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Florence NightinFAIL

Florence NightinFAIL

Medical - Surgical

Content by Florence NightinFAIL

  1. Florence NightinFAIL

    What was the lowest diastolic bp you have seen?

    Hello, Before posting this I tried searching google and allnurses forums but I wasn't able to find answers to my questions so I hope you guys can help! (What happened to the search function anyway, or did I go blind?) 2 questions: 1) I recently had a pt with BP of 124/48. She was fine, no concerns. However, I haven't seen a dbp that low and asked a fellow nurse when dpb would be considered too low and something to contact the doc about and she said she didn't know and to judge it by how the pt was doing. I didn't pursue the question because we were pretty busy, the pt was fine, and I wanted to do some research later on. I know that we should be considered if the sbp is below 80 or sometimes 90 depending on the pt - is there some kind of parameter for the dbp? 2) What was the lowest dpb you have seen and how was the pt doing? Thanks!
  2. Florence NightinFAIL

    The case of the missing pens: A rant and an idea

    so i recently went from a big city, teaching hospital where i was spoiled with, among other things, the latest equipment/machines, pcas, iv team, etc...and best of all endless pen supplies for staff. :heartbeat at my new small, dingy, community hospital - under the same health authority as above - the hospital is old, the equipment is old, pcas are available once in a blue moon, iv teams are unheard of, and everyone hoards whatever pen they have with their lives. you leave it unattended for 5 seconds and its gone. most of my day is hunting for stupid pens. just today i lost three! three. i have no idea why the hospital does not supply it. it's not the price of the pens i'm upset about - i could get a dozen from the dollar store for a buck - but considering how much charting we do in a shift [] i really can't afford to waste precious time looking for **** pens all day. anyway - i hope some of you can relate to how annoying this is. i just finished a night shift and instead of enjoying my cozy bed, i'm online trying to figure out how i can stop losing my darn pens and this is what i found: pens with attached clips have any of ever used them? the reviews i found were that they were cheap and broke easily. i shall keep on searching though until solve this problem of mine. what are your pen woes?
  3. Florence NightinFAIL

    What does TBU (transitional bed unit) mean?

    I just got a call about prebooking me for ___ TBU. I wanted to know what TBU meant before calling them back. Thanks!
  4. An IV kept on beeping on one of my patients. I checked the site - looked great, no redness, swelling, fluid discharge. I flushed the line, changed the tubing to no avail. Would keep saying "downstream occulusion". Anyway, finally called the nurse. She compared the two hands - and it was obvious that the fluid was going interstitial. The site was looking great - but if you looked above there was a bit of swelling. The hand wasn't huge but you could see it. So I don't focus just on the site anymore - always check whole hand and compare both. Can't believe I forgot to do such a simple thing, but lesson learned. What are the lessons you learned that have stuck with you?
  5. Florence NightinFAIL

    Pedal pulses/Head to toe assesments

    Do you check pedal pulses on all your patient's regardless of their diagnosis or history? Example: for a pt that came in with diarrhea and is otherwise independent with history/risk factor for dvt/PE/PVD. I was discussing head to toe assessment with some nurses and some of them said that they sometimes don't do a full head to toe assessment at all. They just do a focused assessment if a pt is stable. Ex: if a pt came in with cellulitis of the leg, they wouldn't listen to their chest or abdomen, ETC. I was really surprised.
  6. Florence NightinFAIL

    Green smoothie craze?

    Have you guys heard about Green Smoothies? I've recently been seeing a lot of nurses carrying weird looking greenish concoctions and they claim to have a lot more energy. Which is very appealing to me since I have veggies and I'm in desperate need of an energy boost during my shifts. I'm always sleepy and groggy for hours after lunch. Do you guys drink them and what are your recipes? Noticed any changes? How about the whole Superfoods /protein shakes trend (maybe trend only to me)? Do you believe in it and which ones do you swear by? Yes, if you are wondering, I'm trying to find the lazy man's way to good health. Instead of changing my whole eating habits I want to mix up some powders and have miraculous results!
  7. Florence NightinFAIL

    Langara College, Vancouver: Nursing Students

    hi, i got accepted into the sept 2007 program. how many of you are nursing students or pre nursing students in langara? and those who graduated or are current students - any tips on the courses, professors, practicum, books, tuition etc.? come out, come out, wherever u are!
  8. Florence NightinFAIL

    Giving O2 without an order??

    Wow. Is this discussion only SCARY to me???!!! In my area (I've worked at 3 hospitals), giving oxygen to pt is a nursing order up to 10L. Even if it isn't, I would never leave a pt is resp distress without providing what the OP has done. It's very easy for a person who is desatting/having difficulty breathing to go down rapidly - why take the precious minutes you have and waste on walking to the nursing station, looking for the doc's number, call him up, explain the situation, then get an order. That can happen AFTER! Now, I'm not sure if the situation OP experienced is as dramatic as I'm describing, but still...
  9. Florence NightinFAIL

    Any Muslim Nurses/Student Nurses in Allnurses?

    Hi, I'm muslim pre-nursing student and I wear the hijaab. I would love to know any Muslim nurses/student nurses that I can ask some questions regarding the hijaab, uniform, dealing with patients, and going through nursing school as a muslim. There are a few specific questions I would love to ask. So come out! :)
  10. Florence NightinFAIL

    What to do about thin skin on hands from washing them too much?

    Good old vaseline. Make sure your hands are wet/damp so that it can lock in the moisture. I have severely dry hands (made worse with nursing) and I'm still trying out lotions and so far none of them have yet kept me moisturized longer than 2-3 hours before I need to reapply. I keep lotions everywhere though - bedroom, bathroom, kitchen, purse, work bag, car so that I'm always reapplying which really helps. I've started to use Lush's massage bars and I find them very moisturizing compared to creams & lotions. Read some of the reviews on the website.
  11. Florence NightinFAIL

    Co workers as fb friends

    Maybe it would be better deactivate that account and set up a secret one with just the people you really are close with. That's what I did - so when they asked - I truthfully answered that I deactivated the account and didn't want to open in anytime in the future. I went from 200 'friends' to about 40.
  12. Florence NightinFAIL

    1st Nursing Cartoon caption contest - win $100

    "When the manager said that nursing was so easy, even a dog could do it, I really thought she was joking!"
  13. Florence NightinFAIL

    What's your weird quirk?

    I don't know if other people do this - but EVERY single time I have to give a subq/IM shot - i try about 4-5 times (point get, get close, withdraw without touching the skin) before I inject. If I don't do that - I get very anxious and feel like the needle will bounce. I make sure the pt doesnt watch so they don't get freaked out but I can't stop. I can never inject with one fluid motion. I don't like seeing anything in urinals - even if it's 10 cc - I will empty it. If no one is in the hallway and I'm transporting a mechanical lift - I will ride on it like a shopping cart I've had blood, pee, and vomit splatter on my unifomr and shoes and I've just shrugged and cleaned it off as best I could with disinfecting wipes then went on with my day without a second thought - but just the thought of hearing someone clearing their phlegm or suctioning mucus makes me want to curl up and lock myself somewhere. What's yours?
  14. Florence NightinFAIL

    RNs who choose/like being casual

    What do you like about it? Do you get the number of shifts you want? Are you able to work full time the times that you want? I have a friend who is a casual float and she said that she gets more calls than she can take. Putting the benefits and security aside for a bit - I think it might be an option that I might like if I can be sure of a couple of shifts a week. What do you think about being casual...and those who are working casual tell me about your experiences.
  15. Florence NightinFAIL

    What's your weird quirk?

    Good ones! Some more... - Whenever I reposition pts, I flip over the pillow. Every single time. - If I pull them up in bed and their gown is touching their neck - I have to pull it down or else I'll have this weird sense that something is choking MY neck . Whether or not they ask. They never ask - I caviwipe commodes even if they are clean. - I spray odor control spray on bedpans and urinals before and after use (really cuts down on odor). - If I'm spraying a room - I'll make noises to try to cover up the sound so that they don't get embarassed.
  16. Florence NightinFAIL

    Demeaned by a Doctor

    I wouldn't let her talk to me like that in front of a patient. You don't have to be yelling or saying curse words to be sounding rude. Tone can say a lot.
  17. Florence NightinFAIL

    Do you think about...

    Where pts hands have been? We're always helping them to transfer, get up, change etc. I noticed that a lot of the pts with mobility issues who have beside commodes or urinals do not have means of washing their hands. The sink is too far for them to reach and the majority of them do not have sanitizer at the bedside. That's what I'm crazy about. It's gross - they go to the bathroom or use the urinal (obviously touching their genitals and maybe having urine spill/spray) and then they call you and touch you as your are helping them, touch the side rails, the beside table, the chairs, then eat with those hands etc. I'm always running to the supply room and handing them sanitizer. I can't wash my hands enough. And if I really think about it - it makes you want to shower in bleach. I'm sure I'm forgetting a lot of other instances I'm coming in contact with grossness/germs throughout the day. Care to share?
  18. Florence NightinFAIL

    Ever lost a job offer because of your reference?

    I know a friend who lost a job because the reference bad mouthed her. I can't say much more details but the saying 'don't burn your bridges' comes to play here.
  19. Florence NightinFAIL

    Funny video about catheters

    Smiled & laughed throughout the vid. Awesome!
  20. Florence NightinFAIL

    Flu Vaccine, enough already!

    We were just told that if we didn't get the flu shot and called in sick we would not get paid. I can't believe they are getting away with this.
  21. Florence NightinFAIL

    Change is in the Air - Avatars; Polls

    Very cool!
  22. Florence NightinFAIL

    do you make sure your pts

    I'm not arguing about the basics here. Each person has an area that they are more concerned with than others. For me it's poop & pee. If a pt wets their bed or diaper - whether or not they are mine - & whether or not I am crazy busy I ALWAYS change them right away. I see some people who when the pt say 'I'm wet/need to be changed' will say "ok, I'll get your nurse/let your nurse know/ wait until I"m finished with X". I have never said that. I'm not patting myself on the back here but what I'm saying is that the head to toe bed baths that were drilled to us in school are not really realistic in some units for EVERY DAY.
  23. Florence NightinFAIL

    do you make sure your pts

    I see where you are coming from now because you have taken my frustrated comment wrong. Very, very wrong. I don't give a rat's patootie about other people's jobs unless it relates to mine. I meant that I seemed to be picking up the slack and having to call all departments - most of the time our unit clerk is swaped with orders. Of course I should be contacting maintenance if the suction or oxygen ports are not working - I consider that more important than bathing. Safety comes first. I'm using that as an example because I don't think you see how important is that others are doing their jobs for the overall safety & comfort of the pts. How many times have pharmacy claimed not to have recieved a fax? How many times do I have to call and then physically go down and pick up the meds because it's easier than waiting for them to stroll in? Etc. Etc. Etc. Peace to you too.
  24. Florence NightinFAIL

    Are shy and quiet people not allowed to be nurses?

    I'm the same way. It was a choice between teaching and nursing - and I went for nursing because I dealt 1:1 with pts. I did horribly with large groups (which showed during class presentations). Don't listen to her. You know yourself best and if you think you can do it based on your experiences with your clinicals - then go for it.
  25. Florence NightinFAIL

    do you make sure your pts

    Each hospital/unit is different in terms of type & number of pts, support staff, acuity & staffing available. I don't know what kind of place you work at but sometimes - bedbaths and extra little stuff to make pts comfortable are the the last things on my list: if I have pain, stat/urgent doc orders, procedures etc. covered - then I can have time for the rest. But I can understand your point - I would never leave someone in an awful condition as the poster said - but I find a lot of pts/family members too fixated on the little stuff when I have bigger things to worry about. (I'm not talking about total care pts) [Edit to add: our hospital does not provide toothbrushes, toothpaste, combs, deodrant, razor. Pts have to bring them from home. We only have those spongy mouth swaps and non-alcohol rinse. So if someone doesn't bring those basics for the pt- what are we supposed to use?]