*ac*

*ac*

Member

  • Content

    514

  • Visitors

    7,031

  • Followers

    0

  • Likes

    1

All Content by *ac*

  1. Are You Using the Right Mask?

    *ac* replied to indigo girl's topic in Disaster Preparation

    I do not understand WHY, every time I work, a patient's indicators get CHANGED to contact/droplet. Routine: A pt is admitted from ER during the night with resp distress or fever of unknown origin....

  2. There won't be any raises this year

    *ac* replied to Manatee111's topic in General Nursing

    We have cuts: in differentials, by

  3. Failure to thrive

    *ac* replied to ringaroundtheposey's topic in Pediatric

    There are two take-home messages here. One is that if the baby's not growing, the brain's not developing!!! Second is that most FTT is social. We cannot put the baby's brain at risk while we try to...

  4. Question on Pediatric Insulin Administration

    *ac* replied to ChristineN's topic in Diabetes, Endocrine Nursing

    At my hospital, even the chief residents don't have that autonomy; there's no way the nurses will get it. As I said, only the attending endocrinologist makes dosing

  5. Question on Pediatric Insulin Administration

    *ac* replied to ChristineN's topic in Diabetes, Endocrine Nursing

    Just speaking from my own

  6. CNL program at University of Maryland

    *ac* replied to Blondell's topic in Maryland Nursing

    It depends on what you want to do. Do you want to go into an ICU-type setting? You will have more opportunity for clinicals in these settings as a CNL, which could get your foot in the door for hire...

  7. Question on Pediatric Insulin Administration

    *ac* replied to ChristineN's topic in Diabetes, Endocrine Nursing

    In almost 2 years of acute care pediatrics, I have never had a "known" stable diabetic peds patient. They've all been newly dx or dka. I'm sure there are such pts, but we have a 30+ bed unit, so they...

  8. insulin pump concern

    *ac* replied to ShantheRN's topic in Diabetes, Endocrine Nursing

    I know one person who cuts a hole in the front pocket of her scrub pants, puts the pump in the pocket, then feeds the tubing through the hole. This keeps everything inside her

  9. Question on Pediatric Insulin Administration

    *ac* replied to ChristineN's topic in Diabetes, Endocrine Nursing

    Our patients WAIT. Only the on-call endocrinologist can make the dosing decision. This is because the carb-ratio and correction factor is different for each child and is often adjusted q dose. I...

  10. Would You Accept Swine Flu Vaccine?

    *ac* replied to pagandeva2000's topic in Disaster Preparation

    Here's another problem: We absolutely do NOT have enough private rooms to keep all possible H1N1 patients isolated. We can't even adequately cohort them. So we do so-called spatial isolation, which...

  11. Would You Accept Swine Flu Vaccine?

    *ac* replied to pagandeva2000's topic in Disaster Preparation

    We have just been told that pregnant nurses are not to care for anyone who is "rule out H1N1". Also, a month ago, no tests were coming back from the state as positive for H1N1. Now they ALL are. I...

  12. Most important, commonly used meds in real world?

    *ac* replied to SiennaGreen's topic in Medical-Surgical

    good lists I would add ranitidine

  13. should a person work if they don't have to while in school?

    *ac* replied to scrublifenurse10's topic in General Students

    I would suggest keeping your foot in that door, for possible hire after

  14. Does your area have a low patient census?

    *ac* replied to TigerGalLE's topic in General Nursing

    We are usually low in the summer, but this summer it's been up and down. Haven't been called off since May, which is unusual for summer. Been called in extra several

  15. Intravenous regular insulin

    *ac* replied to echoSN's topic in Emergency

    I have a funny feeling the OP is asking if subq and IV are interchangeable, and of course they are not. If the order says SC, it must be given

  16. Nurses providing good "service"?

    *ac* replied to SoundofMusic's topic in General Nursing

    Sometimes I want to scream at the top of my lungs, There is NOTHING, NOTHING I can do about the food!! And I really, really wish I did not have call dietary every single time I work and suck up in a...

  17. Flushing/heparinizing PICC line before and after peak and trough?

    *ac* replied to nervousnurse's topic in General Nursing

    We do peaks for some drugs, not usually

  18. Required Texts; Are they really required at UMB?

    *ac* replied to jtk57's topic in Maryland Nursing

    Yes, I

  19. Required Texts; Are they really required at UMB?

    *ac* replied to jtk57's topic in Maryland Nursing

    Check the bulletin boards at school for people selling used scrubs. If no luck with that, buy them where ever you want - just get the colors right, that's all that matters. Buy used books, and do not...

  20. UMB Adult Health/Med Surg Tips

    *ac* replied to Blueorchid's topic in Maryland Nursing

    Study from the "clinical companion" to your textbook. And remember, you only have to pass, not get an A. Conrad's m.o. is to initimidate. Just ignore

  21. UMB Parking

    *ac* replied to jtk57's topic in Maryland Nursing

    All the crimes that I can remember being reported in that area have been against men. The most recent ones that come to mind were a doctor getting mugged and a medical student getting bike-jacked....

  22. Change dosing time - electronic charting

    *ac* posted a topic in General Nursing

    If a doc enters an order for a med to be given qpm, it "populates" the e-mar at 2200. Recently I had a doctor come by the desk and ask me to give said med at dinner (to avoid nausea), which was at...

  23. PCA pump syringe changes

    *ac* replied to ldudziak's topic in Patient Safety Issues

    Our PCA pumps use bags, not syringes. They usually run out or are discontinued before this, but the rule is 96 hours, bag and tubing. IV fluids which have dextrose in them are changed q 24 hours....

  24. UMB Parking

    *ac* replied to jtk57's topic in Maryland Nursing

    There are actually better, quieter places to sit in the hospital than the cafeteria. For example, every floor of the Gudelsky building has a family waiting area - you can see them from the lobby if...

  25. UMB Parking

    *ac* replied to jtk57's topic in Maryland Nursing

    You can sit inside the hospital cafeteria 24/7, they just don't serve anything before 7am. Lexington garage is the official student garage, with overflow (which happens really frequently, especially...