kmoonshine

kmoonshine RN

Emergency

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All Content by kmoonshine

  1. Triage question- what would you do?

    kmoonshine replied to StealthyQ's topic in Emergency

    I would have made sure to chart "patient uncooperative at triage". I would also try my best to get something out of the patient, and I'd explain to her that I need to know why she was coming to the...

  2. Ever had folks assume you're the Aide not the Nurse????!!!!

    kmoonshine replied to CaLLaCoDe's topic in General Nursing

    I'm mistaken for an CNA, medical assistant, lab...pretty much anything under the sun. I look young for my age, and people don't realize that I have 5 yrs of college under my belt (most people think...

  3. PSA: Patients with anaphylactic reactions...

    kmoonshine replied to MIcrunchyRN's topic in General Nursing

    If we send a patient home who had anaphalaxis, they go home with prescriptions for benadryl, pepcid, prednisone, and an epi-pen. For serious anaphalactic reactions we give epi sub-q, although I've...

  4. Worried! Phone in prescription

    kmoonshine replied to nessa1982's topic in General Nursing

    As long as there's an order from the MD and a # for the pharmacy to reach the Dr at, there shouldn't be a problem...unless it was a C-II drug, which you need a hardcopy for. - however, you wouldn't...

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

    kmoonshine replied to Trauma_Team_1's topic in Activism, Healthcare

    I wonder what percentage of our monthly premiums are used to pay the salaries for private insurance employees hired to deny a patients health insurance claims. I bet it's a huge amount and cutting...

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

    kmoonshine replied to Trauma_Team_1's topic in Activism, Healthcare

    Different states have different programs for food stamps...however, in the state where I live, food stamps covered limited items such as milk. You were SOL if you were lactose intolerant. It would...

  7. Strange things people present to the ER with....

    kmoonshine replied to klcrn1987's topic in Emergency

    Complaint: "I'm passing blood clogs" Diagnosis: Your period Complaint: "My son's face is swelling up" Diagnosis:

  8. Can I get in trouble for this????

    kmoonshine replied to vanurse2b's topic in General Nursing

    Did they check ABG's on her to monitor her CO2 levels since she was getting breathing tx's and had COPD? If she was on oxygen at home, was that level maintained in the ED? What meds could you have...

  9. when to remove the tube feed /or not

    kmoonshine replied to angelwings777's topic in General Nursing

    As the body begins to die, kidney function decreases, GI motility decreases, and GI absorption decreases. In essence, feeding her is making her situation worse. It's also thought that IVF exacerbates...

  10. Acetaminophen

    kmoonshine replied to curious4life's topic in General Nursing

    2 doses of Tylenol @ 650mg ==> 650mg x 2 = 1300 mg. 3 doses of vicodin @ 500mg/pill ---> 500mg x 3 = 1500 mg. Total tylenol consumed between 0200 and 1900: 1300mg + 1500mg = 2800mg Max dose of...

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

    kmoonshine replied to Trauma_Team_1's topic in Activism, Healthcare

    Perhaps she came here for surgery to avoid all the press and media drama, and protect her own privacy. I have no idea who she is, and I don't recall ever seeing a picture of her; she would become just...

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

    kmoonshine replied to Trauma_Team_1's topic in Activism, Healthcare

    I was once at the grocery store and there was a lady in front of me who appeared to be in her mid-30's; she was wearing name-brand clothes, expensive shoes, had a fancy hairdo and wore flashy jewelry...

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

    kmoonshine replied to Trauma_Team_1's topic in Activism, Healthcare

    I in no way believe that my neighbors should pay for my illness. I do plan ahead, I save for retirement, I put money into FSA, I pay my bills months ahead, and I save money; heck, myself and my...

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

    kmoonshine replied to Trauma_Team_1's topic in Activism, Healthcare

    I work in an ED and we do refer people to free clinics. The equipment at these clinics are failing, staff are spread thin, and you're SOL if you need to see a specialist. I know first hand how...

  15. Documenting an IV insertion?

    kmoonshine replied to spuropathy's topic in General Nursing

    18g CIV placed in the R FA without difficulty on first attempt, blood cultures x 1 and labs drawn from IV start. Pt tolerated procedure well, site c/d/i without redness or irritation. 20g PIV placed...

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

    kmoonshine replied to Trauma_Team_1's topic in Activism, Healthcare

    Free OB care is a joke in the US right now. For the most part, people who need these services are poor, lack access to transportation, are uneducated, live in areas where polution is high, and have...

  17. Giving IM Injections

    kmoonshine replied to mare4322's topic in General Nursing

    Technically speaking, if you are giving an IM injection and visualize blood in the syringe when you draw back, you are supposed to discard everything (med, syringe, needle). If you were to use the...

  18. Pacemakers

    kmoonshine replied to GoldenFire5's topic in General Nursing

    I agree with everyone else - if his implanted defib. fired, he'd definately know it. I once had someone come in (he had both a pacer and defib), and he said he had felt the defib fire for the first...

  19. One or Two hour rounding

    kmoonshine replied to tntrn's topic in General Nursing

    You could always just have one short-acting dose in a pill container with instructions to take it after a certain time (ie 3pm), with a flowsheet for them to rate their pain prior to taking the pill...

  20. Important Decision for a New RN!

    kmoonshine replied to cmc2008's topic in General Nursing

    Make sure to send off a thank-you letter ASAP to the person you interviewed with for the NICU position. If you are offered the CVICU position, its perfectly ok to let them know that you'd like to take...

  21. One or Two hour rounding

    kmoonshine replied to tntrn's topic in General Nursing

    Quick idea about the pain meds: some places are utililzing the PCA concept and applying it to pain pills. Afterall, if a patient is getting percocets in the hospital, they're probably going to go...

  22. Depressed about oreintation schedule

    kmoonshine replied to kaybrn's topic in First Year After Licensure

    8-hr shifts are normal for orientation - you can only retain so much information and at the end of a 12-hr shift, your brain would be overloaded. How many weeks are you supposed to be on orientation?...

  23. poor people get poor tx?

    kmoonshine replied to NurseNature's topic in General Nursing

    To clarify, I'm not talking about a single dose at $100,000; I'm talking about full treatment course for one patient (many doses over several days). Like I said, I'm hearing this from a doc - not...

  24. poor people get poor tx?

    kmoonshine replied to NurseNature's topic in General Nursing

    I was told that a full treatment course of Xigris for one patient can cost around $100,000. This was from an ED doc that I work

  25. poor people get poor tx?

    kmoonshine replied to NurseNature's topic in General Nursing

    It seems like patients get somewhat equal treatment for acute illnesses...but unequal care for chronic illnesses. We do need to take into account a person's ability to pay - not to deny them...