KarafromPhilly

KarafromPhilly

cardiac ICU

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All Content by KarafromPhilly

  1. why no tylenol before blood cultures drawn?

    KarafromPhilly replied to nursenatalie's topic in General Nursing

    I've never heard of holding Tylenol until after cx are done--I don't understand how treating the fever would interfere with finding the

  2. Potassium piggybacks

    KarafromPhilly replied to starcandy's topic in General Nursing

    I would restart the IV in a larger vein. The last place I worked they used to use an ice pack at the site but a nurse at my present place of employment told me that the burning is an indication that...

  3. Terminal Agitation

    KarafromPhilly replied to CapeCodMermaid's topic in Geriatric, LTC

    She's probably already getting this, but...Decadron to reduce cerebral

  4. Do I LOOK Like A Nurse To You?

    KarafromPhilly replied to Haunted's topic in General Nursing

    I once had a strange guy chat me up at a gas station who asked me, "What do you do...wait, you're a nurse, right? You have this, like, angel of mercy quality about you." I was truly creeped

  5. How do you all like the pain scale???

    KarafromPhilly replied to Mystery5's topic in General Nursing

    Pain management is an interest of mine, but I've never heard of any of these as side effects of long term use. Could you point me toward some research on these

  6. How do you all like the pain scale???

    KarafromPhilly replied to Mystery5's topic in General Nursing

    Pain management is an interest of mine, but I've never heard of any of these as side effects of long term use. Could you point me toward some research on these

  7. Flushing Ports

    KarafromPhilly replied to nightingale's topic in General Nursing

    In my facility we flush with NS only; frequent heparin flushes have been linked with HITTS (heparin-induced thrombocytopenia with thrombosis

  8. Flushing Ports

    KarafromPhilly replied to nightingale's topic in General Nursing

    In my facility we flush with NS only; frequent heparin flushes have been linked with HITTS (heparin-induced thrombocytopenia with thrombosis

  9. How do you all like the pain scale???

    KarafromPhilly replied to Mystery5's topic in General Nursing

    When I asked why, I meant "What other side effects did you have in

  10. How do you all like the pain scale???

    KarafromPhilly replied to Mystery5's topic in General Nursing

    When I asked why, I meant "What other side effects did you have in

  11. How do you all like the pain scale???

    KarafromPhilly replied to Mystery5's topic in General Nursing

    ...that the pt's body will not adjust to. Actually, I didn't mention chronic high dosages, but it holds true in that case as well. Yes, I stand by what I posted.

  12. How do you all like the pain scale???

    KarafromPhilly replied to Mystery5's topic in General Nursing

    When you say "max dose", what do you mean? It's worth remembering that opioids have no maximum dose, as long as you are careful to ensure that pt. is getting appropriate tx for constipation, as it is...

  13. Funny Billboards

    KarafromPhilly replied to Adam D. RN2005's topic in Nursing Humor

    I saw something several years ago that still makes me smile whenever I think of it. There's a small, seedy bar not too far from where I live and in 1999 their sign said, "We are Y2K

  14. Euthanasia battle's new focus: Infants

    KarafromPhilly replied to dawngloves's topic in NICU, Neonatal

    "Examples include extremely premature births, in which children suffer brain damage from bleeding and convulsions, and diseases that would allow a child to survive only on life support for the rest of...

  15. Help with "Bait & Switch" tactics at new job

    KarafromPhilly replied to TennNurse's topic in General Nursing

    If I were you, I would RUN. It will cost you your bonus, but it just may cost you more to stay at this

  16. Doctors' Chart Bloopers

    KarafromPhilly replied to Brian's topic in Nursing Humor

    Doctor meant to write, "Wean off O2, keep sats > or = to 92%. However, he was busy/stressed and didn't like the patient very much so wound up writing, "Wean, keep

  17. Must we all die with a feeding tube?

    KarafromPhilly replied to URO-RN's topic in Patient Safety Issues

    She has had multiple MRIs of the head--the only thing in there is fluid, as most of her brain tissue has long since atrophied. She IS in a vegetative state. She will not recover, ever. I feel sorry...

  18. old skills that we do not use anymore

    KarafromPhilly replied to sassykitkatt's topic in General Nursing

    Uh, what's wrong with iced saline lavages for GI bleeders and Dakin's solution for decubs--are these practices now considered

  19. Practical jokes at work

    KarafromPhilly replied to fedupnurse's topic in General Nursing

    This is a tame one, but it was cute. In the middle of a shift, one Filipino nurse, who is usually very serious, decided to play a joke on her trainee, a somewhat shy and nervous Filipino nurse new to...

  20. MA's Calling Themselves Nurses?

    KarafromPhilly replied to Sheri257's topic in General Nursing

    I wonder how a certified medical assistant would feel about a person who was hired to work in a doctor's office, with no prior experience or credentials, with OTJ training only, calling themselves a...

  21. Do you get "pain med seekers" in hospice?

    KarafromPhilly replied to JacelRN's topic in Hospice, Palliative

    Please understand my term "pain med seeker" to be someone who is obviously timing their meds. I know we are to treat each patient as their pain is real to them, but in reality, much abuse is present...

  22. What was the MOST ridiculous thing a patient came to the ER for?

    KarafromPhilly replied to JUSTYSMOM's topic in Emergency

    This is a bit off-topic, but what about family members who come and hang out with Mom or whoever is being tx'd, then ask the dr. for a work excuse for themselves ?

  23. Overuse of opiates?? Opinions?

    KarafromPhilly replied to NiteShiftNut's topic in Patient Safety Issues

    HOWERVER, recently I experienced the flip side of the coin. We had a patient who had fallen on broken glass, and suffered a deep puncture wound to her backside, which became infected. She kept...

  24. What would you have done?

    KarafromPhilly replied to Headhurt's topic in General Nursing

    God forbid that Mother should have to endure three minutes of discomfort. It must mean that the nurse is cruel and incompetent.

  25. Watching Suffering...Do You Get Used to It?

    KarafromPhilly replied to Chevelle's topic in General Nursing

    It depends on what you mean by suffering--we can alleviate, or at least diminish nausea, hallucinations, pain, itching, anxiety, and other kinds of suffering with nursing interventions and various...