Lucyinthesky

Lucyinthesky

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All Content by Lucyinthesky

  1. Pseudo-seizures

    I am a new nurse still orienting to the ICU, so yes, I am very green. I had my first experience with what was originally thought to be grand mal seizures but was soon suspected to be pseudo-seizures....
  2. Morphine/Phnergan IVP...to give or not to give?

    I have seen phenergan ordered to be given with narcotics to potentiate the effect of the narc to avoid increasing to a higher dose of the narc. Im sure there are patients who prefer the rush they...
  3. If you don't know...please ask!

    You want to bring the BS down slowly and controlled... if it comes down too quickly it can cause cerebral edema. We have an endocrinologist that has us actually hang a D5 gtt with an insulin gtt once...
  4. ICU to OR?

    I am an experienced ICU nurse (medical and surgical) and for the most part like my job but have been thinking about trying out another area in nursing, specifically the OR. Pros to my current ICU job:...
  5. Shift Report Organization

    This semester we are required to take report on all of the patients (not just our assigned patient) and I was wondering if someone had any ideas on how to organize this information. The reports are...
  6. Levophed vs. Neo

    I think it is agreed by all that the BEST route is via a central line but this is not immediately possible in all hospitals. While you are awaiting your central line Levophed may be necessary in a...
  7. Accurate Blood Sugars

    I am a new nurse in the ICU and would like to know if anyone has any suggestions on obtaining accurate blood sugars on patients who are so edematous and peripherally constricted (usually on Levo) that...
  8. Accurate Blood Sugars

    toes wouldn't help if they are on pressors... earlobes are unreasonable for hourly checks... and believe it or not very few of our patients have A-lines... even when they are vented and we have to do...
  9. Totally ignorant!

    I am a new grad who had to finance her way through college and I ended up taking a home equity loan instead of a student loan. The advantage at the time was a lower interest rate and it is tax...
  10. Discharge teaching/Report cheat sheets

    I just graduated in May but did my preceptorship in maternity. I developed my own report sheet to help with organizing my information and to keep up while listening to report. I have room for both...
  11. Pulmonary embolism question

    Hi, we were discussing PE's in class and what to do if you suspect one. of course after all the usual answers the prof asked us which side do you want to lay them on (left or right)? Nobody in the...
  12. This has been really getting on my nerves lately...

    LOL!! I just noticed my typo above! (they
  13. This has been really getting on my nerves lately...

    I used to work as proofreader years ago and misspelled words drive me nuts. They don't bother me so much on here or when something is handwritten but when there are typos in a menu at a restaurant or...
  14. plantar fasciitis ouch!

    I have had problems with my feet since I was a teenager (and so have my mother and grandmother BTW). I have found that going barefoot is the worst thing I can do, even around the house. If I am...
  15. As a student I have had both wonderful and terrible nursing instructors. The biggest difference between the two that I have noticed is the really good instructors are encouraging, approachable and...
  16. Nurses children and vaccinations, how do you feel?

    I am not a nurse yet but I am a mother of three. I have had them all vaccinated, I breastfed, and used common sense when they were sick to not push meds down their throat for every little symptom....
  17. What is an A&P Lab Exam Like?

    My A & P lab exams were similar as they were set up in stations but they were at least multiple choice which helps narrow it down if you're not sure. The hardest part for me was the 1 minute time...
  18. Shift Report Organization

    This is exactly what I was looking for. Thanks so
  19. Steps of a wet to dry dressing

    "7. Gently remove and discard the old tape and soiled dressing in a plastic trash bag. If the dressing sticks to the wound, moisten with sterile nss and then remove." I am a nsg student and am being...
  20. Pulmonary embolism question

    Thanks for the info! I have class tonight and will see if this was what she was referring
  21. Pulmonary embolism question

    "HOB up...aids in respiration...do not want to strugle for breath..i had one in left lung and they put me up...after they missed the sx...but i survived" Thanks for the reply Chatsdale. What I am...
  22. I absolutely agree with getting all the non-nursing classes finished beforehand. I am in the ADN program and it is supposedly a two year program but that is basically for nursing classes, you need a...
  23. You're Going to Practice on ME?!?!

    We just learned all our injections in clinical lab with dummy arms and because of legal reasons are not allowed to practice on fellow students. We are required to purchase a nursing pack which...
  24. I want to do something else

    I am not a nurse yet (I have chosen this as a second career) but my only advice is to realize that alot of the problems you wrote about do occur in areas other than nursing. Lack of respect, drama...
  25. I understand the difference between how you're taught in nursing school and how it is in the real world but I know i too have been really disapointed in how I've seen some patients treated during...