Ariesbsn

Ariesbsn

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All Content by Ariesbsn

  1. Crash Course?! Thoughts on RN education

    Ariesbsn replied to jjjoy's topic in General Nursing

    fronky bean, I have a BSN. My school lumped Peds and OB together into one course. I had a whopping 5 days of clinicals (30 hours total). Of those 5 days, I had 2 experiences to try and feel a...

  2. Have I displayed drug seeking behavior??

    Ariesbsn replied to elthia's topic in General Nursing

    That one is news to me! My insurance limits Zofran tabs to 12 a month as well as several other meds. I can have my doctor send a letter of medical necessity, but the policy states that the insurance...

  3. ICU: Nurses Wash Patients + Make Beds?

    Ariesbsn replied to nyforlove's topic in General Nursing

    In addition to the baths, linen changes, and blood draws, nurses in the ICU where I worked (have been in ER now since May) are also responsible for stocking the rooms and emptying the trash and linen...

  4. Opinions about night shift and personal health

    Ariesbsn replied to Soneshine's topic in General Nursing

    I think it depends on a person's circadian rhythm. I have been a "night person" since I was an infant (according to my mother). My brain doesn't engage until noon and I perk up at 2200. I also sleep...

  5. Learn From My Mistake - Dilaudid

    Ariesbsn replied to NursingAgainstdaOdds's topic in First Year After Licensure

    I think the best advice I was given when it came to administering meds was that I could always give less than what was ordered, providing I had good rationale. It came into being with the insulin gtt...

  6. Florence Nightengale Pledge.

    Ariesbsn replied to Diary/Dairy's topic in General Nursing

    i didn't go to my pinning ceremony so i don't know what was said. the only thing i would have had trouble saying was that i wouldn't give any harmful drugs. a good portion of what i do involves giving...

  7. Piggyback IV question

    Ariesbsn replied to big apple's topic in General Nursing

    I get what morte means. Having a designated antibiotic line of just NS and then you can piggyback all your antibiotics after you back flush. The unfortunate thing about that is actually getting the...

  8. Battle of the Shifts

    Ariesbsn replied to RNview's topic in General Nursing

    I started in health care as a CNA in a nursing home in 1988 and was amazed at how much each shift griped about the other shifts. Now it is 2007, I'm a nurse and nothing has changed in that respect....

  9. 8:1 ratio in the ED?

    Ariesbsn replied to TamrRN07's topic in Emergency

    Don't do it!!!!! 8:1 is insane, not to mention unsafe. At those numbers, you are doing drive by nursing. It is like a drive by shooting, but without bullets. Someone is gonna get hurt or even

  10. standing orders in your hospital

    Ariesbsn replied to esrun00's topic in General Nursing

    In addition to the other meds mentioned here, we have: Benadryl 12.5 mg PO/IV for itching q 4-6 hours, may repeat x1 Zofran 4 mg PO/IV one dose only orificeol Blistex Dulcolax Potassium replacement...

  11. Does nights or first shift give your insulin?

    Ariesbsn replied to TooterIA's topic in General Nursing

    Trays are one thing that I rarely have to worry about. Most of my patients who need accuchecks are on either tube feeds or

  12. Does nights or first shift give your insulin?

    Ariesbsn replied to TooterIA's topic in General Nursing

    Once we switched to the bar-code/scan system, our morning insulin orders show up being due at 0730. Since it doesn't show up as a "to do" for my shift it is technically the responsibility of day...

  13. evidence based practice

    Ariesbsn replied to nurse79's topic in Ob/Gyn

    Just for the fun of it, I am going to use the enumeration feature to see how many reasons I can quickly come up with. We practice with many other professionals, some of whom are in the position to...

  14. Tips for IV insertion

    Ariesbsn replied to tamari07's topic in First Year After Licensure

    This was taught to me by an RN with 20+ years of experience. If the pt is elderly or if you can see and feel the vein, don't use the tourniquet. The pressure from the blood that can't get past the...

  15. Clean vs Aseptic IV Starts

    Ariesbsn replied to danh3190's topic in Infusion, Intravenous

    firstaiddave907, The nurse should have been wearing gloves. That being said, the tape and the tegaderm stick to your gloves (just like they stick to the patient's arm hair). I keep 1 hand gloved,...

  16. rhonchi dilema?are you a wheeze or not?

    Ariesbsn replied to onduty23's topic in Nursing Student Assistance

    onduty23, Breath sounds vexed me to no end until I quit trying to match what I was hearing when I did my assessments with the video sounds we had in school. Nothing in real life has sounded like it...

  17. Clean vs Aseptic IV Starts

    Ariesbsn replied to danh3190's topic in Infusion, Intravenous

    danh3190, I am chuckling to myself thinking about the various ways I was taught to start an IV. I was taught the same way you were in nursing school (2003). Most of the nurses I work with insist on...

  18. How much DIPRIVAN?

    Ariesbsn replied to adean's topic in Patient Medications

    It really depends on the person you are trying to sedate. I had a pt who, after being given 4 intubation doses of diprivan, was still alert enough to realize that the wrist restraints were thwarting...

  19. turning non-emergent pts away

    Ariesbsn replied to Jennifer, RN's topic in Emergency

    Me either. It will suck to be the triage

  20. Triage sucks!!! Any tips??

    Ariesbsn replied to BrnEyedGirl's topic in Emergency

    Boy, since sarcasm and laughter will only get you in trouble, and tazering a person would be battery, I would suggest silent prayer (don't want someone who is not religious claiming that you violated...

  21. The deadly case of Mr. Hyde

    Ariesbsn replied to kenzy's topic in General Nursing

    The really sad thing is that unless a person is a psych nurse or has had extensive personal experiences with psych patients, they aren't going to put the pieces of the puzzle together until it is too...

  22. Crossing professional boundary.

    Ariesbsn replied to helen21186's topic in General Nursing

    Bordeaux67, I second what Sisukas said. Find a counselor and

  23. PEG tube placement checks

    Ariesbsn replied to IngyRN's topic in General Nursing

    I was told that we didn't have to check a PEG for placement. As far as NGT placement goes, even if you auscultate AND aspirate, it doesn't always mean proper placement. I had been off orientation...

  24. Will I get fired?????

    Ariesbsn replied to Furoffire's topic in General Nursing

    What equipment should do, and what it actually does are 3 different things. Our Alaris pumps should deliver a piggy back at the rate that we set them for. However, they don't. It happens so frequently...

  25. Had my first doctor scream at me today

    Ariesbsn replied to TigerGalLE's topic in Patient, Colleague Relations

    It really sucks that you had to go through that. After the second time I got chewed, I decided that I just wasn't going to tolerate it again and came up with several replies that I practiced and was...