kmoonshine

kmoonshine RN

Emergency

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All Content by kmoonshine

  1. New Grad can't decide which job!

    kmoonshine replied to amaikiwi's topic in General Nursing

    I agree with OctoberBride - go for the tele job over the LTC job. Being charge nurse is a huge responsibility and should be for nurses who have experience in that specific area. More importantly, get...

  2. Intravenous Fluid

    kmoonshine replied to ScaredieCat's topic in General Nursing

    To measure the amount of IVF left in a bag, you must have the bag right-side up (or in other words, so the writing is normal; not upside down). The volume measurement on the side of the bag starts at...

  3. Frustrated with Interns who can't (or won't) treat pain!

    kmoonshine replied to NewWayofLife's topic in General Nursing

    This needs to be addressed so it doesn't happen again. Are these residents not aware of "double effect" with opiates in end-of-life care? I'm specifically refering to the elderly metastatic CA...

  4. Question about dopamine

    kmoonshine replied to lenka SRN's topic in Cardiac

    Regitine (phentolamine). Unless the person is coding, always use a central line for

  5. Nursing (RN): One of Quickest routes to a six-figure jobs

    kmoonshine replied to Dallas_RN's topic in General Nursing

    I'd just like to point out something: there are areas where there is high demand for nurses with specialized skills (such as ED and ICU). The more experience you have, the better. I've known of one...

  6. How long is too long before you see your new pt?

    kmoonshine replied to shannonFNP's topic in Emergency

    If its a minor ED area, then they can wait. If there's d/c papers, then they've already been seen by someone, right? As long as the pt has a call light handy, then they're fine to wait. Simple lac's,...

  7. Nursing (RN): One of Quickest routes to a six-figure jobs

    kmoonshine replied to Dallas_RN's topic in General Nursing

    To make that huge figure you'd have to work 100+ hours in one week; no

  8. Nasal cannula

    kmoonshine replied to believing's topic in General Nursing

    Use chloraprep wipes because they kill more organisms than alcohol wipes (alcohol wipes won't kill

  9. Should I go to the ER Blood pressure's HIGH

    kmoonshine replied to RadioMan's topic in General Nursing

    We can't give medical advice so see your doctor. The ED isn't the place to go for BP management unless the patient is having acute problems related to their elevated BP (as in sudden hypertensive...

  10. Feeling unappreciated?

    kmoonshine replied to TraumaNurseRN's topic in Emergency

    I totally know where you're coming from. People don't realize what nurses do - the majority of our population thinks that we follow around the doctor all day, follow what the doc tells us to do, and...

  11. Why do patients abuse nurses?

    kmoonshine replied to TigerGalLE's topic in General Nursing

    Very true. I also think to myself "they were once someone's baby", which helps me to forgive their

  12. Why do patients abuse nurses?

    kmoonshine replied to TigerGalLE's topic in General Nursing

    When I have to deal with patients like this, I try to smile...A LOT. I smile so big it is sickly. And the patient is probably thinking "What has that nurse been smoking?!:smokin:" I had an older lady...

  13. Bipolar

    kmoonshine replied to newbylvn13's topic in General Nursing

    A pre-employment physical is an assessment to make sure you are fit for the job (they may check your eyesight, give a tb test, do a fit-test for a N-95 mask, make sure you can lift a certain amount of...

  14. IM Injection Tips

    kmoonshine replied to netgeek's topic in General Nursing

    What specifically do you want to know about rocephin? Patients complain that it hurts/burns pretty bad. We have pharmacy mix it with lidocaine to help with the pain, but it doesn't kick in right away...

  15. IM Injection Tips

    kmoonshine replied to netgeek's topic in General Nursing

    As someone else said, use 5/8" needle if needed for the deltoid. You can also try to "gather" the muscle and bunch it up between your thumb and forefinger. If the muscle is small, its best to use...

  16. IV size

    kmoonshine replied to danger's topic in Emergency

    Wow, I need you to come talk to some of my fellow coworkers! I put a 16g + 18g in a symptomatic borderline hypotensive GI bleed, and my unit educator called me "cruel" - her exact quotes were "they...

  17. Overwhelmed at new job! Advice!!!

    kmoonshine replied to tsbarbre's topic in General Nursing

    Honestly, it seems like this job is a poor fit. New grads need to be able to take the time to critically think about a patients condition, or what should be done in anticipation future needs. They're...

  18. How to deal with abusive family members

    kmoonshine replied to eden's topic in Ob/Gyn

    First of all, you shouldn't be telling the parents that the doc won't release the baby; the doc should be the one giving this info (make them do their own dirty work; personally, I hate it when...

  19. I had my first post mortem experience Friday.....

    kmoonshine replied to mgalloLPN's topic in General Nursing

    Wow, 21 years old...how sad. Please excuse me if this sounds somewhat inappropriate, but why was his PICC line and other tubes removed? In the ED, many times (if not all the times I can think of), we...

  20. What is PALS and NPR

    kmoonshine replied to Adams_Mommy_07's topic in General Nursing

    NRP = Neonatal Resuscitation

  21. will universal healthcare ( in the usa) cut RN pay?

    kmoonshine replied to Trauma_Team_1's topic in Activism, Healthcare

    There are many countries that seem to be running things just fine - free schools, free colleges, free healthcare...the list goes on and on. So why can't we get our act together? It may not be perfect,...

  22. Restraints too Tight?

    kmoonshine replied to laxxrickLPN's topic in General Nursing

    Never touch restraints unless you are directly caring for the patient yourself. Think about it: if the nurse charted that you were observed to be adjusting the restraints, you could have a problem...

  23. Pre-employment drug screen / drug test

    kmoonshine replied to RD_Congo's topic in General Nursing

    I've found that employers will give you a drug test within 3 days of accepting a job offer. Personally, I think drug screening prior to being hired is silly. Afterall, it only gives you a small...

  24. Med math question

    kmoonshine replied to dille1's topic in General Nursing

    good

  25. new nurses considering quiting?

    kmoonshine replied to 1styearsucks's topic in General Nursing

    I think many of us have been in your shoes. We're overworked, underpaid, and overloaded with patients. Its a big responsibility to go to work each day and be responsible for someone's life. Nurses...