ageless

borderline...definately

P.S. Social skills are indeed needed in the OR. Even after the patient is asleep, there is team work.

double post...sorry

That is exactly why I posted this article. So often we simply look up the policy and believe that will cover our actions or we advise posters on this board to consult the policy & procedure manual at their facility and think this will envelope them in a blanket of safety. Yep, I am mistaken!

Our medical director has set a net maximum ultrafiltration of 2L/Hr. Perhaps, you could speak with your medical director and get a general written policy on this, or a specific UF prescription for this patient. Best wishes

LegalPad From the 8/05 issue of Update for Nurses Negligence occurs when a nurse fails to follow the "standard of care." Although nurses often use this term to describe their normal practice, this term has a very specific legal meaning. The legal definition of "standard of care" is the basic level of care that is required of a reasonable and prudent nurse in similar situations. It is not the highest level of care, and it is not a regional or hospital specific standard. The standard of care is a national standard. Therefore, your care will be compared to that of other nurses nationally. In other words, it is not OK to say "that's the way we've always done it." If national standards and guidelines exist, your care will be compared to them. So, even following your hospital policies and procedures will not avoid negligence, because they may be deemed as below the national standard of care as well. The best way to maintain a practice that meets the standard of care is to keep up to date using national resources and to become involved in hospital policy reviews to assure that you are practicing at a level that meets current standards.

As long as you are giving the preferred professional notice of one month, leaving for new a experience to futher enhance your training and skills is a perfect answer. Best wishes in your continuing career!

I have known nurses who have pinned their rings to hospital scrubs, forgot and lost them to the hospital linen service.

What crud are nurses delving onto without a gloved hand? :uhoh21:

I turn the the setting toward my palm when applying my gloves and never have a problem.

I assume you are speaking of lipids causing a foreign body embolism or more specifically a fatty embolus. TPN can cause a gaseous embolism if combined with chemically incompatible substances.

you can go to your profile and click on the threads you have started and commented on: 1. Quick links 2. My profile 3. Threads or left click on another posters name to go to their profile and find the threads in which they have participated.

according to my iv drug administration book by mosby, there are physical and chemical incompatibilities. these can cause precipitation and gas evolution in drug mixtures. temperature can also affect solubility and compatibility along with ph and even the rate of administration. i take this to mean an air embolism or gas evolution can occur if incompatible chemicals are mixed in the same lumen. i have never heard of a problem if using different lumens. i flush before and after each piggyback to check for patency and maintain the integrity of the lumen. this also prevents incompatibility problems. in general, i do not piggyback drugs in tpn because of the high risk of infection along with the other incompatibility factors. if i have a doubt, i call the pharmacy and document their instuctions.

I think these questions would be best answered by your health care provider.

I was required to take critical care nursing and pass before graduation. It was in my senior year.

We are still hoping for you! Today is the day!!

The worst was a time when a family was standing around a 90 year old A&Ox3 man lying in the bed while they decided code status. When one member of the family brought up DNR another grabbed a pillow and held it about a foot over her father's face and screamed "NO, No, we can't or we should just smother him now!!! It had the whole floor upset!! they fought over his bed for hours!

What tests did you request from the physician?

.......If you are using an IV pump, speak with an instructor on how to set the pump. Or have the instructor show you how to tie in a piggyback by gravity. a picture is worth a thousand words and too many words and variables would be needed to explain all of that here. Best wishes!

daily duties.Hmmm.......... I guess that is a way to think of it. Your daily duties are taking care of your assigned patients and prioritizing their care. Your day begin with report and then a head to toe assessment of your patients, comparing that to normal patho or what is normal for them and their disease process or condition. Your duties are written as physician orders... like meds and procedures. Most orders are timed events. Be familiar with medication administration times such as TID, BID. AC & HS etc....also beware of stat, prn, and now orders. Look up all meds that are unfamiliar to you..but think of them in groups, like beta blockers, Ca++ channel blockers...that way you can already know things like side effects. You could make index cards to make it faster. Some units assign certain daily tasks like checking the crash carts and CBG machines. It will all fall together in time...best wishes!

I am payed for my critical thinking skills. The fact that I clean "poop" is... Langnaippe (a little extra bonus) :rotfl: :rotfl: :rotfl:

http://lpn.advanceweb.com Just found this on another forum:

google turns up nothing...... in english anyway. Do you have the spelling correct. I would like to help, even would translate, but cannot figure out what language the few hits I got are written in.

nursing management - fulltext: volume 36(3) march 2005 p 38-44 the national council licensure examination for registered nurses (nclex-rn) is a standardized test mandated by every us state board of nursing. ... www.nursingmanagement.com/pt/re/ nursemgmt/fulltext.00006247-200503000-00014.htm this is what i found with google

Quote: Originally Posted by grannynurseFNP Without intending to do so, you have just angered approximately 60% of the nurses, in this country................................... Grannynurse :balloons: Why does this bring out our anger instead of our problem solving skills. I do not see winner or losers...just registered nurses who must confront a professional issue involving education. What are we afraid will happen if our educational track become standardized. When can WE as a profession come together to find a professional solution? As long as this debate continues we will have CEO's who say silly things like "nurses should marry better to have better pensions".