memphispanda

memphispanda RN

Med-Surg

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All Content by memphispanda

  1. Reading TB skin test

    I am very very frustrated with my husband's "nurse" at the MDs office right now. We are trying to get him on Remicade for Crohn's, and that involves having the PPD done. First PPD they said was 4mm. I had already been watching it at home--it has ...
  2. Hurst Online Review...other review courses

    I took Hurst review in person and then online--we got a big discount if we had been to the review in person. It was extremely helpful. I would loved to have taken it prior to my last nursing course--the information and her presentation would have c...
  3. When to report a classmaste to your clinical instructor.

    We use "insulin" syringes for heparin. We have two sizes--one is a 30 unit syringe, the other is a 100 unit syringe. The 100 unit syringe also has markings for tenths of a cc up to one cc--which is slightly more than 100 units. Obviously these sy...
  4. Why do RN's with ASN and BSN make the same?

    You are paid for the job you do. I have a BA in social science. I worked for years teaching preschool in a daycare so I could be near my kids during the day but still make money. I was one of two or three with a degree of any sort working there. ...
  5. Multiple morphine orders for pain

    I work on a floor where we often get hospice patients or have patients that are being referred to hospice. We many times have people on multiple pain meds because that's what they require to have any quality of life at all. Usually they have some...
  6. SCD's and TED hose

    Usually both...I don't particularly like either. The TEDs are so slick they have been the cause of several falls/near falls even though we make sure patients have slippers of some sort to put on. The SCDs make the patients feel "strapped down" and ...
  7. IVPB tubing change

    I backflush. I don't see any reason to dump the tubing and get a new one. That's an additional access to the system that is totally unnecessary.
  8. Baptist, Memphis, Nurses

    Let's see... As a new nurse, I am VERY glad we have the MRT. I trust myself to see when a pt is having problems, but sometimes there are easy fixes that I am not yet totally aware of. Chart reviews--sometimes all I get to (and the other members of ...
  9. Blood culture techniques???

    Uhh...I think the "lowly med tech" comment was directed at the attitude the MDs have towards the med techs and others--as in they aren't even important enough to bother remembering their names, etc. Not that the OP of that comment thought the med te...
  10. Baptist, Memphis, Nurses

    I don't work at Baptist, but we do have a "Medical Response Team" that we call when we have a pt who is going bad but not ready to code yet. We have a pager number we call, and that gets us a respiratory therapist, the house supervisor, and an ICU ...
  11. Wound Vac

    PT does our wound vacs. They are trained to do it, we are not, so that's the reasoning behind it at my place of employment!
  12. Milk or No Milk-that is the question

    The gluten free-casein free dite must be followed strictly for up to 6 months in order for changes to be seen in most children who could benefit from the diet. And keep in mind that there aren't that many kids who do actually show a benefit from the...
  13. A 4.0 and now this...

    How stable is the telecom job? Would you possibly be laid off again in a year or two? Did you enjoy the work? What are your reasons for considering getting into nursing? Only you can choose what's best for you.
  14. Can you be a nurse with a suspended record?

    Keep in mind that it is Sunday morning, many members may be in church or working. Also there probably aren't a huge number of members who have the information you seek so it could take some time for the "right" person to see your post.
  15. Ativan usage?

    We only use Ativan for agitation and DT prevention (my floor is oncology, urology, med/surg). Our chemo patients have had great success with anzemet for nausea.
  16. Vent setting question

    This is my first patient on pressure control ventilation, so the settings on the vent are different from what I have seen before (CMV, SIMV, etc). I have figured out most of the settings, but I can't get a grasp on what "slope" is. My patient was o...
  17. Peds Clinical and Germs!

    Remember too that your immune system is an adult system that is far better able to handle germs than those babies immune systems. Also, the respiratory system in kids is prone to problems because of the smaller size. There are many things that litt...
  18. Tattoos and health professionals...

    The title of this thread is really a bit misleading. Let me clear up a bit about tattoos... First, I believe that most people are well aware that there are restrictions on donating blood following getting a tattoo. That alone isn't going to stop man...
  19. Advice please re: evil clinical instructor

    I would keep my mouth shut, and wait for it to be over. Having just finished nursing school in December 03, I learned from my fellow students mistakes. She who challenges the instructor or tries to "call them out" becomes she who has a "clinical fa...
  20. Childcare in larger cities

    I have lived in 2 cities that would be considered larger if you use 100,000 as the cut-off point. One place I lived on the east side of the city, had my child in a home daycare that was about halfway to my workplace that was downtown. The hours wer...
  21. ABO Blood Incompatibility

    My first two children had ABO incompatability...it was much more severe with my second than with my first. I do think that there are two issues here--the jaundice and the breastfeeding. They may not be related at all. First the jaundice--I was the...
  22. SHAVING & WAXING

    Ahem...I am one of those "over 30" who is apparently too old to be remotely sexual in some people's mind. There are benefits to having it shaved, yes there are.
  23. And Now.....What Do You LIKE to Do At Work?

    My very most favorite thing to do--talk to the patients! I also like to start IVs (especially the ones where a couple of others have already tried and missed!), brush out the lol's hair when no one else took the time to (not that I am always able t...
  24. Availability of food/drinks

    I was wondering what other facilities supply for patients beyond the regular meal trays. Also if anything is provided for family members. Do you have coffee, soft drinks, ice cream, sandwiches, soup, etc available for pts to have during non-meal ti...
  25. Help with hopeless horrible nurse's aides

    I don't know what the answer is...I think sometimes they are so desperate for aides (just the warm body) that they let them get away with doing almost nothing. The aide assigned to my hall repeatedly didn't answer pages the last night I worked, unti...