    petiteflower replied to Ariko's topic in General Nursing

    At the last hospital I worked in there was a room that I absolutely hated to go into. And whenever we had a patient in there, weird things happened. I even hated going into that room in the broad...

  16. toxoplasmosis in men?

    petiteflower posted a topic in General Nursing

    HI, I have a friend at work whose son was just recently diagnosed with toxoplasmosis. I have heard of this in pregnant women before, from handling litter boxes, or improperly cooked meat, but never...

  17. Air in IV lines

    petiteflower replied to zacarias's topic in General Nursing

    Sometimes when you push a med there is a tiny amount of air that is collected in the port of the iv line. If you are concerned about this what you can do is draw back a little fluid from the line to...

  18. Migrane Headache Treatment in the ED

    petiteflower replied to keaston's topic in Emergency

    ED migraines--ooh sore subject with me. We get many ff, 99% who are allergic to everything but the drug of choice. I have one that even will tell you that they can't take Toradol IM because it...

  19. Different Cap Styles

    petiteflower replied to justjenn's topic in General Nursing

    If I understand correctly each nursing school has their own design for caps (or used to) Here the LPN cap has the school colors on it and the RN cap has the black

  20. Blood Administration & KCL Bolus

    petiteflower posted a topic in General Nursing

    Does anyone know the potential effects of administering blood and a KCL bolus through the same tubing (using 2 different pumps at the same time). It is my understanding that it should be blood and NS...

  21. Blood Administration & KCL Bolus

    petiteflower replied to petiteflower's topic in General Nursing

    I agree with every one that nothing should be mixed with blood. I have never questioned that. I just wanted to be able to explain to her the possible ramifications from running potassium with blood...

  22. Blood Administration & KCL Bolus

    petiteflower replied to petiteflower's topic in General Nursing

    FYI I visited with our pharmacist today---a KCl bolus would be considered an extremely hypertonic solution (undiluted KCl is 4000 mmol.) On further investigation I found that blood cells with crenate...

  23. Blood Administration & KCL Bolus

    petiteflower replied to petiteflower's topic in General Nursing

    I agree with that---but another nurse didn't -- stated that KCL is already in the body so it's OK to run both at the same time. My question is, what are the potential complications? I can't find...

  24. new grad needs help with documentation tips

    petiteflower replied to peaceful2100's topic in General Nursing

    You should be able to look back at your documentation and be able to tell the "complete patient picture". Get in the habit of reading your charting towards the end of the shift and making late...

  25. nursing and s e x

    petiteflower replied to lgreen's topic in General Nursing

    Well, sometimes I look at my husband's male anatomy and the thought crosses my mind, in 30 years or so, gravity is going to win and some parts are going to "be a little more shy" (I think you all...