nservice

nservice

Tele, Renal, ICU, CIU, ER, Home Health.

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All Content by nservice

  1. Mophine IM vs IV

    At my hospital, IM injections or pain medications are "Highly discouraged" per Policy. This is a new policy that I updated last month as a member of the pain committee. This is due to unreliable...
  2. whats the name of .........

    Yep, and if you ever have sciatica, you'll never
  3. DUH moments..

    During my first year as a nurse, I helped a little old lady to the bathroom. She said, "Honey, I'm going to need the paper". So I went and got her newspaper off of her bedside table. She started...
  4. Portacath question

    I'm not an oncology nurse, but I have worked with the port-a-caths before. The "hook" is called a huber needle. It allows you to access the port without leaving a big hole in it. Accessing the port...
  5. Hematoma post Angiogram

    I agree with all of the above. Also check the abdomen for distension (retroperitoneal
  6. Steady Drip of documentation

    I agree that the amount of charting it outrageous. I would like to point out, though, that "They" is JCAHO. As a member of the JCAHO Committee at my hospital I finally understand why all these forms...
  7. To set something straight

    Your boyfriend is wrong. Yes, these are adults, but there is self abuse too. It is our duty to report a situation like this to APS. I'm not saying that anything will be done about the situation,...
  8. Settle an argument for me

    When I graduated I paid for a review course. I went one day and didn't go back. I felt like it was wasting my time. I studied by taking practice NCLEX questions, timing myself, and reviewing...
  9. ob staff educator

    evie, I'm a Med-Surg educator. I've only been in this role for 9 months. When I started, I made up some educational request forms to be filled out by staff and had them turn in their request for...
  10. med calc help

    You should be able to do these without a formula since the numbers are so small. Morphine is 25 mg per 50 ml. That is 1 mg per 2 ml. if you want a 4 mg/hour dose, you will run it at 8ml/hr If you...
  11. Cheating in Nursing School

    I certainly wouldn't want a nurse who cheated his/her way through nursing school, making life or death decisions about me or my family. Thank you for protecting the integrity of our
  12. others doubting your decision

    Yep, My mom is a nurse and she said I'd never make it through nursing school. She was wrong. I passed with
  13. short cut to remember!nclex study tip...

    I can't remember where I heard this, but I think of Beta Blockers as the "don't give a sh*t pills". lowers B/P, Heart rate, can cause fatigue, drowsiness, cold hands/feet, dizziness, impotence,...
  14. in nursing you never get close....

    I have to admit I get too close to my patients sometimes, especiallly when I worked home health. I took care of one lady for over a year. She was originally a hospice patient, but just wouldn't die....
  15. My first young-eating experience

    Yes, Please share your project with us when you're
  16. ACLS Certification computer based?

    I'm not sure of the program, but did my recert from a computer program once. This was in Louisiana. I found the computer program to be much harder than the mega code. With the computer, everything...
  17. Agency Nurse doesn't know how to start IVs?

    I'd have mercy on him. This really is becoming a problem with the implementation of IV teams. I've encouraged my nurses to always try and start their own IV's at least once a week to stay in...
  18. I Never Remember....

    I always forget which bed is A and which is B. (double occupancy rooms). I cover two different hospitals (same owner) and at each hospital it's different. Kind of unsafe for the nurse that floats...
  19. too much overtime!!

    Are those beer mugs? It is Friday ya know!!!!
  20. too much overtime!!

    ahhhhh...thanks!
  21. too much overtime!!

    Now will somebody please teach me how to quote other
  22. too much overtime!!

    A number of ppl have now said that they have "done it themselves", and then criticise the new grad. People in glass houses shouldn't throw stones Not throwing stones here, just sharing my opinion and...
  23. too much overtime!!

    I think it's very hard to make a judgement that someone, new nurse or not, is 'unprofessional' when you say you have done it yourself. Who hasn't talked to their colleagues when they are unhappy? It...
  24. too much overtime!!

    now here I am feeling like a big fat jerk. should I call her to apologize, should I call & say I'll just come in? I am not sure what to do. I would definitely address this issue with her. It was...
  25. Question about demanding COPD patient

    This behavior is what I call a typical COPDer. Your guess is as good as mine as to why they act this way. They are used to having their meds when they want them at home. I do believe, as previously...