msjellybean

msjellybean

Emergency

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All Content by msjellybean

  1. Frequent Broviac Infections - eek!

    Maybe dressing changes are being done too often? At my facility, central line dressing changes are done once weekly (unless visibly soiled, wet, etc.). For our neutropenic patients, we used to change...
  2. What is the role of charge nurse

    On my unit, charge for days & nights is different. On days, if there are 4 nurses, the charge acts as a resource and doesn't take patients. He/she will take care of...
  3. Did any of you NOT take a NCLEX prep course??

    Nope. Didn't take anything extra, just used my Saunders book. Passed first time with 75 questions. Had a lot of friends that took the Kaplan course and felt it was a waste of
  4. IV Answers

    Oh my gosh, a 4 hour infusion time?! I'm quite accustomed to seeing Zosyn given q6 or q8. Does this cut down on doses as well, given the length of time it stays with
  5. Nurse's aides are running the the floor.

    Exactly. On my floor, all of our CNAs/techs like to think they're entitled to much more information than they actually are. A couple of them go so far as to look up labs (and attempt to explain the...
  6. OP, I could have written your post. I did the exact same thing and my timing in realizing dietetics wasn't right for me was almost exactly the same. I was most thankful for the science background...
  7. The CRAZIEST "Baseline" You've Ever Heard

    A couple of summers ago (I work onco) we had a pt on 450mcg of IV fentanyl an hour, with 60 of MS contin every 8 and he was still A&O and up and about on his
  8. What to do when.....?

    Almost exact same situation happened to myself and another nurse. We laid the pt down to put in a foley and that was it. Family had stepped out of the room for a few minutes. Very traumatic for...
  9. An RN with a Bachelors in Biology instead of BSN?

    I have a BS in dietetics and it prepared me pretty darn well for the application of the nursing knowledge that I gained in my ADN program. I've had multiple people tell me that my critical thinking...
  10. The CRAZIEST "Baseline" You've Ever Heard

    Diabetic pt c/o feeling like her blood sugar is low. Check it and it's in the 120s. She's like, "Oh well that's low for me. I'm usually in the 400-500s at
  11. MD vs DO

    We have six onco docs that we work with, one of whom is a DO. I've noticed that he treats us like peers as well, and really considers our input & suggestions. He also refers to himself by first...
  12. As other people have stated, everything requires an order. In my hospital, the standard admission order set includes an order for oxgen, if needed. For example though, if my patient c/o chest pain,...
  13. Medical shows...

    I remember a particular episode of House where someone is going to push 4mg of morphine and Chase freaks out, stating that "if you mainline that much morphine, you'll stop his
  14. New Grads ....how long until they can float ?

    My manager doesn't allow new grads to float until they've been on their own for 4 months. I don't know what her policy is for non new-grad, new nurses
  15. What DO we do...really?

    I think patients that have generally been healthy their whole lives and who have never had a sick relative are unaware of all that we do. Because most of it does happen away from them, as well as in...
  16. What does high acuity mean to *you*?

    I work heme/onc with general medical overflow and our (flawed) acuity system asks us to rank GI, neuro, skin, cardiac, respiratory, level of anxiety, medication response, frequency of VS measurement,...
  17. What grosses YOU out?

    Sputum is my number one. Just thinking about it right now is making me dry heave. Bowel obstruction emesis & feet that are dry & flaky and send a shower of dead skin into the air when you...
  18. I work onco and so far have been floated to cardiac med-surg (mostly 3-4 day post op CABG pts, but some CVA people too), ortho, and what has almost become a surgical step down unit (lots of neuro pts,...
  19. I very much doubt you'll ever actually like it. Unless you're like my friend who, for some odd reason, thinks ostomies are the coolest things since sliced bread. But, I find it easier to deal with...
  20. I'm not really considered a new grad anymore (graduated December 09), but I found a job right after graduation. However, I also had a previous bachelor's in a health field and went through my...
  21. Meds associated with Bleeding

    They're classes of
  22. Call Bell Requests

    1) toileting needs 2) beeping pump 3) accidental We do hourly rounding as well for pain/potty/positioning/personal effects, but at night it's soo much different. I can look in on a patient, see that...
  23. Nurse Week Goodies, funniest ones you've seen

    Our sister unit last year for Nurses Week was the GI clinic. Along with everything else, we all got samples of pink lemonade flavored
  24. Good hand lotion?

    Not from personal experience, but +1 for Corn Huskers lotion. My brother used to unload packages for FedEx Ground and in the winter, his hands were always dry & cracked and just looked painful....
  25. Do you have volunteers on your unit and what do they do

    We have volunteers several times a week. Most of them are scheduled during dayshift hours, but here's what I see of them on nights. They stock the unit & rooms, they wipe down surfaces, and run...