august07

Does anyone else call them Rally Packs (not sure why we call them this?)

One reason other women may not be supportive is jealousy. Not so much jealous that you are getting a "break" but jealous because they never had children, or are infertile, or were unable to breastfeed. In other words, don't take it personally, it may...

I learned "Roast Beef Sure Gets Lots of Gravy" Red Blue Sst Green Lavender Gray

Depends on the situation. If it's a small mistake that's not a big deal, I wouldn't get the patient all worked up over it. Giving a pt way too much insulin is something I would tell them. I would also tell them if their PICC line was put in the wrong...

Thrown to the dogs. I got about a 10 minute "charge nurse for dummies" pep talk. I've asked for formal training, but they say "just call the nurse supervisor if you have problems." This was after being a nurse for only 5 or 6 months. Basically, they...

You'd have to work for about 20 years as a nurse to be able to pay for med school. Most people that go to med school cannot afford it, they just get loans and pay if off 10 years later when they're making the big bucks. I think you should decide if ...

I work on med-surg and can only push Vasotec. Anything else and the patient has to be on a tele floor.

You always want to draw from 2 different sites because of the risk of contamination. Coag negative staph and diptheroids are common skin contaminents that can sometimes cause false positives. When the lab calls and says there are 1 out of 4 bottles t...

TURP stands for transurethral resection of the prostate. Correct me if I'm wrong but I think they don't remove the entire prostate, just part of it so it's not really a prostatectomy.-------------------------------------------------------------------...

How much can a pt.'s hg level rise after two units of PRBC? I had a pt. go from 9 to 13, can that be? Usually it seems to go up only by about 2. Has anyone seen big jumps like this after a transfusion?

We turn all fluids off for 2 minutes before drawing blood from a PICC. Flush with saline, waste 3ml, then collect sample. If you forget to turn off the TPN and draw blood, usually the potassium is the valus that's way off, not the H&H.

Thing I hate about white uniforms is seeing everybody's underwear! I don't need to know if you are a granny-pants, bikini, thong, whatever type of underwearer. And then there are people that wear colored underwear under white scrubs.

What do you do when you get new orders right before you are planning to leave? Do you leave it for the oncoming nurse or stay an extra 15-30 minutes and do them yourself? I feel like I shouldn't have to stay late, but on the other hand, I can see whe...

Hi I recently had a pt. getting vancomycin through peripheral IV's. She was a very hard stick but someone managed to get one in her hand, and they weren't going to be able get a PICC for her for a few days. So, I hesitantly gave her the vanc through ...

My old job banned the internet and I thought it was so going to be so terrible, but after about a month, I had totally forgotten about it. You get used to it. I would think if you are complaining about not being able to use the internet, you've proba...

Yes, C.diff is present in very small amounts in everyone's intestines, the problem is when it overtakes the "good bacteria" like when people are on on abx, especially long term abx and when people are immunocompromised. It's all about keeping a bala...

Not all antibiotics are compatible with IV fluids containing KCL. I recently had one that wasn't (can't remember, but it may have been Zithromax.) I just call the pharmacy anytime I'm not sure.

You only isolate for bacterial meningitis. Most people with viral meningitis are not even admitted. Why is pt. getting antibiotics? They are only effective against bacterial infections, not viruses.

So when you give a patient their meds and they throwup right after, do you fish out the meds and give them again or just chart that they vomited after giving the meds? Or get pharmacy to send new ones up? I have heard different things. If they are ...

Thanks for all your answers. Maybe to some of you it is "common sense" and basic skills, but in my first year of nursing school one of my instructors specifically told us that if a pt.vomited, you could take the pills out, rinse them off, and re-admi...

When are you taking boards? I have been studying for about a month now and am taking them in one week. I have felt the same way though, missing alot of questions, not remembering certain things. But there are so many questions that could possibly b...

From reading an earlier post about anxiety from working on a medical floor and people responding by recommending that the person "take care of their anxiety," what ways do you handle it without resorting to taking meds? Or are meds necessary? I have ...