al7139

al7139 ASN, RN

Emergency

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All Content by al7139

  1. Hi all, I just have to get this out! I get really irritated when I see assessments on patients that are not accurate! It is a personal irk of mine. Heres an example (and one that absolutely drives...
  2. Charting Issues that Really Bug Me!!!

    I loved hearing your thoughts, especially Thornbird's. I frequently get in report "lung sounds clear but diminished" It makes me wonder two things: 1. Did you really listen to your patient? and 2....
  3. Doctors come for procedures bad time

    OMG!!! So very true!!! Drives me NUTS!!! I get the "Your name is on the board..." speech all the time, because our AA's are proactive, and do the board ahead of time. Also, I HATE when the docs keep...
  4. Need help choosing 1st job....

    Hi again, I will add that most nurses are perfectionists. It is a good thing in this field, but don't delude yourself into thinking that you will never make a mistake (in fact, accept that you will)....
  5. Need help choosing 1st job....

    I graduated and went to a cardiac/tele/medical unit. It was an ideal place for me to start. I got to learn alot, and do all kinds of things. I was like you at first, and wanted to go into ER or...
  6. Need advice

    I did A&P II with Micro, and I did OK (got A's in both), but it's not for everyone. It helped that the classes were fun and interesting, and the teachers were really good. I advisetrying to...
  7. I know this might sound ridiculous, but

    Trust me, you are NOT alone in this! I have a moderately "cast iron" stomach, but there are things that still make me gag or retch. For me, it is seeing and hearing someone else vomit (especially if...
  8. How Much And How Long

    Hi there! I am a nurse in HR, and I graduated last year (2007). I actually went through the TCC School of Nursing. To do my prereqs and all my other required classes other than nursing it took me 4...
  9. Nursing family members

    Hi there! Actually, it was caring for my father while he was dying that decided me on nursing. I had 16 years of veterinary experience before he got sick, and when he was diagnosed with terminal...
  10. What stethoscope do you have?

    I have a Littman Cardio III. I also got it as a Christmas gift right before I graduated nursing school! I had been using the cheap Prestige Medical $16.00 special at the uniform shops through...
  11. Clinical supervision by instructors

    In school, I had some instructors that were hard to find, and some that were there and available, but not right over me all the time. I saw that alot of times it depended on if the instructor had a...
  12. IV push

    OK, I think what you are asking is if when you are administering an IV medication, do you 1) Flush first, and 2) after, and 3) how much flush to use. Here's what we do at my hospital: First and most...
  13. Thank you....all of you

    Hi! Thanks again for your e-mail to me. I just read your OP here and I am so very happy you made the decision to be a nurse. I predict you will be a great one based on your story and experience....
  14. cna's doing dressings??

    Yikes! Any assistant doing things like giving meds, changing dressings, etc. in my hospital would be writen up or fired. Yes, the assistants are a huge help to the nurses, but they are not qualified...
  15. Advice ER nurses...please

    Hi, Im my opinion, I think it boils down to two things for a new nurse: 1. Does the ER have a really good orientation program for new nurses? 2. How do you personally handle stress, organization, and...
  16. I start next week any advice for new grad

    Hi there! I started one year ago fresh out of school on a telemetry unit. In school I never thought that I would want to do cardiac nursing (hated the subject in school), but my last semester, I did...
  17. HELP-New Grad to Tele- Day or Night?

    Good choice. I am not a morning person (I still have no idea how I got through school!), so I took a job that I work 3pm-11pm. I can still get stuff done before work, and don't have to get up at the...
  18. Syncope with fall at home and now hallucinations?

    Hi all thanks for your replies, I have seen lots of patients sundown, and usually they are so confused already with alzheimers or dementia, that you really don't ever know if they are hallucinating,...
  19. Hi, I am a new (11 months) nurse on a tele unit. I had an 80+ yo male pt the last 2 nights who was admitted for syncope with a fall at home. He hit his head on falling (Bruise on the left temporal)....
  20. Pathophysiology

    To elaborate on what someone else posted, pathophys is the knowlede of the disease process. You learn what happens when the body is ill. As a nurse it is important for several reasons: Firstly, you...
  21. Do nurses do...

    If a nurse has not done the assessment, they should not be charting...I have found on many occasions that what I was told in report, was not the correct info. For example, had a pt who supposedly had...
  22. Had a pt who was 101yo female call to ask me to scratch her lady parts. She was upset when I refused to do
  23. Staffing question & your cardiac floor

    OMG! I could never have 10 pts on a day shift! I work tele also, and our ratio is based on the census. On days and evenings it is MAX 5-6 pts, and there are nurses on every shift that are specially...
  24. Learning IVs

    I had 2 attempts at starting an IV in school that failed. I was so nervous the first time as a nurse starting an IV, but I had a great preceptor, and she walked me through it to a successful start....
  25. Easing Into Nursing?

    Nursing school does NOT prepare you for the real world of nursing. I really thought that I would be fine, but my first day on the floor was a rude awakening, and our hospital has an awesome preceptor...