zambezi BSN, RN

When I precept a student, I honenstly don't expect much as far as skills go, only because most people haven't had much clinical time. I would expect you to know the basics of assessment, starting IVs, foleys, ngts, bps, etc. What normal values for la...

Southern Oregon is beautiful and also offers smaller towns and lots of outdoorsy things to do. I also like Eugene-

Hello! I Just have a quick question and wanted to get some of the experienced OB RNs thoughts. I have done a search on post term deliveries but didn't come up with any hits... Anyway, I am just over 41 weeks pregnant (and I am positive of dates). Hea...

Just wanted to say hi! Thanks for all of your previous responses. Despite not wanting to induce, she decided that she did not want to come on her own. The birth didn't go as I planned (at all really) but I am happy with it. I did go in on the 24 th f...

So I set up an "appointment" for the induction for monday the 24th- I will actually be 13 days post term at that point...All of my NSTs have looked good...I hope she comes on her own before then but I think she is just too happy where she is! I still...

I usually jog to codes. I am not in an all out sprint, or even a run for that matter- but if I walked it would take me forever to get there. That said- awhile ago we had an experienced RN and a new grad going to a code and the exp. RN was rounding a ...

Thanks for the fast responses. Like I said the first NST was looked good and the second will be tomorrow. We are giving her 11 days post term (I am 8 post term currently) to show up on her own and if she doesn't we will induce on Monday...Like I said...

I typically run everything on a pump. If I have my NS at 125 cc/hr, I just use the secondary port, program in how fast I want the abx to run...it runs in my abx at the specified rate and then switches back to my NS rate when it is complete. It is ver...

We have fairly lax visitation rules in our unit. The unit is closed between 630-800 both morning and night for shift change (unless there is something major going on with the patient- like life support was just turned off). Other than that it is typi...

This is definately one procedure that I am so glad that I don't remeber. I had propofol during my cone...not sure about pain meds, I know I had about 25 mcg fentanyl after I woke up for mild cramping but not sure about intra-op. I don't remeber anyth...

Hello! Onc nursing is a bit out of my relam, sooooo.... I was wondering if any of you have any informtion on cervical adenocarcinoma in situ? I have done quite a bit of research on it (though none of it has been overly productive in getting me answer...

Sorry it took so long to reply! I had no symptoms. I went in for my yearly annual pap and it came back abnormal. A few weeks later I had the colposcopy after than which showed CIS (and when it was reread by another pathologist that specializes in wom...

Our most common drips are: Dopamine, Epi, Neo, Vasopressin (though this is a fairly new one for us), Nitro, Nipride, Heparin, Amiodarone, Propofol, Fentanyl, Primacor, Dobutamine, Cardizem Obvioulsy, we use others as well, but these are most common f...

When the patient first gets back from surgery and is vented or not taking PO we using an insulin drip. We check a BS with our frist labs when they arrive from the OR. We start insulin when the BS is 140 or higher. For diabetic patients, we start it o...

I double what dinith says. Our docs prefer that we do not use the dialysis lines for IV meds or lab draws (unless a direct order is written to do so). The exception is in the event of a code or near code when immediate access is a necessity- I have u...

I am not even sure what #1 is... I usually place the drape under the patients hips but I don't consider it sterile (nor do I try to make it overly sterile). I just use it as a place to place my betadine swabs without getting my sheets dirty. I will ...

We check placement on the xray when the patient returns from the OR. The swan also has little markings on it that tell you how far in the swan is. However, everyones anatomy is different as well, some people also have more friable vessels that are mo...

At our hospital it is also a bomb threat.

I agree, try to go to as many codes as you can (but don't be one of those people that just clutters the room)...Try to take ACLS if you can- mostly just so you know what might come next...what drugs the code team is pushing,etc....try to pick a task....

I am 29 weeks pregnant and plan to work as long as I can. I was unable to get short term disability (and unless you already have it, you probably won't be able to either since you are already pregnant). I have to have a hysterectomy after this baby d...

I think that new grads can successfully work in an ICU environment- I did and so have many other before and after me. That said- I think that it takes a certain type of personality and the right learning/bedside environment and support. There needs t...

I just recently got pregnant while working nights...the first month we tried no less...I was flipping back and forth though (two nights on, two off, four on, six off). If I were you, I would start a calander and track your periods and find out when y...

We don't have any precautions for pleural effusions other than the standard precautions.

Technically, yes, I would say that it is inappropriate (esp. if family members were around, which I assume that they weren't) Would I have laughed- yes. I think that random comments such as this tend to be said during code situations because of the s...

I definately agree with all of the responses thus far...I agree with papawjohn about thinking in terms of the the last 12-24 hours...it is just too hard (read: impossible) to predict what will happen much farther out than that... I too do not try to ...