KarafromPhilly

KarafromPhilly

cardiac ICU

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All Content by KarafromPhilly

  1. Overuse of opiates?? Opinions?

    KarafromPhilly replied to NiteShiftNut's topic in Patient Safety Issues

    If I had been you I would have smiled and waved bye-bye. I mean, why get bent out of shape? He'll get what he wants in an hour or two, and you have one fewer patient to report off on, so everybody's...

  2. I wish I'd have known....B4 nursing school

    KarafromPhilly replied to ARmickie's topic in General Nursing

    My name is Inigo Montoya. You killed my father. Prepare to die. :roll

  3. Lowest H/H I ever saw...

    KarafromPhilly replied to my2sons's topic in CCU, Coronary, Cardiac

    A young woman came up to the floor with FOUR IV sites--I said WTF? She told me that the ER nurse had told her that she coudl have died and that if she had waited any longer to come to the ER it...

  4. IL Supreme Court Rules Only Nurses Can Testify on the Standard of Care for Nurses

    KarafromPhilly replied to NRSKarenRN's topic in Activism, Healthcare

    Whether or not you believe that medicine and nursing are separate, in practical terms, this is a huge victory for nurses. Doctors certainly don't mind unloading liability onto nurses, and I can't...

  5. What is your biggest nursing pet peeve?

    KarafromPhilly replied to ferfer's topic in General Nursing

    I hate getting report on a patient who was admitted for "COPD exasperation". Hello, that doesn't make any

  6. New Mexico for me?

    KarafromPhilly replied to fergus51's topic in General Nursing

    No. You'll hate it. Just kidding--I've never even been

  7. Paxil Evil

    KarafromPhilly replied to JDPARIS's topic in General Nursing

    What do you mean by "crashing", exactly? What kind of Chinese herbs? Are you taking any other meds right now, and does your doctor know what you're planning to

  8. Roaches are going to drive me out of home care!!!

    KarafromPhilly replied to hoolahan's topic in Home Health

    ROACHES IN BEDS? How absolutely disgusting. I've worked in two hospitals over the last five years and I've never heard of such a thing. How sad for a bedbound TF patient to have to share their bed...

  9. Post-Holiday Special! 50% Off Admission for Addicts!

    KarafromPhilly replied to VivaLasViejas's topic in General Nursing

    So now the question is, how do we improve ourselves. What I mean is how do we take care of ourselves and nuture ourselves to help combat compassion fatigue?! I personally love massages, just don't...

  10. Treatment for true drug seeker

    KarafromPhilly replied to ernurse2244's topic in Pain Management

    I don't get your question--is the patient a drug seeker, or do they have pain issues? To me these are two different things. Why would you send a, well, drug addict (no offense intended to anyone) to...

  11. acidious vs alkalosis (forgive the spelling)

    KarafromPhilly replied to lindahanna's topic in General Nursing

    Oh, duh! How was I never able to put that together before so that I could remember it? :imbar Thank you for your

  12. acidious vs alkalosis (forgive the spelling)

    KarafromPhilly replied to lindahanna's topic in General Nursing

    Oh, duh! How was I never able to put that together before so that I could remember it? :imbar Thank you for your

  13. acidious vs alkalosis (forgive the spelling)

    KarafromPhilly replied to lindahanna's topic in General Nursing

    OK, along these lines I have a dumb question. I understand the whole respiratory/metabolic acidosis/alkalosis phenomenon, but here's my question: pH describes the hydrogen ion concentration, right?...

  14. acidious vs alkalosis (forgive the spelling)

    KarafromPhilly replied to lindahanna's topic in General Nursing

    OK, along these lines I have a dumb question. I understand the whole respiratory/metabolic acidosis/alkalosis phenomenon, but here's my question: pH describes the hydrogen ion concentration, right?...

  15. Pyxis systems ???

    KarafromPhilly replied to Jammer's topic in General Nursing

    Fingerprint access sounds really scary, although probably much more convenient than changing your password every time you turn

  16. Do you wear gloves

    KarafromPhilly replied to mellow's topic in General Nursing

    I try to think carefully about when I put gloves on--e.g. I won't wear them to empty a bedpan full of urine. Yucky, but probably not potentially infectious. I'm nervous about developing a latex...

  17. Promethazine IV Question

    KarafromPhilly replied to PMercier's topic in Patient Safety Issues

    Where the heck are you still giving Demerol? Meperidine has a nasty metabolite, normeperidine, with a looooong half life. It can cause neurotoxicity, especially in the elderly, and it is not...

  18. informed consent

    KarafromPhilly replied to ageless's topic in General Nursing

    Ageless, you're right. The states have had to figure out, one case at a time, what this might mean. Therefore, informed consent is a creation of what is known as "case" law, as opposed to statute....

  19. informed consent

    KarafromPhilly replied to ageless's topic in General Nursing

    Sjoe, that is so illegal! Raise this with your hospital's legal department, and CYA! That's a lawsuit waiting to

  20. Are nurses held to a higher standard?

    KarafromPhilly replied to nell's topic in General Nursing

    In order to get a license to practice law, you must demonstrate that you are "morally fit". They can, and do, go digging in your past after all manner of things. There was also a white supremacist...

  21. How do you feel about pain med refusal

    KarafromPhilly replied to sandstormsdust's topic in General Nursing

    I think it is important to educate people that they will not become "immune" to pain medication, so there is no need to "save" it for later. I had one patient who refused pain meds, and then refused...

  22. How many of you married doctors?

    KarafromPhilly replied to JHUnurse's topic in General Nursing

    I think that if you marry for money, you should be aware that your husband will think he bought himself a