pawashrn

pawashrn

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About pawashrn

Latest Activity

  1. LVADS in the community

    ghilbert. point well taken. But a renal nurse and a CV nurse are two different skills and knowledge. As, in the comment before yours. If the Dialysis Nurse makes the pt. intravasculary dry then their...
  2. 2 pts. and each of them is on Levo, is a great assignment for me. H--- I have had 2(vented pts. on levo.dopa, epi, blood sugar checks every hour. Alot to do about nothing, some people will always...
  3. Nurse to Nurse Communication

    personally. am I being cold. I treat any pt. I receive as if they just came thorough the ER and no knows anything about them. Does it really change your nursing care to know they had dialysis 20 days...
  4. LVADS in the community

    you do what you accept to do. My opinion only. They belong in a dialysis center within a hospital setting. An arrest is an arrest and the poor Renal RN taking care of the pt. is accepting the...
  5. Dobutamine Advice

    dobutamine is great for unloading a pt. with CHF. pts. do come to the hospital for Dobutamine therapy every couple days or so to help increase the contractility of the heart and therefore improve...
  6. Open Heart Recovery Training

    I have been doing open heart surgery recovery nursing for 14 of my 16 years of nursing and have never read a book on how to care for them. Truly, just get in there. Use your basic knowledge, because...
  7. why be nice?

    smile,explain the care, fluff the pillow, massage the toes and when you get in your car scream like we all do. Hospitals are not focusing on the nurse who gives excellent care. They want the nurse...
  8. Working in a weight-loss clinic?

    I agree with your first
  9. Unsafe Nurse - what can be done?

    Just because she is working, don't assume nothing is being done. document your findings and release them to your manager. Example if you find lopressor in the sharps and it was to be given at 9pm. go...
  10. Best Stethoscope for Nursing Students

    Use your eyes and your senses to assess your pt. then grab a stethoscope. As a student you should hone your skills in observation. Such as, a person with no lung disease requiring high O2 and sat's...
  11. colostomy with rectal tube.

    What I am thinking is that the colostomy may be high in the colon and the physician is going to re-anastomos later and is letting the excrement be released and is relaxing the lower portion of the...
  12. Should CVVHD be 1:1

    1:1 ratio for vents. There must be a line forming to the left to work in that unit. If you email me, I'll be honored to send you my resume. Show me where the Moca is
  13. Dealing w/ difficult/drug seeking pts...

    Most drug addicts and alcoholics are base line manipulators. Kindly and firmly, let them know the schedule of medications and treatments and if they buck you. Notify the physician and let them get so...
  14. Graduate Nurse, can't find a job

    You didn't say what state you are in. If you can apply at a University medical center. They take on alot of people with little to no experience. State where you would like to work, but accept...
  15. I'm just starting out on the journey to become an RN

    Know you weakness, If Math and Science scare you confront them and let the instructor know day 1 of this fear. Fear is a good motivator. Apply yourself with a daily dose of knowledge in...