memphispanda

memphispanda RN

Med-Surg

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All Content by memphispanda

  1. Sickle Cell Crisis question

    He had fluids...I *think* it was NS at 150cc/hour, but it might have been something else. Thanks for all the great info...I wish I'd had better orders to help deal with the pt's pain. He came in...
  2. question of discharge

    I have a friend whose huband was released from the ED and suicided about 2 hours later. Big lawsuit...it's been about 6 years now and it's still going on--appeals,
  3. Sickle Cell Crisis question

    I should have been more clear about the O2--he had been on 2L BNC, but when I went in the room he was mouth-breathing so I switched to 6L with a mask. Thanks for the info on acute chest syndrome--I...
  4. Schedule Change for Hydrocodone

    Well...Here, you have to have written script for pain meds (and stimulants) and they can't have refills...must have a new written script for each time. Except Ultram or
  5. Help me!!!

    You'll be fine! I still have that response to really bad wounds. Thank goodness we have wound care to take care of most of them, but there is occasionally the wound culture ordered after wound care...
  6. Shingles? At MY age??

    My oldest child had shingles at 8. He has had immune issues since he was small (had cancer as an infant). He managed to give chickenpox to my 8 month old as well as all the children I kept in my...
  7. Omg

    13 patients? All alone?? That's a lot. Good luck! I just came out of orientation last week and have questions every night about something I haven't seen or done before. Thank goodness we only have...
  8. There are 24 hours centers here, but the majority of them (actually, all of them I have seen) are geared for low-income families and don't provide the best of care or atmosphere, and are located in...
  9. New & Experienced RN's/Policies & Procedures????

    I received copies of the most often used policies and procedures that are true throughout the facility, as well as ones that are unit specific. Anything that I don't have a copy of can be quickly...
  10. My first degree was a BA in sociology. I also have a diploma in nursing. I can go straight into a MSN program at many
  11. Short Bowel Syndrome

    My dad has short bowel syndrome, but has not required TPN to this point (it's been about a year since his last surgery that left him with about 3 feet of bowel). He is 60, and aside from having a...
  12. Peds Clinical

    I don't know that I have any words of wisdom, but I can tell you about my peds clinicals. I never had a *really* sick kid. That helped. None of them looked horrible, acted lethargic, or was about to...
  13. Hippa Violations and Roomates

    Well, I certainly didn't mean to imply that ER nurses were sitting around eating bon bons when they could be filling out forms. Good grief. I do know that from time to time our ER fills out the...
  14. Hippa Violations and Roomates

    I am so glad my hospital is all private rooms! It sounds to me like it may be time to have a policy that the ER does the admissions forms...if not, then they could have an admissions nurse who does...
  15. So exactly where in the process of typing and organ would a nurse have been the one to make the discovery--one that was missed by surgeons, lab techs, and the donor people? A Lab person made the...
  16. worried about my sister- triplets!

    One of my high school teachers had triplets after fertility treatments. So, no history of abruption there to help with your answer. However, she did live at least an hours drive from the nearest...
  17. Phenylpropanolamine Question

    It was banned in November of 2000 in the US. It is still available in many other
  18. One thing they told us when we complained about things like this: when you take boards, it's not likely you will have heard of each and every thing they include on your exam. Part of the job of the...
  19. Do I Stand A Chance??

    Definitely check your library out! My local library has a shelf of NCLEX books--I sure was surprised by
  20. Question for other 7pm-7am nurses

    I'm fairly new to working nights, but here's what I am doing... Say I have to work Wednesday, Thursday, and Friday. Wednesday day, I take a nap--3 hours if I can stay asleep that long. When I get home...
  21. Compliance

    Could you perhaps use balloons? Maybe use a small balloon and a large balloon and show how a certain amount of air is quite easy to put into the large balloon, but not so easy to put into the small...
  22. IV Therapy Question

    The only time we wore goggles in school was when we were in L&D. The facility I am working in does not require them for IVs. I can't imagine trying to put one in like that...goggles aren't...
  23. work and kids

    It sounds to me like you basically have two options: 1. Find a job with hours that roughly correspond to the hours your daughters are in school. Then find a daycare that offers before and after...
  24. I Passed

    I am SO happy for you! You did a great job not letting yourself get
  25. What the diffrence between a Nurse and Pharmacist

    I believe that pharmacy is a 6 year program. Salary for pharmacist is pretty nice. They take a lot of the same basic courses, but they move on to other things--a lot more chemistry and of course a...