al7139

al7139 ASN, RN

Emergency

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All Content by al7139

  1. is she RN???

    al7139 replied to laura06baby's topic in General Students

    IMHO, When I was in school, I had lots of people who knew I was a nursing student, and would consider me a nurse, ask me medical questions, etc. I ALWAYS corrected them. I said I am a nursing...

  2. Over sedated? Grrrrrrrr

    al7139 replied to ShayRN's topic in Hospice, Palliative

    Grin and bear it. Everyone is an expert and everyone has an opinion about sedation/pain meds, etc. I am of the opinion that if I am spending the majority of my shift in the confused/belligerent...

  3. IV infusion pumps

    al7139 replied to Julzml's topic in International Nursing

    Hi, I hope this helps a little bit. Here at my hospital, we try to use pumps for all IV infusions, although it is acceptable to place PLAIN IV fluids on gravity or a "Dial-a-Flow." The reasons for...

  4. calling the doc

    al7139 replied to busy-bee's topic in General Nursing

    Hi, I had to put my two cents in on this one. When I first graduated last year and was a new nurse orientee, I heard horror stories about some of the docs we regularly deal with on my unit...

  5. Experience nurses, trick to trade

    al7139 replied to Wishes_RN's topic in General Students

    I only have this: Practice makes perfect. In school, I was unsuccessful every time I tried to start an IV. After graduation, I got more practice at it, and therefore became more proficient. Every...

  6. Protocols

    al7139 replied to Eirene's topic in General Nursing

    Hi, I work on a telemetry unit. We see lots of different diagnoses from CP, MI, CHF, COPD, Diabetes, to medical issues such as cellulitis, stroke, etc. We do have protocols in place for certain...

  7. researching nursing speciaties - need help

    al7139 replied to Nurse Man-ingitis's topic in Cardiac

    Hi there, I have been a nurse for less than 2 years. I got my job before I graduated. I was hired on a telemetry/medicine unit that I did clinicals on and loved it. With cardio, you will not in...

  8. 1st on scene of accident yesterday...what would you do?

    al7139 replied to 3sodapop's topic in General Nursing

    Hi there, I have been a nurse for less than 2 years, so I don't have much experience with trauma (I work on a telemetry unit). However, I am ACLS certified, and have once been the first responder at...

  9. TPA for central Line clots??

    al7139 replied to raindrop's topic in General Nursing

    I frequently encounter clogged PICC lines, central lines, etc. at work. I have never seen the 2 way stopcock method described, but it makes sense. We usually just use the syringe of TPA and push it...

  10. This is what happens when you don't feed the nurses

    al7139 replied to ShayRN's topic in Nursing Humor

    ROTFLOL! I loved the term "Interference" I have so many patients who (sadly) sufffer from dementia, and they really do play in their poop. We check and check these patients, and they still manage to...

  11. Funny dreams about your job as a nurse

    al7139 replied to mondkmondk's topic in Nursing Humor

    I have had some really weird dreams since becoming a nurse. Most of them are the really vivid type after a particularly intense shift. I have woken myself and my fiancee up if it is a true...

  12. Can anyone recommend a decent pair of work shoes?

    al7139 replied to ProudofmyNursingart's topic in International Nursing

    Hi guys, When I was in school we were required to wear "Nursing Shoes" I have to tell you they really sucked! I would come home from clinicals hobbling and feeling like I needed a walker! My feet...

  13. Telemetry Tech position VS. Nursing Assistant

    al7139 replied to mom2three's topic in Cardiac

    Hi, IMHO, either one has advantages and you should consider them in relation to being a nurse. It really helped me to be an assistant on a unit while I was in school because I saw daily what nurses...

  14. Please Help!!!!!

    al7139 replied to AH_AH_86's topic in Nursing Student Assistance

    So am I...I wish I could help.

  15. Is this unreasonable especially as a new nurse?

    al7139 replied to MIcrunchyRN's topic in General Nursing

    It doen't sound unreasonable to me. See if you can be proactive, and ask your fellow staff if there is someone who would be willing to fillin or switch a day on short notice if you need it. As long...

  16. Please Help!!!!!

    al7139 replied to AH_AH_86's topic in Nursing Student Assistance

    I am not clear: Are you reconstituting the Clidamycin in the 50 ml of NS or is it a separate bolus?

  17. Can anyone recommend a decent pair of work shoes?

    al7139 replied to ProudofmyNursingart's topic in International Nursing

    Hi there, I have used orthotic inserts in orthopedic sneakers for work. The drawback to them is that they are ungodly expensive, and the shoes eventually wear out (the inserts, custom made for your...

  18. Substance abusers disillusion me...

    al7139 replied to FireStarterRN's topic in General Nursing

    I truly understand the OP's need to vent her frustration. I may only have 1 1/2 years of experience, but on my telemetry unit, I see pts daily who are drug addicts and alcoholics, as well as a variety...

  19. Artificial Fingernails and Direct Care Staff

    al7139 replied to pumpkin92356's topic in Geriatric, LTC

    It is a policy at my hospital that false nails are banned if you are in direct patient care. Obviously for infection reasons. Anyone who won't comply is terminated. Aside from the obvious reason of...

  20. Baths

    al7139 replied to beachbum3's topic in General Nursing

    IMHO, A pt should never be totally uncovered for a bath. Usually my CNA's do the baths, but I like to help because it makes my assessment easier, since they are already being turned, etc. I was...

  21. Nurses showing up late for work.

    al7139 replied to justmanda's topic in General Nursing

    I admit, I have been late for work, although not habitually. If I am late there is a REALLY GOOD REASON why, not just that I hit the snooze button one too many times. I don't have kids, and I work...

  22. What do you do when....

    al7139 replied to Carla25's topic in First Year After Licensure

    Hi, First rule: NEVER make it up! Even if you feel like you are on the spot. Second rule: If you don't know, say you don't know. I use a line like "I am not sure about that, but let me...

  23. Feeling like an idiot!!!!!!

    al7139 replied to Heart4RN's topic in First Year After Licensure

    Hey all, I feel your pain! I graduated in May '07, and have been working on a telemetry unit ever since... The funny thing is that when I was in school I did not want anything to do with heart...

  24. ACUTE MI -PT/INR results! I need explanation!

    al7139 replied to curious4life's topic in Cardiac

    Hi, Hope this helps: The PT (Prothrombin Time) is the amount of time needed to form a clot. It is measured in seconds. The INR (International Normalized Ratio) is a special mathematical calculation...

  25. Enduring the Pain (long-ish)

    al7139 replied to EleRico's topic in General Nursing

    EleRico, Although never been in the military, from what I understand there are long priods of standing at attention and such that wouls aggravate a back injury. In nursing, you are rarely standing...