kmoonshine

kmoonshine RN

Emergency

Member

  • Content

    346

  • Visitors

    7,611

  • Followers

    0

  • Likes

    13

All Content by kmoonshine

  1. Are Student Nurses Prepared for "Real Life?'

    kmoonshine replied to paperdreams's topic in General Nursing

    I think that nursing school poorly prepares students to enter the workforce. The problem lies with the nursing instructor shortage and lack of facilities for clinicals. To accomodate more students in...

  2. IV size

    kmoonshine replied to danger's topic in Emergency

    I would again like to point something out: what do we use IV's and I/O's for? To give medications and administer fluids. And does an I/O deliver medications like an IV (as far as onset, distribution)?...

  3. Placement Care of Dobhoff

    kmoonshine replied to chenoaspirit's topic in General Nursing

    Yeah, you did the right thing. Just imagine if it been in her lungs! The conversation from the doc would've been different then: "Why DIDN'T you turn the feeding off, since her sats were dropping and...

  4. A truly stupid day

    kmoonshine replied to oldiebutgoodie's topic in General Nursing

    :smackingf For patient #1: bring in a picture of a severe MRSA skin infection and ask him if he thought the "picture" of the infection would "sting" more than the "sting" he felt with the silver gel....

  5. Sick Leave

    kmoonshine replied to Simpleplan's topic in General Nursing

    What is a fair policy hospitals can use to regulate sick time? How about having enough staff to cover a shift should someone call in sick? Just kidding... But seriously, one facilty where I worked had...

  6. Helping Someone "Let Go" At Time of Death

    kmoonshine replied to Passion4Compassion's topic in Geriatric, LTC

    I too recommend the book "Final Gifts". It sounds like you are helping to give your grandmother a "good" death. I'm sorry for what you are going through, and I wish you and your family the best. If...

  7. IV size

    kmoonshine replied to danger's topic in Emergency

    Thanks for your comment mwboswell, and hope you dont mind if I add my : From Bryan Bledsoe himself: "I think the IOs are a good tool ... I think the IOs should be on the ambulances, but only as the...

  8. Question/Concern about pt and Dilaudid IVP

    kmoonshine replied to Christy1019's topic in Emergency

    Sorry, I don't think anyone here was trying to fault you for the IV potassium, so please dont take it as such. Its good discussing things like this so we can all learn. And from my experience starting...

  9. new nurse in emergency nursing

    kmoonshine replied to mikejsmithrn's topic in Emergency

    Buy the book "An Introduction to Clinical Emergency Medicine: Guide for Practitioners in the Emergency Department" by Mahadevan & Garmel....

  10. IV size

    kmoonshine replied to danger's topic in Emergency

    Here's a link for IV flow rates for one type of BD IV catheter: http://www.bd.com/infusion/pdfs/d16131.pdf I'm in the ED, and I usually put 18g IV's in everyone that I can (its good for IV contrast,...

  11. "Secret" HIV Vaccine in use?

    kmoonshine replied to Annisme's topic in General Nursing

    This was an interesting video that I saw some time ago from PBS called "Rx for Survival: Disease Warriors (A Vaccine for AIDS)". Its about several prostitutes from Nairobi who appear to be "immune" to...

  12. Low pressure at night

    kmoonshine replied to AMarie85's topic in General Nursing

    Was she on a PCA? Getting pain meds? That can sometimes drop your blood pressure. At rest, your BP is going to be lower; perhaps the diarrhea, coupled with opiate pain meds caused a low

  13. New job: Problem with orientation-VENT

    kmoonshine replied to Poochee's topic in General Nursing

    Nope, not the norm. Sounds like you really don't have anyone actually precepting you. Talk to the unit educator (if you have one). I'd suggest looking elsewhere, since a strong orientation is a...

  14. Question/Concern about pt and Dilaudid IVP

    kmoonshine replied to Christy1019's topic in Emergency

    I have put thumb/finger IV's in people before, but like I said, I would never run potassium through a thumb IV (let alone any site below the wrist). Most people who need IV potassium will be admitted,...

  15. My boss is stealing narcotics......

    kmoonshine replied to celticwoman61's topic in General Nursing

    And here's a complaint form for Wyoming State Board of Nurses: http://nursing.state.wy.us/Forms/pdfdocs/Complaintform10-2007.pdf I can't believe they are still letting her work - those medications are...

  16. My boss is stealing narcotics......

    kmoonshine replied to celticwoman61's topic in General Nursing

    Here's a link regarding Wyoming's "Impaired Nurse: Wyoming Professional Assistance Program (WPAP)" http://www.wpapro.org/

  17. Paralytic Question

    kmoonshine replied to Nurseboy1's topic in Certified Registered Nurse Anesthetist, CRNA

    Thanks for clarifying this. I can recall an ICU doc who came down to the ED to check out his newly intubated patient who had a history of renal failure (I was helping the primary nurse finish a few...

  18. what meds should I NOT be around while pregnant?!?!

    kmoonshine replied to momnurse84's topic in General Nursing

    Finasteride (Propecia) should not be used by pregnant women, nor should pregnant women handle crushed pills (causes birth defects in male babies). Here's a link on different meds that you shouldn't...

  19. 2 ED job offers - which one?

    kmoonshine posted a topic in Emergency

    Any opinions on which ED job should I consider taking? I am totally torn! I left my old ED job due to unsafe staffing (see my previous posts). Both places want an answer tomorrow! The hourly pay rate...

  20. 2 ED job offers - which one?

    kmoonshine replied to kmoonshine's topic in Emergency

    So, I decided to choose job #1, and here's why: less patient volume smaller hospital "system", as opposed to a large corporation excellent equipment good teamwork (the charge nurse was going around...

  21. Pain scale is missing a key element

    kmoonshine replied to ThatPoshGirl's topic in General Nursing

    I'll ask the patient to rate their pain "from 0-10, 10 being the worst pain you could imagine". If they say "10" and they're sitting upright, talking, smiling, and the pain rating doesnt fit the...

  22. I have to meet with nurse manager

    kmoonshine replied to mjs5312's topic in General Nursing

    Was the patient getting too much of the medication, or were they getting too little? And was it a high-alert medication (ie insulin, dopamine)? Most of the times when things like this happen, it's a...

  23. I need help with my first major speech: IV Therapy

    kmoonshine replied to BabyNurse_PJN's topic in General Nursing

    I'd say that the general public could learn about the following: the term IV catheter, and the fact that it isn't a needle that stays in the vein (many don't realize that its just a "plastic tube",...

  24. I need help with my first major speech: IV Therapy

    kmoonshine replied to BabyNurse_PJN's topic in General Nursing

    Is the audience the general public, or nursing students? Are they patients? Will they be learning to place IV's themselves, or are will they be receiving IV's as a patient? Goals: Audience will be...

  25. What do you think about a nurse breastfeeding infant at nurse's station during break?

    kmoonshine replied to mitchsmom's topic in Ob/Gyn

    I'm wondering why you would want to bring your infant to work and breastfeed them in the hospital...can we say GERMS? My coworkers pump at work, and we gladly accomodate breaks for them. But I...