I<3H2O

I<3H2O BSN, RN

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All Content by I<3H2O

  1. Electrolyte and Mineral Replacement

    I<3H2O replied to kayakmary's topic in Medical-Surgical

    I'm with MamieKay. Our protocol, which is NEW for us, does take into consideration the lab values. The only protocol we see is K+ replacement and that is only rarely that pts. are put on it. Only...

  2. Difference Between Hospitalist And Attending Physician

    I<3H2O replied to GoNightingale's topic in Medical-Surgical

    In my hospital, the hospitalist is the doctor for the patients who have no doctor or for the ones who have a doctor but that doctor doesn't have admitting priviledges. If a pt. has a problem we call...

  3. Dialysis, HIV and terminal Pts. Abuse?

    I<3H2O replied to Scarlette Wings's topic in General Nursing

    But you are alive and presumably well. If your kidneys shut down, you would need dialysis to survive. However, what the OP is saying is completely different. It seems absolutely insane to me that...

  4. We've all heard "staff according to acuity" long but want opinions

    I<3H2O posted a topic in Medical-Surgical

    Hi all! I work on a 35 bed Med Surg unit that encompasses Swing Bed as well. We have Orthos, general surgery (abdominal surgeries mostly), and general illness(pneumonia, exac COPD, etc) for 17 and...

  5. Flowsheet for Continuous Bladder Irrigation

    I<3H2O replied to JNT'smom's topic in Medical-Surgical

    We just grab a sheet of paper and write down the Ins and Outs. How do you all handle a large difference in the two? Sometimes it is hard to figure out how much is left in a 3000ml bag of NS...

  6. We've all heard "staff according to acuity" long but want opinions

    I<3H2O replied to I<3H2O's topic in Medical-Surgical

    Thanks for bumping this message up. I had forgotten all about it. In the last 2 years we have gotten a new matrix. We have 5-6 patients each now. Just recently, we had a patient that required 6+...

  7. atropine oph for excessive secretions

    I<3H2O replied to nminodob's topic in General Nursing

    Correct, IF they were indeed administered in the eyes instead of

  8. charts on plain sight--HIPAA violation?

    I<3H2O replied to cebuana_nurse's topic in Geriatric, LTC

    I think Esme12, Grandma Wrinkle, and theVWgirl all have very good points! Change is very hard on everyone but there has to be a reason behind it. This new director, I'm sure, isn't coming into this...

  9. Carpuject!?

    I<3H2O replied to hendersonar's topic in Patient Medications

    This is

  10. Major Vent

    I<3H2O replied to LouisVRN's topic in Patient Safety Issues

    Honestly, I am often more frustrated with my inability to communicate this very important information with them than I am about them not speaking English. I put myself in their shoes and think how...

  11. staffing pediatrics

    I<3H2O replied to ajohnson8407's topic in Patient Safety Issues

    Are you connected in with the labor unit? Who covers your breaks or even your own toileting needs? WHo is there to verify high alert meds with you? I think 4:1 staffing is enough however, you HAVE...

  12. how long until you would feel comfortable precepting?

    I<3H2O replied to pinkiepie_RN's topic in General Nursing

    I assume you mean precepting new hires. I think that a nurse that has a total of one year of nursing experience really has no place being a preceptor or a charge nurse. If you have been a nurse for...

  13. What color do you wear?

    I<3H2O replied to Lorien_LPN's topic in Medical-Surgical

    On my unit (and in my facility) we are allowed to wear whatever color scrubs we wish. I dont really care what color other nurses wear and think all scrubs look "professional" when they are clean,...

  14. Insulin Administration

    I<3H2O replied to Sunnysidegirl's topic in Medical-Surgical

    I've always been instructed to never hold Lantus or Levemir (which is what we use at our facility) unless cleared with a

  15. Turning hip fracture patient

    I<3H2O replied to gwendelyn's topic in Medical-Surgical

    Quite honestly, I do not turn hip fx patients more than absolutely necessary. It's hard enough on them to use a bedpan or be rolled to be cleaned when incontinent. I am risking skin breakdown but...

  16. pancreatitis and demerol

    I<3H2O replied to ORNurseAngie's topic in Medical-Surgical

    I have never heard of so many hospitals not using Demerol! WOW, didn't know that information. We use Dilaudid and Morphine for pancreatitis, depending on the ordering

  17. Why aren't we assessing patients?

    I<3H2O replied to bluebelle0604's topic in Medical-Surgical

    LOL generally speaking, I have at least one pt. per week ask me why I am checking pedal pulses. For that matter, we had one of our RNs in the hospital for a lap chole. She actually spent 2 days in...

  18. New nurse assigned to float

    I<3H2O replied to NurseJJ09's topic in Medical-Surgical

    My hospital has recently started hiring new grads in the "float pool" and it really is a nightmare for those of us that have to work with them. These nurses often times want to be coddled and that is...

  19. Med/surg patient worksheet

    I<3H2O replied to jogimada's topic in Medical-Surgical

    I have a really neat sheet that holds 8 pts. It can be folded into a little booklet that can be carried in your pocket. Takes some getting used to but I can't work without it

  20. what is med/surg like after doing long term care?

    I<3H2O replied to thekid's topic in General Nursing

    Just reading your title I was gonna come here and say Med Surg could be really hard to get used to. However, after reading your post, if you can handle Med Pass, FSBS, etc on 60 pts I think you could...

  21. hourly rounding

    I<3H2O replied to suni's topic in Medical-Surgical

    We are doing it where I work. We have about 5:1 nurse ratio with a 10-12:1 CNA ratio. Each of us are required to be in there every 2 hours. CNAs take even hours and nurses the odd. We were just...

  22. Intellidot

    I<3H2O replied to nightnurse7's topic in Medical-Surgical

    It saddens me to hear all the negative things with Intellidot. We are getting this system at the hospital where I work in the next month or so. I am probably going to work at this hospital for YEARS...

  23. how comfortable would you be reporting staff (nurse/doctor) who seems intoxicated?

    I<3H2O posted a topic in Medical-Surgical

    If a colleague came in to work and smelled of ETOH or seemed impaired somehow, how comfortable would you be going up the chain of command regarding this? Would you fear retaliation? Would you report...

  24. Med/Surg Certification - which one to get?

    I<3H2O replied to KacyLynnRN's topic in Medical-Surgical

    I dont think this is true. There is a RN at work who has RNC and she is a diploma nurse. She doesn't even have an ADN. :shrug: Anyway, I have been wondering which to obtain as well. I hope this...

  25. Post-op care of pt's with epidural

    I<3H2O replied to nbnurse95's topic in Medical-Surgical

    this.