Dolce

Dolce RN

Day Surgery, Agency, Cath Lab, LTC/Psych

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All Content by Dolce

  1. IV's to Blow or Not to Blow...That is the Question

    Most nursing textbooks recommend advancing 1/4" after getting a flash of blood. Unfortunately this only works for patients with huge veins. Try to drop the bevel as low as seems reasonable (15% or...
  2. Question about FFP transfusion

    Blood tubing. I open up the clamp and run it right in--usually 20-30
  3. Nicknames your pt's give you

    By one emotionally labile TBI patient, "Red-headed Fart." I don't even have red hair!
  4. Am I incompetent?

    I worked for one place through agency that treated some of the agency staff like dirt! I was amazed at how rude and gossipy they were. The staff weren't even subtle about their dislike for some of...
  5. ER Interview Question

    I think that a button-up shirt and slacks would look the best--no tie. I think a polo shirt might be a little casual and a tie just a little
  6. "The Jesus Factor"

    Wow, excellent post. I have offered many times to pray for patients and have had patients ask me to pray for them. I have never pushed it on a patient and have been respectful and sensitive in doing...
  7. I have cared for many patients with narcotic addiction or tolerance issues and I am amazed at how few are actually honest about their issues. I have cared for several (some prisoners) who have...
  8. Legal?

    Happens all the time in LTC and hospital settings too. I prefer a faxed order over a verbal or telephone one because it is already signed by the doc and there is much less chance of making an error....
  9. Should I???

    If I were you I wouldn't take medical terminology while you are in your nursing program. Your nursing program should cover medical terminology and test you on it, but if you want to get a jump on it...
  10. I think Ive met that ONE person....

    Try to blow it off if you can. Some people have very poor social skills and don't even realize how rude their behavior is. Other people are so consumed with themselves that they don't pay attention...
  11. what are your must haves

    Must haves that I always have on me: stethoscope, sharpie, scissors, pens, gum, alcohol swabs, hair tie, chap stick. However, the most huge, important must have is a WATCH!!!! The days that I...
  12. Lipping the bottle

    I was taught that same thing and it never made much sense to me either. Thankfully so few dressing changes that we do now are sterile that it hasn't been an issue but I do feel kind of silly pouring...
  13. Need y'all's opinion please

    When I had problems with a facility I was staffing as an agency nurse I spoke with the agency about it. Your travel agency needs to have a heads-up about this woman and her management skills because...
  14. Have you ever done IO IV Placement?

    I just finished the ACLS refresher course and the new AHA guidelines specify making two attempts at IV access and then proceeding directly to IO. I've personally never done IO
  15. Delegation

    When I graduated from nursing school I thought I was going to have a big problem with delegation because of my age. However, this has never been an issue for me. I start the shift by giving report...
  16. Nursing Home Rehab Units

    I did that for a while and hated my job. I just felt like I did not provide good care to the patients at all. With rehab nursing a huge key component is time. Patients need staff to be able to have...
  17. Question about preoperative medication

    Pre-op medications have a certain time frame that they have to be given within. For instance, Ancef needs to be infused 30 minutes to 1 hour prior to incision. Other antibiotics have other time...
  18. Question????

    I've never seen an agency that charges the nurse. They all get paid by the
  19. Misleading information

    Well, I know that Apollo College accepts students and turns them into LPNs in eleven months. I think that they incorporate all of the pre-reqs into their program to get it all accomplished in a year....
  20. Need Advice...

    Go to the interview, it is good practice! I started out in Psych/LTC as a new grad and had no problem adjusting to other areas of nursing after I found out that it wasn't for me. While a year of...
  21. The Waiting Game

    Mine shut off at 79 questions and I went home crying, certain I had failed. All that fear for nothing...I'm sure you passed. Remember, the NCLEX throws in a number of test questions that are not...
  22. Doesn't it seem like forever

    I would given them one week and then starting calling
  23. drawing up small amounts of meds?

    I worked at a place that only stocked Morphine in 10mg/1ml cartridges and I rarely gave more than 2 mg and then had to waste the other 8. Unless its in the PACU we rarely give 10 mg Morphine all at...
  24. Drawing blood from a PICC line

    I think the rational for not drawing certain drug levels through a PICC is that it may cause a false high. For example, if a patient is receiving vanco through a PICC line and then a peak and trough...
  25. Whats with the scrubs?

    That's gross. I am a magnet for all sorts of bodily fluids when I'm working. I've been peed on, pooped on, bled on, coughed on...you name it. That's why I go home and immediately peel off my scrubs...