kmoonshine RN

kmoonshine is a RN and specializes in Emergency.

Latest Activity

1. takotsubo

   kmoonshine replied to caeRn's topic in Emergency

   Try reading through this case presentation (I found it interesting):

2. Quick question about IV starts.

   kmoonshine replied to CrazierThanYou's topic in General Nursing

   There is a topical cream with lidocaine that works wonders, but as other have said, it takes quite a long time to work (I put the cream on thick over the potential IV site and cover the cream with a...

3. IM injections -should we massage or not?

   kmoonshine replied to charlie19's topic in General Nursing

   I've never heard or seen this practice. I would think that it would cause more discomfort by increasing leakage into subcutaneous tissue (but that's just my opinion). I use an infant heel warmer to...

4. Help explaining thyroid panel results

   kmoonshine replied to emsillystudent's topic in General Nursing

   Try relating it to something that the patient understands. Perhaps say something like "TSH levels go up because the pituitary gland is sending out more horomone to get the thyroid gland to respond....

5. Policy on ED violence

   kmoonshine replied to littleRNthatcould's topic in Emergency

   I can't say much for policies...but, you need to beef up the security to protect staff and other patients. Discuss the use of panic buttons in all rooms, having a locked unit, and implementing a...

6. How fast do you push metopropolol

   kmoonshine replied to Guest219794's topic in Emergency

   I give metoprolol 5mg IV push over 5 minutes and I wait around 2 minutes before administering another

7. Long shifts---how long is too long?

   kmoonshine replied to Riseupandnurse's topic in General Nursing

   We have 4, 8, 10, and 12 hr shifts in our ED. I've seen people pull 16+ hrs before. Personally, I think 12-hr shifts would be safe if staff were given a decent lunch break (at least 30 minutes) and at...

8. drawing blood from picc line

   kmoonshine replied to Ms.RN's topic in General Nursing

   Here's some info: http://doctors.shorehealth.org/nursing/iv/DECLOT%20ACCESS%20DEVICE-3-WAY.pdf Obviously, follow the P&P at the facility you work

9. VENT: You mean I still have to work when I'm on the clock?

   kmoonshine replied to Penelope_Pitstop's topic in General Nursing

   From the moment you punch in to the moment you punch out - you are working (hence, getting paid). Ms. Ramona needs to punch out when she is done doing her share of work (if she wants to sit in the...

10. drawing blood from picc line

    kmoonshine replied to Ms.RN's topic in General Nursing

    Before I access a PICC, I ask the pt why they have a PICC in the first place. If they can tell me why they have it and what is capped in the line, then I will access it (however, I am hesitant to...

11. Than who's fault is it?

    kmoonshine replied to iriska_meller's topic in General Nursing

    The cost of emergency services is high due to the need to staff 24/7 (lab, nurses, docs, radiology, etc). UA and preg, with CBC/BMP, RH, serum Hcg; abd. ultrasound to rule out ectopic - all finished...

12. Health Provisions Slipped into Stimulus Package

    kmoonshine replied to CinnScorpStudent's topic in Activism, Healthcare

    Just a thought: would these new "rules and regulations" be applied to our president, senators, congressmen/congresswomen etc? I doubt it. We (the American people) should receive the same quality of...

13. Back Rubs

    kmoonshine replied to Saifudin's topic in General Nursing

    I don't give back rubs in the ED - sorry! When I was nursing student on a med-surg floor, I had a 28 yo post-op hyst pt in severe pain. She looked very uncomfortable, was on Dilaudid PCA (which should...

14. new admission 45 minutes before your shift is over..what do you do?

    kmoonshine replied to glamgalRN's topic in General Nursing

    :smiley_abNope, no fight-picking here! I totally see where you are coming from, as it seems silly for me to be upset because I want to go home but the floor nurse won't take report, since she is...

15. Central venous catheter placement in the ED

    kmoonshine replied to iluvivt's topic in General Nursing

    BTW: In the past 6 months I havent had a pt in the ED go for PICC placement. The other pt I spoke of (vomiting, needing antiemetics and IV fluids) was being taken care of by another nurse and is the...