bellehill

bellehill RN

Neuro Critical Care

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All Content by bellehill

  1. Wake up...Are you in pain?

    bellehill replied to sharann's topic in Pain Management

    I don't wake patients up to assess pain level. On the floor we are required to check vital signs q4h and assess pain q4h so it works out well. If my patient isn't sleeping that is a different story,...

  2. Is there something comparable to Toradol that can be given IV for pain?

    bellehill replied to bellehill's topic in Pain Management

    I am nodding! I was taught the potentiating effect of Phenergan when I was in school and that was just 4 years ago. When I got out I worked on a women's health floor and everyone got Demerol and...

  3. Is there something comparable to Toradol that can be given IV for pain?

    bellehill replied to bellehill's topic in Pain Management

    Our doctors love Dilaudid for just about anything, they say it has fewer side effects than Morphine. We actually use sliding scales for the pain meds...if the patients pain is 1-5 they get so much...

  4. What do you do when....?

    bellehill replied to Seelo's topic in General Nursing

    If it is a once a day dose I will run it on a primary line. If the abx is to be hung q6 or q8 then I will piggyback it into a 250cc bag of NS. Yes I have kept KVO going without an order...if a pt...

  5. Nurses and their own health care ...

    bellehill replied to RNPATL's topic in General Nursing

    I'm a female and will avoid going to the doctor at all costs. Lucky for me my travel company requires a yearly physical otherwise that might not get done either. I am much better at diagnosing and...

  6. Desperate!!!

    bellehill replied to InfoNurse1595's topic in General Nursing

    My experience is that bedside nursing is just that...bedside nursing. You either love it or hate it. I was going to suggest ICU until I read that you want something less intense. Of course you...

  7. surgical consents

    bellehill replied to ybmucg's topic in General Nursing

    Your floor should have a policy manual with info on obtaining consent. Doctors are supposed to obtain the consent when they talk to the patient, does it happen that way...no. What the doctor will do...

  8. compression injury at C3-4

    bellehill replied to tcrn's topic in Neuro Intensive Care, ICU

    elizzy is right, he will probably go back to the ICU overnight. Just remember all the advice you have given your patient's family members about going home and follow

  9. compression injury at C3-4

    bellehill replied to tcrn's topic in Neuro Intensive Care, ICU

    My first thought as a neuro floor nurse is to tell you to go home and get a good nights sleep. The nurses on the floor deal with neuro surgery patients everyday and they know how to take care of...

  10. Virtual Surgery Game

    bellehill replied to gwenith's topic in General Nursing

    Great post and link! From the sounds of things I would rather be a

  11. Where do you want your nurse, in the event of a cardiac emergency?

    bellehill replied to jjmouse's topic in Patient Safety Issues

    I too am curious if you were required to respond to this code. I understand your co-workers concern about needing you back on the floor, but not so they could take a break. Are you part of the "code...

  12. theory for new pain scale

    bellehill replied to laurakc's topic in Pain Management

    I have had patients in the past say that it is hard to judge their pain level based on a 1-10 scale. Personally I don't like the 1-10 scale but it is what we have. If a patient is unable to place a...

  13. Ouch! Emergency Room Drama Episode

    bellehill replied to NurseHardee's topic in Patient Safety Issues

  14. If Bill Gates gave you a grant for several billion dollars and said design a hospital

    bellehill replied to Roland's topic in General Nursing

    Good cafeteria food for night shift with a never ending supply of fresh-brewed coffee (sorry, hungry and tired right now). Equipment for every patient already setup in every room. Enough blankets and...

  15. Newsweek letter to editor

    bellehill replied to CoffeeRTC's topic in General Nursing

    Never have I seen a resident pick up the slack from nurses...usually they are running to get us. I have never worked ER but on the floor it just doesn't

  16. Critical thinking exercise

    bellehill replied to Teacher Sue's topic in General Nursing

    Make sure O2 is turned on, check pulse ox, try another finger...talk to the patient-are they coherent, are they SOB, are they in pain? If all that is normal get a

  17. nurse to patient ratio laws ohio

    bellehill replied to nursecompassion's topic in Ohio Nursing

    As a traveler I can say the ratio laws in Ohio aren't the best but aren't the worst either. I work in acute care/neurology and it isn't uncommon for the nurses to have 7 patients at the start of the...

  18. Travel nursing in Ireland?

    bellehill replied to pedinurse03's topic in Travel

    I know that O'Grady Peyton used to advertise international assignments. Sorry, that is all the help I

  19. Soon to be grad facing doubts

    bellehill replied to Dagwood's topic in Patient Safety Issues

    I was so scared before my NCLEX I almost made myself sick, little did I know that was the easy part of being a nurse. My school sponsored a NCLEX review section for 3 days and that was a huge help....

  20. Pseudoseizures?

    bellehill replied to NurseJacqui's topic in Patient Safety Issues

    My very first pseudoseizure patient was a learning experience. The patient appeared to have actual seizures, as many as 14 a shift...I was the only one who believed her. While no one told her she...

  21. What do you think is the MOST difficult clinical skill to acquire in your experience?

    bellehill replied to Roland's topic in General Nursing

    I can do blood draws, IV starts without a problem. Love placing NG tubes...my problem is foleys/straight caths. I hate to cath people, I can do it but hate it. For me the most difficult skill is...

  22. Do nursing schools actually conciously REALIZE they are being ridiculous or is it a..

    bellehill replied to Roland's topic in General Nursing

    I loved my nursing instructors too! They were hard and not always fair but my job is a lot harder and less fair. They gave me a good base of knowledge that I have been able to build on since...

  23. RNs Performing Housekeeping Duties!

    bellehill replied to allsmiles's topic in General Nursing

    I agree tweety and nursemaa, I have cleaned rooms to facilitate patient transfers and all it did was take me away from my other patients. I have no problem cleaning if I have nothing else to do, but...

  24. Back Fusion Surgery

    bellehill replied to luckymichelle's topic in General Nursing

    I am by no means an expert, but I am working on a neurosurgery floor now so I see a lot of back surgeries. A fusion is when the disc that is herniated/bulging is removed and the vertebrae above and...

  25. Clogs <dansko?>

    bellehill replied to joyflnoyz's topic in General Nursing

    I too twisted my ankles in the closed back Dansko clogs. They were comfotable for a couple months, but not worth the price. Now I am wearing Timberland clogs which have great arch support and were...