kanzi monkey

kanzi monkey

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All Content by kanzi monkey

  1. Education vs Experience

    kanzi monkey replied to Airforce1's topic in General Nursing

    you are saying the same thing again and again without addressing the fact that there are many routes an arnp can take, many of which have very little or nothing at all to do with acute care. yes,...

  2. Education vs Experience

    kanzi monkey replied to Airforce1's topic in General Nursing

    I work in acute care. Not as long as you maybe, but yes, I have put a foley in a post-op pt. That kind of tension ought to have been noted by the person putting the catheter in. Who made the 10 cath...

  3. Education vs Experience

    kanzi monkey replied to Airforce1's topic in General Nursing

    No. I just mean you don't seem to understand what I'm saying. I didn't get this impression, but I haven't read the whole thread. I don't mean to be condescending. You have said that your views...

  4. Education vs Experience

    kanzi monkey replied to Airforce1's topic in General Nursing

    jopacu, you really don't get it, do you? i don't care if new nps are trying to become acute care nps at your institution. they should probably have some experience in acute care before being an...

  5. Education vs Experience

    kanzi monkey replied to Airforce1's topic in General Nursing

    You obviously work in acute care and wish to pursue an advanced NP career in an acute care setting. This is a specialty. I doubt the person who works in the women's clinic cares if her job would...

  6. Education vs Experience

    kanzi monkey replied to Airforce1's topic in General Nursing

    All clinicians, regardless of education or experience, have "aha" moments. What "fact" are you talking about, specifically? The minute I realize the HCP that is treating me lacks the capacity to...

  7. i feel so guilty..should i have done more?

    kanzi monkey replied to erin01's topic in General Nursing

    Don't take it personally when someone says this. Basic nursing, Shmasic nursing--no matter what you've learned in school, no matter how "basic" it is, when you see it the first time in real life you...

  8. i feel so guilty..should i have done more?

    kanzi monkey replied to erin01's topic in General Nursing

    The doctor should have been at the bedside and ABGs should have been drawn in the ED, I think (with her history and admitting dx). Did she have an EKG? (I haven't read any responses yet, so I...

  9. My pt accused my coworker of taking her Percocets! (long)

    kanzi monkey replied to shoegalRN's topic in General Nursing

    I think this is interesting. I work in ortho so a huge part of my shift is spent doing pain assessments and giving patients narcotics (often the doses are large, and they are given frequently). I...

  10. My pt accused my coworker of taking her Percocets! (long)

    kanzi monkey replied to shoegalRN's topic in General Nursing

    I never said an addict is trustworthy, but just because someone has a history of not telling the truth doesn't mean that they are ALWAYS lying. Yes, even when it comes to narcotics they claim they...

  11. My pt accused my coworker of taking her Percocets! (long)

    kanzi monkey replied to shoegalRN's topic in General Nursing

    I hope pt's with addictions are never subjected to your judgmental

  12. Charting for another nurse

    kanzi monkey replied to mominsd's topic in General Nursing

    I saw the title of this thread and laughed...gee, I always want to ask someone to do my charting for me Reality though--you shouldn't be charting for anyone but yourself. And no one should do your...

  13. My pt accused my coworker of taking her Percocets! (long)

    kanzi monkey replied to shoegalRN's topic in General Nursing

    I would probably give both the PRN and the scheduled med if I saw the high dose the pt was ordered for (so I know she can tolerate it). Also, I'm sure this RN had some idea of this pt's story since...

  14. TPN HELP!!! (please)

    kanzi monkey replied to peachpower's topic in General Nursing

    yup. one big, milky-white

  15. TPN HELP!!! (please)

    kanzi monkey replied to peachpower's topic in General Nursing

    Huh, I've only ever hung TPN in one bag (only worked at one institution). And yeah, your teacher had no idea :) Another vote for "ask the pharmacist" Good

  16. TPN HELP!!! (please)

    kanzi monkey replied to peachpower's topic in General Nursing

    I'm not sure I understand the question. TPN is composed of carbs, proteins, lipids, and lytes. It's formulated to meet the individual patient's nutritional requirement. Here's a PDF I found on...

  17. Diurese at night?

    kanzi monkey replied to Vtachy1's topic in General Nursing

    Cardiac events occur more frequently in the early morning hours. This was kind of glossed over in school and was explained as being related to an increase in BP/HR upon first waking or getting out of...

  18. RN-MSN vs. RN-BSN-MSN???

    kanzi monkey replied to NayNaeRN's topic in Nurse Practitioners, NP

    Northeastern also has a direct entry RN-MSN

  19. Would you have given the meds??

    kanzi monkey replied to **LaurelRN's topic in General Nursing

    Thanks Talaxandra! Your post is great! I think the confusion lies with the classification of diabetes. Type 1 diabetes usually has an autoimmune etiology where beta cells are destroyed leading...

  20. Would you have given the meds??

    kanzi monkey replied to **LaurelRN's topic in General Nursing

  21. Nurse stereotypes

    kanzi monkey replied to Inspired By Silence's topic in General Nursing

    He's making a joke about the stereotypes. "Nurse Media" is a form of stereotyping nurses. It would be odd for a dude to wear Mary Janes, skirt, and tights to work. A woman wearing those items may...

  22. Would you have given the meds??

    kanzi monkey replied to **LaurelRN's topic in General Nursing

    I usually find that my adult Type I patients know their way around the disease more than the Type II ones. They have been dealing with it for a long time, they know their A1c, and they are more...

  23. Would you have given the meds??

    kanzi monkey replied to **LaurelRN's topic in General Nursing

    If the patient is a Type 1 diabetic, then insulin should never be held. If they're Type 2, they may have some ability to make their own insulin. Actually, in the OPs pt, if they are at a stage that...

  24. Would you have given the meds??

    kanzi monkey replied to **LaurelRN's topic in General Nursing

    this is frustrating. the off going rn should have reported this. one thing that may help you in the future--when you are getting report, highlight any issue that may be (or lead to something)...

  25. Would you have given the meds??

    kanzi monkey replied to **LaurelRN's topic in General Nursing

    I would have talked to the MD about the previous FS of 39 in case s/he wanted to adjust the meds or investigate why the pt got so low. If I didn't speak to the doctor, I think the meds she was...