al7139

al7139 ASN, RN

Emergency

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All Content by al7139

  1. breakin down

    I think it happens to alot of students. I cried after my second clinical. I had a lol with contractures in all 4 extremities, we had to assess and clean her up after an incontinence episode. It was...
  2. Drug Seekers

    Hi all, I am just curious how you deal with drug seeking behavior as a nurse. I have a hard time with these people, because while I know they need help (like a rehab or psych hospital), their orders...
  3. I am unable to convince my SO that you can't get the flu from a flu shot. Last year he got a severe pain in his toe. I knew it was probably gout, but when I told him he needed to see a Doctor, he...
  4. Fluid restrictions vs Patient rights

    Hi, Heres my two cents: I work on a tele unit where we see lots of patients with CHF and abnormal labs that would benefit from fluid restriction to correct the problem. If the patient is A&O, I...
  5. New Onset AFIB..Is it an emergency?

    Heres my 2 cents: I work on a tele unit and we get lots of new onset A-Fib. They are usually admitted 2 ways; either they went to their PCP who found it on a routine exam and want it worked up (the...
  6. SL Nitro Error...How is this possible?

    Hi all, FYI: The patient never had a problem. He was discharged the next day after a negative stress test. I think I am still in shock over this one... Can you imagine if we had never found out and...
  7. Hi all, No, it was not my error, but I got the patient at start of shift. Ok, here is the situation: There was a new admit to the unit who came in for CP. Per my charge, he had active 10/10 pain on...
  8. Hi and welcome! I can only speak for myself, but I started on a tele unit right after graduation. I actually did 2 clinicals and my preceptorship there and applied for and got the job before I got out...
  9. I am an American.

    My 2 cents: Where I work, we have lots of staff (not just MD's) from other countries, cultures, religions, etc. America is the Melting Pot...right? We (all staff) are required to take a cultural...
  10. Had a LOL who was admitted s/p fall with ankle fx (not sure why she was on a tele unit instead of ortho) who was a really bad sundowner. One night we admitted another pt into the room next to hers....
  11. Your Favorite one liner used with patients

    After unhooking a patient from the IV pump, I will say "You are now free to move about the country." To a frequent flyer who stated "Can't anyone do anything right around here?" I replied "Then you...
  12. New nurse, completely discouraged

    I am sorry that you have had such a bad experience where you work. When I graduated, I really wanted to go directly to the ED, since that is my interest. Instead, I took the advice of more...
  13. Nursing Superstitions?

    NEVER, EVER say the Q, S, or B word! It will always lead to a bad shift. If you agree to work extra, or change shifts with someone, you are guaranteed to have a terrible shift. If I have to start an...
  14. These are great! It's nice to know I am not the only one who has picked up habits like this. I definitely check out arms for good veins. I look at people in public places and diagnose them. I have...
  15. Question about weight-based drips

    Where I work, they stay the same according to the admit weight. The pharmacy looks at the patients weights daily, and if there is a significant weight loss, they may adjust it, but they do that not...
  16. I can't let you do that- it's against policy!

    I love you all who have turned a blind eye to pet visits! Being a dog owner I understand how important it is to some people to see their pets. I would want to see my dogs if I were in a hospital for...
  17. Heres from a nurse who has worked on a tele unit since graduating: First you will make mistakes...its' a fact of life just hope you don't kill you patient in the meantime. If I had to be giving...
  18. Really Bad Code...

    Hi, I need to share this, in hopes that another nurse has experienced this. I work on a Tele unit where the patients are mostly stable with MI, CHF, post STEMI, etc. We do not generally have codes...
  19. Nursing Textbooks: Keep or Toss?

    Hi, I graduated 2+ years ago and currently work on a Cardiac unit. I kept ALL my textbooks and my A&P books. I still use them as references for disease process, nursing practice, drug reference,...
  20. Hand sanitizer destorying my hands

    I like the Gold Bond Ultimate. It really heals the cracking palms and in between my fingers. I keep a tube with me at work, and lather it on at night before bed.
  21. Strong personality not good for Nursing?

    Leesha, I completely understand where you are coming from! I am a nurse with 2+ years experience. I have had the same job since I graduated. When I was in school my strong personality wasn't really...
  22. Is this ever acceptable?

    In my hospital we do reinstill the blood, but only if we use a closed system and sterile procedure. Otherwise we draw a "blank" (either by syringe or vacutainer), draw the labs and waste the blank,...
  23. The most comfortable Nursing Shoes

    I agree that it depends on your foot, but for me it's Crocs. I used to buy expensive sneakers and then have a friend of mine who is a pedorthist make me a set of orthotics, but with the Crocs I don't...
  24. Hi, Can anyone tell me anything about RN positions at the PNH? I have heard the salary is good, and the benefits great. I currently work at a Sentara Hospital, but am looking at other options...
  25. Need an AllNurses Nurse to Interview

    Here are my answers (2 Cents): I went to school (college) for 4 years. I had a GED. Again 4 years. Of course you have to test for license...so does everyone! I work in Cardiac Care (telemetry unit)....