memphispanda

memphispanda RN

Med-Surg

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All Content by memphispanda

  1. Pre-employment Drug Screen and Adult ADD

    memphispanda replied to BabyRN2Be's topic in General Nursing

    I tried Strattera, and it made me feel pretty rotten. Certainly didn't do what I

  2. Pt refusing basic nursing care

    memphispanda replied to kellyann0198's topic in Medical-Surgical

    Document, document, document. CYA. I would document every word of teaching and every non-compliant thing you catch going on. You can't force a patient to be compliant with what's best for

  3. Patients thinking others are their nurses?

    memphispanda replied to maddiecat's topic in General Nursing

    It sort of depends on the situation... If the family just doesn't understand that people have different duties, then I try to carefully explain..."Jane is the medical assistant, she will do your...

  4. Pre-employment Drug Screen and Adult ADD

    memphispanda replied to BabyRN2Be's topic in General Nursing

    My pre-employment drug screen said to list any meds that you had taken in the past month (I think it was month). For prescription drugs of any sort they wanted the pharmacy phone number and...

  5. Old Topic about night shift and melatonin

    memphispanda replied to Tweety's topic in General Nursing

    I have no problem sleeping whenever the chance arises, but my husband is a different story--and he works days! What has helped him a lot is Valerian. It smells absolutely horrible, but it seems to...

  6. uh-oh...40 and pregnant and nursing school

    memphispanda replied to kellye's topic in Ob/Gyn

    Holy COW! Congrats Kelly! I don't know anything about being pregnant at 40 (thank GOD!). But you know we just graduated 2 who had babies within 2 weeks of graduation--so nursing school and...

  7. Bad ER experience...what went wrong?

    memphispanda replied to luv2yoga's topic in Emergency

    I agree with the previous poster... Smaller hospitals often have radiology on-call for nights and weekends instead of having someone in-house all the time. That is a benefit of going to a larger...

  8. Bedside computer charting

    memphispanda replied to meownsmile's topic in Medical-Surgical

    We switched to computer charting recently. The idea was for us to roll the carts into the pt room for assessments, but in reality, it just doesn't work. The carts don't roll well for one thing, and...

  9. Maximum Heparin doses with Central Lines

    memphispanda replied to dmrn722's topic in Infusion, Intravenous

    I was *told* that our policy is the same as what you have mentioned with the exclusion of the PICCS. However, after reading it myself, I discovered it was not. PICC lines--flush with 10cc NS Qshift...

  10. Help needed with PICCs

    memphispanda replied to Tadpole's topic in General Nursing

    I have found a couple of things to help, but sometimes it just isn't going to happen... --try having them reposition the arm...straight out beside them, above the head, etc. Do this while pt is...

  11. Help With Contractions, 3 Days Now

    memphispanda replied to edib1's topic in Ob/Gyn

    Since no one else has mentioned it...if you are trying to stimulate contractions, you may want to look into nipple stimulation. Try doing a search at http://www.google.com for nipple stimulation...

  12. Geodon-----underdosing?

    memphispanda replied to Spazzy Nurse's topic in Psychiatric

    I felt it was related becasuse it started really quickly after his dose was upped. After doing my own research I found that while TD is much less likely with Geodon (and the other atypicals) it is...

  13. Need advise R/T Homeschooling and Nursing school LONG!!

    memphispanda replied to kwagner_51's topic in General Nursing

    Would you be homeschooling just the one child? If so, I think that is definitely possible. I would spend my time during the summer preparing schedules and such so that will be taken care of before...

  14. Geodon-----underdosing?

    memphispanda replied to Spazzy Nurse's topic in Psychiatric

    I can only speak as a parent of a child who was on Geodon. At higher doses, the side effects can be disabling. My son was on 120mg QD. He started having symptoms of TD shortly after his dose...

  15. Collodial silver?

    memphispanda replied to BRANDY LPN's topic in General Nursing

    Want to know what can happen? You can develop a wonderful condition called argyria. It is not reversible. There is no known "safe level" of silver to take to prevent it from happening. Some people...

  16. What do you do when...

    memphispanda posted a topic in General Nursing

    Ok...Another new RN question from me. What do you do when you have a patient that you know something bad is going on with, but you can't put your finger on it? This happened to me the other night. I...

  17. Old DUI Conviction

    memphispanda replied to Pitbullgirl's topic in First Year After Licensure

    Report it. To omit it would be fraud. In KY, it shouldn't pose a problem for him as far as getting a license, although he probably will have to make some sort of explanation about the

  18. PEG/PEJ placement

    memphispanda replied to SerenaT's topic in Gastroenterology

    We teach patients or family members to aspirate for stomach contents. Heck--air could go anywhere and make some noise that the family may or may not recognize as proper or improper placement. Who...

  19. This is sposta happen to someone else

    memphispanda replied to BarbPick's topic in Cardiac

    Yes, Barb was banned for reasons unknown to me. I am still in touch with her from time to time, and if it's ok with her I will update when she knows something. I think this was a pretty big loss...

  20. What are the Typical Shifts in Your Part of the Country?

    memphispanda replied to BabyRN2Be's topic in General Nursing

    The floor I work on has 8s and 12s. It can get a bit nuts trying to schedule. We do 7-7 or 7-3, 3-11,

  21. psychiatric nursing clinical alternative

    memphispanda replied to perkins's topic in General Nursing

    Try this:

  22. Assessing CVP

    memphispanda replied to nocturne716's topic in General Students

    JVP would indicate an increased CVP. You can measure the distance the JVD rises above sternum at a 45 degree angle and get a pretty good idea of how much CVP is elevated. Here's something else to...

  23. Non-accredited schools

    memphispanda replied to sonja24's topic in General Nursing

    If the program you are interested in is on the approved list, then you shouldn't have any problem taking the NCLEX in Florida. http://www.doh.state.fl.us/mqa/nursing/lst_trainingprograms.pdf If you...

  24. Student Loan Repayments

    memphispanda replied to texan's topic in New York Nursing

    Try calling recruitment at some of the hospitals and ask! It would be the easiest way to find out and know that you had accurate

  25. RNs, Bedbaths, I&O & Linen Changes

    memphispanda replied to allsmiles's topic in General Nursing

    We have MAs that do most of those things, but they can't be everywhere at once. On nights there are only 2 of them, and they have 22 pts each, not to mention the ones they work together on because...