PICURN74

PICURN74 ASN, RN

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All Content by PICURN74

  1. Need help with this vague patient safety question.

    PICURN74 replied to obfuscate's topic in Patient Safety Issues

    There are "National Patient Safety Goals" that might give you some

  2. Cardioversion Sedation goes Beyond Moderate-Help

    PICURN74 replied to taj09's topic in Patient Safety Issues

    Can't speak for Texas or give legal advice but in my opinion you are right to have some concern. I think you bring up a good point of the level of consciousness being deeper than traditionally...

  3. A stupid question on Sympathetic nerve system

    PICURN74 replied to micstn's topic in General Nursing

    There are a couple of thoughts I have on the situation, SNS stimulation releases Epinephrine and Norepinephrine as well as cortisol and aldosterone etc. and causes the effects previously mentioned, in...

  4. New Nurse...Need advice on dealing with death

    PICURN74 replied to pcurn2008's topic in First Year After Licensure

    I agree with everyone else your feelings are normal but that doesn't make them easier. I also work in the PICU and pediatric codes are especially hard as a general rule kids are not suppose to die. I...

  5. Words of Wisdom?

    PICURN74 replied to SweetLemon's topic in First Year After Licensure

    Be honest with your desire and your areas you need to improve. I tell my new grad orientees in the PICU that you aren't suppose to know everything on day one or orientation would be pointless. To me...

  6. Cpr???

    PICURN74 replied to emmie08's topic in First Year After Licensure

    you might want to try craigslist for an instructor, I have had some friends who were able to find someone this way to validate skills after doing the online portion. Otherwise try calling the...

  7. Graduation Gift Ideas for Big Brother?

    PICURN74 replied to DroogieRN's topic in First Year After Licensure

    The best gift I got was a box of my favorite pens (my personal favorite is Pilot ultrafine point) I never knew how much the quality of your pen can affect the quality of your day until I started in...

  8. scared of being in a code

    PICURN74 replied to futurenicunurse2008's topic in First Year After Licensure

    FutureNICU- You are suppose to be scared of codes they are one of the few things that are literally a matter of life or death. You will learn to use the fear and it does decrease but they day that a...

  9. I made a huge mistake and ruined my life.. long, sorry

    PICURN74 replied to ShelleyERgirl's topic in Nurses Recovery

    You made a mistake and you admitted it now you need to forgive yourself for it. It will be something that is with you for quite some time but doesn't have to mean the end of your career let alone your...

  10. Atarax IV?

    PICURN74 replied to strugglingnurse's topic in General Nursing

    Check with your institution but, vistaril can be given IV but it is often avoided if possible, however it is on my formulary as IV and I have had some patients recieve IV

  11. Non-Clinical Factors that Help Create Positive Outcomes?

    PICURN74 replied to marqpdx's topic in PICU, Pediatric

    Glad to hear your son pulled through! Where I work we have a general hospital wide orientation followed but nursing specific orientation when we first get hired and then we are given additional...

  12. Distractions for patients in cervical traction

    PICURN74 replied to talltraveler's topic in PICU, Pediatric

    TallTraveler- Unfortunately we see many kids like this (motorbikes should be illegal but I digress) Is the patient in traction or in a C-collar? Depending on the reasons for the immobilization, our...

  13. I am working on a case study and I need to know what a "FAST" test is!

    PICURN74 replied to clmsngrl82's topic in General Nursing

    The scale is 3-15 with extremes at both ends. In our facility 10 and below is a sure way to get the million dollar workup

  14. What should I do?

    PICURN74 replied to squee-gee's topic in First Year After Licensure

    I agree, mistakes are just that until you try and cover them up then they become choices be honest. It sounds like you did try and varify the dose after reading it back to the doc and checking with...

  15. almost graduating

    PICURN74 replied to rachinq's topic in First Year After Licensure

    I work in peds and do a lot of lifting, best advice is find a job you will love and figure out a way to deal with the rest. Making friends with the stronger people on the unit is always a good idea (I...

  16. I Feel Like I Don't Know Anything!!!!!!

    PICURN74 replied to Michellemmk's topic in First Year After Licensure

    I will take a new nurse that asks a million questions over one that thinks they know everything anyday. If you don't know ASK ASK ASK. You are not expected to know everything otherwise orientation...

  17. New Nurse...little Tired!!

    PICURN74 replied to RNcorazon's topic in First Year After Licensure

    I don't care what mistake you make, Screaming at people is never ok. I agree that you should confront the situation, talk with the people you are having a problem with if you can and then work your...

  18. after 6 weeks orientation I quit

    PICURN74 replied to kitty55's topic in First Year After Licensure

    Kitty- Sounds like a pretty bad first expierence sorry your first post graduation nursing experience was negative. I am curious who repeatedly told you never to say anything about a nurse? I agree...

  19. off orientation--first big mistake!!!

    PICURN74 replied to bluelulu's topic in First Year After Licensure

    I agree with the above posters, Learn from your mistake and forgive yourself. We are all human and we all make mistakes, fortunately it sounds like your patient was spared any significant harm and I...

  20. first incident report

    PICURN74 replied to law3576's topic in First Year After Licensure

    I am a little confused too, I am hoping that not knowing there was a change in the patients condition was what upset the doc. I have never seen a MD order an IR, at my facility IRs are not punitive...

  21. Please help me...

    PICURN74 replied to litlamp's topic in First Year After Licensure

    I would talk to the supervisor about the things you have seen and then either promise yourself to do what you know is right not what your preceptors are doing or start looking for a new job. An...

  22. vents and cpr

    PICURN74 replied to smartnurse1982's topic in First Year After Licensure

    as a general rule follow the abcs, not know anything about your patient i don't want to give you specific advice but personally i would check airway (assume trach) is patent (a), then breathing (b)...

  23. Help with ER blood draw order and tube color!

    PICURN74 replied to pedsRN121's topic in First Year After Licensure

    Every lab is different but when I worked in the lab I used to tell people when in doubt draw red and get it to the lab asap. The color of the tube usually is related to the additive in the tube that...

  24. I am OUT!!

    PICURN74 replied to sherriberry1's topic in General Students

    I agree with what everyone else said, learn from the expierence and dust yourself off you will be a better nurse for it. Nursing is a second career for me and while I was in school for my first degree...

  25. New and Drowning

    PICURN74 replied to Sunbird21's topic in PICU, Pediatric

    Sunbird- I agree you need to have something change in your orientation because it does not seem like a learning environment. As a preceptor let me tell you that orientees often feel they are drowning...