kanzi monkey

kanzi monkey

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All Content by kanzi monkey

  1. Any male NP's out there?

    kanzi monkey replied to serpico79000's topic in Nurse Practitioners, NP

    ****shoots spitballs through a straw at all the dudes that say guys fare better as

  2. range order rationale

    kanzi monkey replied to MunoRN's topic in General Nursing

    I wasn't responding to your post--I was responding to this-- "No, I don't believe this is correct at all. The order does not say one tab every two hours. It says every four. If you do it your way, you...

  3. range order rationale

    kanzi monkey replied to MunoRN's topic in General Nursing

    ?? But... it's...a med error... If the patient NEEDED 3 tablets in a 4 hour period, then yes, a page to the on-call is warranted for an increase in medication. You are joking maybe? I also get pages...

  4. SL Nitroglycerin, O/C MD Blues

    kanzi monkey replied to suzem's topic in Geriatric, LTC

    I would definitely send an FYI page. But even if the rest of the world would disagree (which I don't think they would), that is still not an excuse for the doc to treat you like that. I would have...

  5. range order rationale

    kanzi monkey replied to MunoRN's topic in General Nursing

    Sure, if your facility policy specifically states that you need a new order once you've given the smaller portion of a range dose, then get the new order. If you're at my hospital, which doesn't have...

  6. range order rationale

    kanzi monkey replied to MunoRN's topic in General Nursing

    I'm sorry but this doesn't make any sense. You are right, it IS a simple order. But not the way you're interpreting it. Think of it this way--the patient may have a max dose of 2 tablets of norco in a...

  7. range order rationale

    kanzi monkey replied to MunoRN's topic in General Nursing

    it's "1-2 tabs q4h"; so you give 1 tablet, and then in two hours your patient is still in pain. So, you give another tablet--that is technically correct. You gave 2 tablets in a 4 hour time period....

  8. The CRAZIEST "Baseline" You've Ever Heard

    kanzi monkey replied to MoLee228's topic in General Nursing

    Actually not all that weird in a

  9. new grad-advice on when to call doc for febrile pt

    kanzi monkey replied to kbear1729's topic in General Nursing

    I think that's a really good idea. As a surgical NP I get pages from nurses all the time, and believe me, at least half of them are unnecessary. But I don't fault nurses for this. I get paged for many...

  10. new grad-advice on when to call doc for febrile pt

    kanzi monkey replied to kbear1729's topic in General Nursing

    But this is a different clinical scenario. A nurse cannot "correct" the underlying condition that causes a temp to rise to 103 with nursing interventions. Tylenol can bring the fever down thus making...

  11. new grad-advice on when to call doc for febrile pt

    kanzi monkey replied to kbear1729's topic in General Nursing

    If the night float is going to sign off to someone in the morning, she is going to want that information. Since the pt has a diagnosis, had cultures drawn, and is getting antibiotics, what you did was...

  12. Is taking diuretics equals having CHF?

    kanzi monkey replied to Blackheartednurse's topic in General Nursing

    SOB on exertion is a sign/symptom of pathology (of what pathology depends on the whole clinical picture). "Age" isn't a disease that creates pathology. I know I'm not answering your question, but I'm...

  13. drugs that need precaution...

    kanzi monkey replied to maiohmai's topic in General Nursing

    A few drugs that I've learned from practice that can be unexpectedly dangerous are Benadryl in the elderly (anticholinergic--can cause delirium or urinary retention) and Ambien in anybody (I always...

  14. RNs to write Diagnoses for medications?

    kanzi monkey replied to dinah77's topic in General Nursing

    I'm confused about this--if the patient takes the medication at home and the MD/NP/PA ordered it to be given while the patient is in the hospital, then THEY have obviously already considered why the...

  15. Question about sensitivities

    kanzi monkey posted a topic in Infectious Disease

    Hey all--this is sort of a micro question, don't know if anyone here will know but thought I'd put it out there. I'll give a little context for my questions--I am an inpatient NP and I work on a...

  16. Medication Question---Hospice Related

    kanzi monkey replied to lar2011's topic in Nursing Student Assistance

    Another confusing thing about the question is MS-Contin and MSIR are different (Contin is long acting and "IR" is immediate

  17. Any one else feel this way

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

    yes of course. many times a day.

  18. Cough Syrup via PEG Tube

    kanzi monkey replied to MisMatch's topic in General Nursing

    It is used as an anti-tussive. As was Morphine back in the

  19. Good hand lotion?

    kanzi monkey replied to Quark09's topic in Scrubs, Uniforms, Gear

    Burt's Bees They have a Shea butter "hand repair" cream that comes in a purple tube. It smells kind of funny, but after awhile you associate that smell with wonderful feeling hands. It's really only...

  20. Scary reading doctor forums about NPs...

    kanzi monkey replied to thenewguy8's topic in Nurse Practitioners, NP

    I actually went the ANP primary care route myself. After graduation I applied for a range of positions just to get a foot in the door anywhere. I found that my ANP license was good for most NP...

  21. Scary reading doctor forums about NPs...

    kanzi monkey replied to thenewguy8's topic in Nurse Practitioners, NP

    I think it's wise that you're approaching the DE-NP education with caution as it's true that the programs vary a bit, and clinical education can be inconsistent (even within the same program). You are...

  22. Told a doctor about how I thought he felt I had no common sense

    kanzi monkey replied to ratherbe's topic in General Nursing

    Hey Ratherbe, I'm an NP and I work for a surgical team at an acute care facility. I get calls like that all the time. The questions the doc asked you were not so much about him not trusting your...

  23. What is the highest regular dose of Oxy that you have seen

    kanzi monkey replied to ~Mi Vida Loca~RN's topic in Patient Medications

    70 mg dilaudid po q2h--walking to the nurses' station 5 minutes early for each dose. chronic back pain/addictive disorder--the man certainly understood the principle of "no ceiling effect" with...

  24. Are nurses smarter than resident physicians?

    kanzi monkey replied to LeLeeFNP's topic in General Nursing

    As an NP I work very closely with interns and residents. I gotta say, from day one of being a doctor these newbies are ahead of me in their knowledge--they are just learning to apply it. I learn so...

  25. ACLS

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

    I'm happy to have ACLS training simply to have a bit more knowledge on board in an emergency situation. I work in a hospital setting where there is a code team, so while I might be the patient's...