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*ac*'s Latest Activity

  1. *ac*

    List of most commonly prescibed meds, please

    Didn't see these, which I give a lot: Miralax Go-lytely ampicillin ceftriaxone gentamicin carafate
  2. *ac*

    What the heck is going on?!

    I have researched this topic a lot. Viruses DO NOT attack the pancreas causing Type 1. It is autoimmune. This means the body's own immune system attacks the beta cells (not the whole organ) of the pancreas which produce insulin There is a THEORY that a virus may set off or accelerate the immune process in those ALREADY GENETICALLY pre-disposed. This would happen because the antibodies look, to the immune system, similar to the pancreatic beta cells.
  3. *ac*

    What the heck is going on?!

    This is annoying beyond words for people who live and/or work with Type 1. It is a ridiculous and dangerous myth to saddle kids with. Just so ignorant.
  4. It's been said before, but I'll say it again. DON'T sit in the chairs unless you're absolutely sure there are enough (there aren't). Bring treats. Not just on the last day. If you really don't have any work to do, ask what you can do to help. We have plenty of ideas. Use the computers only for looking up info about your patient. Try to find computers as far away from the station as possible. Do NOT complain about how tired you are. Seriously, do NOT do this. For the most part, you are a great help to us and we appreciate it. Thank you.
  5. *ac*

    Know Thyself: Prevent Mistakes

    I don't get where the big mistake was. As nurses, we do not blindly follow orders; we are expected to use our own discretion - this is part of the "critical thinking" that's always drilled into us. I know plenty of surgeons who would have been completely annoyed to be called for a clarification of suction orders when there were no secretions. I would not have called unless I had at least one or two other questions. TV issues, room temperature (for the comfort of visitors), OMG, these things are so annoying, but reality is that the hospital expects US to attend to these things, to make the family happy - it's part of customer service - so that the family will choose our hospital in the future. Does the care and safety of the pt come first? Of course it does, but we can't pretend these other issues don't matter. I really think this was a no-win situation.
  6. Just like to add this: From my experience, at least 80%, maybe more, of people who've recently had ANY kind of surgery, will, a few days later feel that something is TERRIBLY wrong. My theory is that all the initial anesthesia has worn off, now getting PO pain meds, as opposed to IV, and maybe most importantly, they are no longer the center of everyone's attention. I truly don't mean this in a bad way. It's just that immediately post op, there is a ton of monitoring and close contact with the health care team. When this eases off, the patient/family starts to take over the worry. Then, I think the anxiety actually increases pain, and here they are. It happens in peds ALL the time. I mean so frequently, that it's almost comical. As a side note, my own contribution to allaying this visit is to go over discharge instructions VERY carefully with post op patients/families, so that they are very clear about what to expect and what to watch for.
  7. *ac*

    What is pediatric nursing like?

    I couldn't disagree with this more. When we have docs cross-covering from adults, they must have their hands held, because we look for completely different things with kids, give different meds and fluids, and all dosing is weight-based. Babies cannot tell you their hand is burning, and within 30 minutes of an IV site looking totally fine, it can be completely infiltrated. A small child can go from an iffy respiratory status to ICU status in minutes, too - and they cannot put on the call light to tell you they can't breathe. As to wether or not this is the right area for you, most people either "do kids" or not. Go for a shadow day and see if it feels right to you.
  8. *ac*

    Did I do something horribly wrong?

    If you didn't prime the main line yourself, then you don't know where it's been. Sometimes, for whatever reason, when you're priming it, it gets air in it and to really make it prime quickly and get all the air out, you might take the cap off and hang it over the garbage. (But just so you know, some people believe that horrible bacteria can fly up out of the garbage into your line.) So, then it would be a pretty good idea to clean it off before attaching it. Either way, don't we all have bigger fish to fry?? But as others have implied, nursing school is a dictatorship. So it is, also, when you get a job and work under a preceptor. Eventually you'll be on your own and thinking/doing for yourself whatever you think is right/reasonable within the p/p of your employer.
  9. *ac*

    Time to call a duck a duck?

    Didn't read the whole thread, but have a quick .02. I feel like nothing but a warm body filling a number on an fte grid. Period. When in any kind of group setting, wether it's rounds at bedside with MDs or in a meeting, I feel like other disciplines are PRETENDING to respect the RNs opinion, because somebody, somewhere has told them it would behoove them to do so. Just the feeling I get.
  10. *ac*

    Phone calls & families <sigh>

    What really KILLS me is when the caller is angry because they claim they've been calling every day and getting info from the nurse.
  11. *ac*

    Alert patients who refuse meds.

    I have learned that there is no point at all in trying to wake a sleeping teenager in the morning - unless the med is very time sensitive, I just hold it till later. The fact that they were up very late is not necessarily bad parenting - remember teenagers are wired to be up late. Many of them really can't fight that tendency. This is why many high schools across the country are changing to later hours... That the mom wouldn't help, well, lots of kids are in the hospital in some part d/t dysfunctional families. But whatever, who are we to judge? At least this mom was there - I take care of tons of kids who never have a visitor, much less a family member bedside.
  12. *ac*

    How do I find a job in a doctor's office? please help!

    It's not necessarily less money. Hospital based clinics are exactly like doctor's offices, but he title and pay scale are the same as hospital. Look for these jobs on hospital websites. I've been told by recruiters that these are actually difficult jobs to fill.
  13. *ac*

    What is the work schedule like for RNs?

    Varies by unit at my hospital. Where I am, new RN's must rotate for the first year. This is because some things are done only on days and some only on nights, so the idea is to get all the experience. Then, if you want, you can go to straight nights, but it takes several years of seniority to get all days. We work 3 12's per week, somewhat self-scheduled. Plus you can always trade shifts to get what you need, within certain parameters. There needs to be a certain experience mix on each shift, so you can't trade to the point that the whole shift is newbies. For experienced nurses in my area, straight nights are easy to get.
  14. *ac*

    Gum Chewing

    I agree that it looks unprofessional and I can't stand to be around anyone chewing gum! BUT, I LOVE doing it!! I love the taste of a fresh piece, I love cracking it. I hate the way it makes me look, though. I try to limit it to a little while after lunch. It's such a dillemma.
  15. *ac*

    Working as a nurse for medical mission trips

    The Red Cross.
  16. Maybe the needles weren't primed first. I really hope you aren't giving the patients their pens back to be used as intended, because once you draw out of a pen cartridge with a needle, then it IS inaccurate because the plunger of the pen hasn't moved - there's most likely air left in the cartridge.