kmoonshine

kmoonshine RN

Emergency

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All Content by kmoonshine

  1. poor people get poor tx?

    kmoonshine replied to NurseNature's topic in General Nursing

    Speaking up is difficult at first. We were once intubating a patient and a PA was trying with the MD watching. She was going on her third attempt, and I was looking at everyone else in the room,...

  2. Slooooow!

    kmoonshine replied to fallrisk2008's topic in General Nursing

    Speed will come with time. You have to become comfortable with patient assessments under YOUR terms, not someone elses terms. With time you will develop a routine, and you will be able to quickly...

  3. Yes, another "MA calls self nurse" posting..sorry

    kmoonshine replied to nurseby07's topic in General Nursing

    Does her definition of "PA" stand for "Pretentious A$$"? If so, then it all makes

  4. poor people get poor tx?

    kmoonshine replied to NurseNature's topic in General Nursing

    For the most part, I feel that the patients who I've seen over the years get fair treatment. However, you will get some individuals who have their own way of treating patients, and they will adhere to...

  5. Highest BP you have ever seen on a pt

    kmoonshine replied to nckayaker's topic in Emergency

    If you don't mind me asking - why wasn't her BP treated prior to TPA use? I thought TPA was generally contraindicated in patients with a BP

  6. !st BAD day of orientation

    kmoonshine replied to sandy123's topic in General Nursing

    Sorry about how your preceptor treated you. Helping you succeed should be a higher priority than chatting about her personal life (unless she is off the clock, which I highly doubt was the case). I...

  7. What do you appreciate about another nurse's charting?

    kmoonshine replied to soffy's topic in General Nursing

    On the first page of the nursing notes, I like it when the nurse who did the initial assessment writes where the patient is from (home, NH's name, etc), how do they get around at home (ambulate, cane,...

  8. IV size

    kmoonshine replied to danger's topic in Emergency

    May I respectfully disagree? I've found 18g caths to be less traumatic because they won't bend when placing the IV (especially in someone with tough skin). Granted, you must be skilled at IV...

  9. thoughts on only Paralytic while intubated....

    kmoonshine replied to MassED's topic in General Nursing

    Following RSI, the only times that I've used paralytic + sedation/analgesia are times when we induce hypothermia following cardiac arrest (you don't want them to shiver, as it increases oxygen...

  10. thoughts on only Paralytic while intubated....

    kmoonshine replied to MassED's topic in General Nursing

    I agree with everyone else - how cruel! I often find that docs will only order sedation for vented patients; at times, I have to ask them for a paralytic. But I've never had it the other way around....

  11. Interprete Lab/Tests resutls to patients

    kmoonshine replied to seriousnurse's topic in General Nursing

    Thank you for your honest response; however, I feel that your reply is demeaning to the nursing profession. Your statement is easily interpreted as "I don't know anything because I'm just the nurse"....

  12. Interprete Lab/Tests resutls to patients

    kmoonshine replied to seriousnurse's topic in General Nursing

    When it comes to xray or ct reports, even if the test is back I'll tell the patient that "we're having the radiologist read your tests right now, and as soon as we get the final report the doctor will...

  13. Pain Management: How aggressive are your ED docs?

    kmoonshine posted a topic in Emergency

    Ok, so I recently started working at a new ED (I have prior ED experience). I was told by many coworkers that the docs are really aggressive for pain control and order IV pain meds for pretty much...

  14. Statlock for BD Angiocaths?

    kmoonshine posted a topic in Infusion, Intravenous

    I'm new to using statlocks for peripheral IV's. Someone showed me how to use statlocks for an angiocath today: they inserted the cath and then snapped on the statlock, followed by tegaderm. Is this...

  15. Statlock for BD Angiocaths?

    kmoonshine replied to kmoonshine's topic in Infusion, Intravenous

    Oh my, I think I just found the answer to my question! I had watched the statlock instructional video at:...

  16. Hyperglycemic Episode Treated w/OJ?

    kmoonshine replied to MQ Edna's topic in General Nursing

    Sorry for the confusion; the thread's title was "hyperglycemic episode treated w/OJ?" I was answering that

  17. ER triage protocols for OB patients

    kmoonshine replied to janetrnc's topic in Emergency

    20+ weeks - up to L&D. If they had trauma (ie car accident), they must be cleared in the ED first. Also, if their condition is life threatening (ie severe asthma), they stay in the ED. But for...

  18. Diluting all IV push medication??

    kmoonshine replied to srewer's topic in General Nursing

    Agree with the above. Also, valium shouldn't be diluted (although I think I stated that in an earlier post). Wanna know a secret? Davis' Drug Guide is available on PDA and IT IS AWESOME. You can look...

  19. Hyperglycemic Episode Treated w/OJ?

    kmoonshine replied to MQ Edna's topic in General Nursing

    I don't know why you would give glucose to a patient with hyperglycemia. Only thing that would make "a little" sense to me is if the hyperglycemia was due to the somogyi effect. But at that point,...

  20. Diluting all IV push medication??

    kmoonshine replied to srewer's topic in General Nursing

    I give zofran at either port. It isn't irritating, so it doesn't need to be diluted (but, you can dilute it if you want). If IVF are running, I let them continue to run while I push zofran. Now, if...

  21. proper documentation....and am i over-reacting?

    kmoonshine replied to climbingkp's topic in General Nursing

    Um, sounds like some education is in order. I don't think I'd give 2 seperate shots in one arm (max vol = 1ml). Plus, if someone had a reaction, how would you know which medication caused it if 2...

  22. Most common non-emergency visits

    kmoonshine replied to RN_in_SC's topic in Emergency

    For everyone who is trying to understand what ED nurses deal with on a daily basis (and literally, this IS what I deal with):...

  23. Most common non-emergency visits

    kmoonshine replied to RN_in_SC's topic in Emergency

    I'm sorry to hear that those nurses made fun of you. I would have considered your complaint to be valid based on your symptoms, especially since your presentation sounds like how some people present...

  24. financial planning for the young!

    kmoonshine replied to moonischasingme1's topic in General Nursing

    Invest in your future by starting a 401K. If you have health care expenses on a regular basis (like $50.00 for prescriptions each month), have some money going into a Flexible Spending Account (FSA)...

  25. Most common non-emergency visits

    kmoonshine replied to RN_in_SC's topic in Emergency

    And if you have the "gold card" (free state health insurance), its free to go to the ED to get a preg test. Some gals even know how to play the system and end up getting a US to r/o ectopic. In the...