2rntish

2rntish

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All Content by 2rntish

  1. I have a child that will soon graduate from HS. The topic of carrer choices came up at work...most of my co-workers were suprised that I would not encourage nursing for my child. I will support them...
  2. New CPR instruction?

    There are also major changes to ACLS so it is not just for the lay
  3. Post resuscitation gtts

    Do you have a standard concentration for your post code drips?? We are in the middle JCAHO and one of our hospitals got a ding for the old Broselow tape and rule of 6... Is there a reason we can't use...
  4. During menstruation one has to lessen physical exertion including walking, dancing or heavy house-hold work. The body demands rest and relaxation and one needs to provide that. That would be after all...
  5. If you have a PRN dose q 4hr. Give a dose at 0700. Is the next dose due at exactly at 1100? Or do you have a window at you facility. We use Bridge and if you are 15 seconds early, it will generate a...
  6. Next PRN dose on Bridge. Do you have a window?

    Look forward to it. I am looking at 21 computer generated "prevented med errors" right now. 3 are actual prevented errors. The rest are "noise" like the PRN time issue. I am more than happy to wade...
  7. Next PRN dose on Bridge. Do you have a window?

    I,m sorry, I should have explained. Bridge is the Bardode scanning system that is supposed to help varify the 5 basic rights of med admin. Scan your badge, scan the pt armband, scan the med...It does...
  8. Can anyone help with guidelines for reassessment by an RN? Our current policy states q 24hrs. Our sister facilities say it should be every shift...It would be hard to have an RN do the shift...
  9. Reassessment guidelines RN vs LPN

    Our guidelines state what the assessment is, the scope of the RN, scope of the LPN but says nothing about times. JCAHO leaves it up to the hospital to define times. I have not sorted through all of...
  10. Tricky homework questions - HELP!

    V Tach with a pulse is fairly common. Some patients are stable...good BP, no SOB...just a little fluttering in the chest. Some are unstable: chest pain, SOB, diaphoretic, hypotensive... Some are...
  11. Retention/Recruitment Through Orientation

    Orientation is important if it is directed towards your position on the floor. We do 3 days of history and tradition of our system. By the time we get the nurses, they are brain dead and ready to...
  12. Husband wants to be a nurse????

    I started in nursing for all the wrong reasons. I grew to love it, advanced to a position that is more rewarding than any I could imagine. Please let him do
  13. Propofol

    Last post (I almost spelled pist :chuckle ) for the day. Not all of the state boards of nursing agree with you and your BON. I know of atleast one that leaves it up to the facility and the MD at the...
  14. Propofol

    Reminds me of an old saying. You are just like an ostrich, you can bury your head in the sand but your *** still shows. Too many miles between us. I will go my way, you go yours. There are happier...
  15. Propofol

    Whoa there sister, take my meager attempts at humor in stride. Did not intend for you to take the "idiot" thing serious. And I don't remember any inservice on Dream Cream. I have learned a lot from...
  16. Propofol

    I will try to stay civil because I do choose to repond. You are an idiot...I AM TEASING>>>LIGHTEN UP Every scenario I have discussed involves an MD being at the bedside. Not some lowly CRNA....
  17. Propofol

    I will try to stay civil because I do choose to repond. You are an idiot...I AM TEASING>>>LIGHTEN UP Every scenario I have discussed involves an MD being at the bedside. Not some lowly CRNA....
  18. Propofol

    My point with Diprivan Stevierae. Nothing could be more critical than having a catheter inserted through 2 chambers of the heart and into the pulmonary circulation system. Leave it wedged...major...
  19. Propofol

    My point with Diprivan Stevierae. Nothing could be more critical than having a catheter inserted through 2 chambers of the heart and into the pulmonary circulation system. Leave it wedged...major...
  20. Truth about Nursing diagnosis

    The last care plan I did in school was 24 pages. My best friend and I choose our patients. They were identical, same diagnosis (CHF), same Dr, same meds...I suggested he do the first half, I would do...
  21. Propofol

    No hostility here (I don't think). I have seen situations in ER where we have several RN,CCEMT-P working. A patient comes, difficult intubation, facial trauma...anesthesia is called, can't get the...
  22. Propofol

    Kudos to you Yoga for being the only person in the medical profession intelligent enough to do anything. I also work with RNs who think the LPN should only do bedbaths and bedpans. I think it has...
  23. Propofol

    It never ceases to amaze me what 2 more years of education does for some people. Yoga needs to realize setting in class is not the only way to learn good pt care. I know some MDs that spent more than...
  24. Burette

    We have a new employee that has been working in a PICU/NICU setting at a larger facility. She cannot believe that we do not use burettes on pedis. We use the Abbott Plum Pump that should eliminate the...
  25. Bar coding

    I think it is a great tool as well. Still don't know how to deal with