General E. Speaking, RN RN

floor to ICU

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All Content by General E. Speaking, RN

  1. General E. Speaking, RN

    New grad-still wondering when to hold certain meds!

    General E. Speaking, RN replied to RockinNurse's topic in General Nursing

    Oh Lordy! I can see this trickling down to everyone. Was this surveyor w/ Joint Commission? This is just going to require us to play Post Office even more. More Post Office = less time with...
  2. General E. Speaking, RN

    PCA discrepancy (too much med?)

    General E. Speaking, RN posted a topic in General Nursing

    We use Alaris pumps. During shift change, the oncoming nurse and I were doing our 2 nurse check. I had replaced the syringe at 1400. We use the BD 50ml prefilled syringes. The patient was on PCA...
  3. General E. Speaking, RN

    PCA discrepancy (too much med?)

    General E. Speaking, RN replied to General E. Speaking, RN's topic in General Nursing

    I agree! Not a lot of med but the oncoming nurse was fixated on "why, why?" I just have never seen or noticed that it would read over
  4. General E. Speaking, RN

    what time does your shift really end?

    General E. Speaking, RN replied to sleepy1010's topic in General Nursing

    Our hospital has been pretty good about those late admissions and who does the paperwork. I wk 7a7p. If the pt arrives after 6 (am or pm) the current shift settles the patient and gets vitals but is...
  5. General E. Speaking, RN

    Would you question this order?

    General E. Speaking, RN replied to dura_mater's topic in General Nursing

    I recall that our pharmacy has new guidelines. I think they are something similar to this below. I was surprised when I had a patient with an INR of 8 (trending up) and the doctor just wanted us to...
  6. General E. Speaking, RN

    what time does your shift really end?

    General E. Speaking, RN replied to sleepy1010's topic in General Nursing

    Your shift could (and does) run over if: Your replacement nurse doesn't show up. Can't just walk out- patient abandonment. Your patient tanks 15 minutes before you are supposed to leave. Can't run...
  7. General E. Speaking, RN

    PCA discrepancy (too much med?)

    General E. Speaking, RN replied to General E. Speaking, RN's topic in General Nursing

    Yup, I am going to ask the pharmacist. I never had this occur with our old PCAs. Thanks for the
  8. General E. Speaking, RN

    This makes NO sense at all!

    General E. Speaking, RN replied to abbaking's topic in General Nursing

    Same logic as our manager once telling us that yaunker suctions need to be charged to an individual pt. Makes it tough to stock up your room and get ready for an emergency. I'll just tell the pt to...
  9. General E. Speaking, RN

    ECG Strip Interpretation?

    General E. Speaking, RN replied to Jordan Stephens's topic in CCU, Coronary, Cardiac

    Try icufaqs.org. It is a free online resource but I ordered and paid for the book. This site is full of great information! Very down to earth and even funny at times. The author really has a way...
  10. General E. Speaking, RN

    New RN, New to Houston, and No Job

    General E. Speaking, RN replied to Liss RN's topic in Texas Nursing

    New Methodist hopsital in Katy opening up. They are hiring. Also, Texas Childrens about to open. Booming around West Houston. Not sure about a new RN. Worth looking into. Good
  11. General E. Speaking, RN

    New to ICU? What have you learn so far?

    General E. Speaking, RN replied to RN28MD's topic in MICU, SICU

    Had a pt on Neo, levo, Epi, Vasopressin. We eventually turned off the vent and he died. At one point his pH was 6.9 and blood pressure was in the low 70s. After the bicarb, he came up a bit (high...
  12. General E. Speaking, RN

    Futile care

    General E. Speaking, RN replied to sunnycalifRN's topic in MICU, SICU

    One of our docs recently went to an intensive training session to become palliative care certified. I am hoping that with his help we can stop some of these futile care issues. We treat animals more...
  13. General E. Speaking, RN

    Highest temp you've seen?

    General E. Speaking, RN replied to General E. Speaking, RN's topic in MICU, SICU

    Sorry, been away from site for a while. I am not sure. When I returned to work after a few days off he was gone. I need to ask. I am wondering if he made
  14. General E. Speaking, RN

    hanging blood with the wrong fluids

    General E. Speaking, RN replied to newnurse012's topic in Medical-Surgical

    Yup, seen a 25,000 units of heparin hung as a IVPB. Infused in an hour. I always hated following that nurse. But we are all HUMAN and I have made med errors in my 20yr span as a nurse. I don;t...
  15. General E. Speaking, RN

    And What Did YOU eat today?

    General E. Speaking, RN replied to Been there,done that's topic in General Nursing

    Bad day Saturday. Really, really sick pt. Had 2 bites of a sandwich (that charge nurse bought for me:D) and a stick of
  16. General E. Speaking, RN

    Help me think of a great name for my company

    General E. Speaking, RN replied to Vtachy1's topic in General Nursing

    Converse with a Nurse Conversation Resuscitation Got Nurse? Need a
  17. General E. Speaking, RN

    Difference bw Doctors and Nurses

    General E. Speaking, RN replied to Bormio's topic in Nursing Humor

    Patients are NURSED back to health not DOCTORED back to
  18. General E. Speaking, RN

    For a patient with MRSA, what do you wear into their room?

    General E. Speaking, RN replied to Ted D's topic in General Nursing

    Our Infection "Preventionist" (as she prefers to be called) expects us to glove and gown whenever entering the room of a contact isolation patient. Annoys me because while this sounds good it is...
  19. General E. Speaking, RN

    Help me think of a great name for my company

    General E. Speaking, RN replied to Vtachy1's topic in General Nursing

    Trustworthy
  20. General E. Speaking, RN

    Help me think of a great name for my company

    General E. Speaking, RN replied to Vtachy1's topic in General Nursing

    Precise Advice Precise Nursing Advice Prescription
  21. General E. Speaking, RN

    home remedies you would NEVER try

    General E. Speaking, RN replied to ktwlpn's topic in General Nursing

    Speaking of Listerine: (sorry to hijack the thread) has anyone bought the kitchen cleaner by Seventh Generation? Supposed to be chemical free products. I bought some out of curiosity (and it was on...
  22. General E. Speaking, RN

    Looooong narrative notes

    General E. Speaking, RN replied to General E. Speaking, RN's topic in General Nursing

    Right? Sorta makes you feel cheated cause in three check marks ALL your sweat and effort and great nursing care that took so long is documented!
  23. General E. Speaking, RN

    not looking "put together"

    General E. Speaking, RN replied to Otessa's topic in General Nursing

    I work with a great nurse who has the worst BO ever! I was standing behind him. The RT was in front of him. He raised his arm up in front of me and I nearly passed out. The RT saw my eyes rolling...
  24. General E. Speaking, RN

    Song lyrics that remind you of nursing...

    General E. Speaking, RN replied to grace90's topic in Nursing Humor

    Lynyrd Skynyrd: Ooh, that smell Can't you smell that smell? Ooh, that smell The smell of death surrounds you,
  25. General E. Speaking, RN

    Highest temp you've seen?

    General E. Speaking, RN replied to General E. Speaking, RN's topic in MICU, SICU

    same here. Just posted in F for easy