MPHkatie

MPHkatie

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All Content by MPHkatie

  1. Does normal saline "expire"?

    In a bit of a bind here. I am taking a trip to Africa to assist in Surgery in May. I've put out a call for donations of supplies etc, and have gotten some things, and some more are coming. Today, a nice lady donated 2 big boxes of 0.9% NS in 250...
  2. Need some Help Regarding Practice Issues

    I have worked in 3 ER's and in none of them were/are RN's inserting these items. Sometimes the ED doc does it, however, It seems also if a pt is having such a severe bleed that an assessment by an ENT doctor would be in order, rather than just placi...
  3. guidelines triage etc

    Yikes, I have been preparing for a trip to Ethiopia with the assumption that as a former Neuro RN, I would be teaching the nurses and student about Neuro exams etc. I just discovered through conversation with the Head Surgeon, He also wants me t...
  4. Help....advice Needed Stat

    I'd say it's all about your comfort level. On tele, the patients will have a defined problem (however, of course, any patient can develop new problems at any time). And you generally will have a bit more time to think about the problems (medical o...
  5. Advice for vein/foot problems, RN job options

    At my hospital, many of the oncology patients come in once weekly for radiation or for chemo. The nurses who work in those areas start the IV's, give the chemo, or get the pt ready for rads. and they have a great deal of patient interaction. One o...
  6. Does normal saline "expire"?

    She is the one who told me the expiration date, so I am making the assumption she knew. Often other people give me things they aren't sure of, but this particular person was well aware of the exp. date.
  7. Does normal saline "expire"?

    I'm definitely going to ask the surgeon what he wants to do with it- I don't want to have the weight if it won't be used. There was that media expose- I think maybe 60 min? But the situation was that many of the dates on the items are like Milk- a se...
  8. CNA Before LPN and then RN

    Unless LPN pay in your area is different from most places, you won't make much more as an LPN than you would as an aide with advanced certifications (Nurse Aide II and such). So, I'd skip the entire LPN program- actually, personally, I'd just enter ...
  9. Doctor Asked For A "Kind" Nurse

    Involve court orders for kids in these cases. They are clearly documented in Medical Ethics books. Usually the child gets the treatment. I will always respect an adults wishes in regards to treatment, but Children have the right to grow up into ad...
  10. Hep B vaccine...are you vaccinated?

    I was vaxed for it in the early 90's, then boosted, and boosted and boosted, and Finally, my titre came back high enough. There are several cases of people called "non responders" to the vacciene for B. These people, studies have shown, actuall...
  11. 2 Nurses needed???

    It is a very very strict policy at our hospital (850 bed level one trauma etc). It is a bit old school, as we don't have to verify other, just as dangerous medications, but we definitely sign off on both. perhaps we are a bit paranoid, but we als...
  12. I did feel very prepared for my NCLEX, until about 3 days after I took it, I then proceeded to freak out, lose 11 pounds in 10 days, consume maddening amounts of caffiene, and panic. I think we all do it at some point (the worry, I mean). You have ...
  13. New Killer Pneumonia

    Any:eek: word on how they are treating those infected? Supportive care? or Abx? or WHAT? I think the healthcare exposures will decrease as we become aware and use protective gear, but , I have to admit, I'm soon due to go to Africa and I am not ...
  14. Poster dilemma

    That might just do it- With most of the other problems, there is always some piece of unfamiliar equipment to demostrate, or some diagnostic symptoms, but with Status- well, its usually quite apparent! I was also thinking of getting a copy of an abn...
  15. Poster dilemma

    I am currently working on a series of posters to take with me for a lecture on traumatic and non-traumatic neuro emergencies. So far, I've had no trouble coming up with visuals for meningitis (photos of demonstrations of positive kernigs sign etc), ...
  16. liquid narcs

    with liquid methadone. and actually anything liquid that we don't use the entire bottle of... mark the bottle with a line and a date and time and initial each time you take out with the actual amt that is suppsoed to bei n there. Sometimes we also...
  17. Dependency in Nursing?

    I've worked ER for 4 or so years. three different ER's In ALL, we had nurses who were actually terminated for major drug diversion. In some patient care areas it is extremely difficult to divert, but in others (ER, ICU) it can be extremely easy....
  18. Help Me Please Asap!

    I don't like to do others homework, but here is a really neat demo for you: Choose sickle cell under hematological disorders. Get a piece of clear plastic pipe- preferably with a curve (something like the tunnels from those gerbil houses) Then, get...
  19. "Haven't I seen you somewhere...?"

    One episode was actually filmed in the ER I work in. I avoided the Camera. The day was actually a bit crazy, and it was just easier to take care of the patients and stay out of the camera angle...
  20. new grad icu orientations 6-8 wks- safe?

    I was a new grad in a neurosurgical ICU after 6 weeks orientation. My patients did quite well. We had a nine bed ICU with 4-5 nurses on so it wasn't like I ever really flying solo like I might have been with the pt assignments I heard about in Med ...
  21. Nclex............???????

    OK, to answer your actual questions. Yes, the NCLEX is a national liscensure exam. Without passing it in the US, you pretty much do not have a job, because you wont have a liscence. It consists of a computer exam. You can answer from 75-265 or so q...
  22. loan forgiveness programs

    But, I had a deal where I could work anywhere in the state that was approved (and almost any nursing job was), for the amount of time. I just paid it off this year, though I must say, I might have moved out of state immediately upon graduation if I ...
  23. need advice asap!!!

    Well, you definitely need to call them, I understand that you didn't like the job, but to just leave, well- I'd probably be calling your house a lot more than 2 times a day, and I would definitely have a lot to say. I've had a job for 6 months strai...
  24. What Do You Want To Hear When Receiving Report?

    I must admit, all I want are this: Why is the pt here. What has been done.and how did the pt react to what has been done What needs to be done by me. What is pending and what is not pending. Now, I work ER, so if a patient stays over a day that is...
  25. I can't breath

    You had a vacciene and booster for hepatitis B, not C, so if they drew a titer it wasn't for C. There are a lot of great web sites for support etc, that I found when i thought my Dad had Hep C. I don't believe they will make you quit work, there is...