shearernurse

I am struggling with a 26 y/o male with chronic ETOH abuse. He is seen in the ER at least 2-3 times per week. With either suicidal ideations, wanting help to stop drinking. He either gets admitted to psych or goes on outpt ETOH withdrawl protocols...

always keep your IV mannitol warmer than room temp or it will crystalize

Sorry, I don't know if this should be here or on a palliative care, or where my post should go, but here goes. I work in a 16 to 24 bed hospital depending on the day. Last night we had a bariatric pt come from our LTC facility with pneumonia and in...

Hello, all out there, I need some help. I am starting a new travel assignment in a couple of days and they want me to do ACLS on my own and I was wondering if anyone knows of a free interactive review site. My ACLS has long since expired. I am no...

True Christmas Miracle And so it goes, the rural hospital I work in has a 16 bed capacity. Last night when I went to work there was 21 and by the time I left there was 23. No room at the inn. Last Febuary or March our Dr's decided not to do any...

So sorry for your loss. (((((HUGS))))). No one can tell you how to grieve or your response to the loss. Nurse mode is a form of self-protection, but it sounds like you have your own personal moments of agony. Yes, be strong for your other kids, b...

I don't know how you OB guys do it. I had my 1st stillborn delivery about 12 hours ago. I got to the delivery room @ 2240. Pt's membranes ruptured @ 2247 with thick mec. I was having trouble finding fetal heart tones. (that's because there wasn't...

Not to long ago, I had a 50-something lady come into the ER @ 0400 for constipation. Her loving husband brought her in. She also c/o hemorrhoids. So I gave her a fleet enema to go home with, I also gave her some proctosone ointment with the applic...

As the old cliche goes "I know how you feel." What did you do to get over it, any insight might help. Thanks shearernurse

Yes, I have been hit and punched many times. We just got security a couple of weeks ago for our rural hospital. Our management have not been very supportive of pressing charges. About 13 years ago, I had a lady come to the emergency room via ambu...

I hoope this is the right forum. I had a situation the other night and need some insight on and also need to learn what was going on. I had a G2P1, come in @0030 and delivered by 0123. She only pushed for 20 minutes. Babe was a good size 3672Gm....

I have a friend, who has had unexplained amennorhea for 2 years now and all of a sudden, just got her period the other day. No pregnancy involved, her Dr, just said it was stress that caused the amenorrhea. What's up with that why all of a sudden w...

being alittle harsh, don't ya think. You are 23 years old, is there any cardiac hx in your family to suggest you are having a heart attack. Your K+ was 2.4, were you throwing up/ diarrhea, what? The Doc ran the labs, right. Go eat some bananas. ...

Here is your conversion exercise. In Canada, normal blood sugars range from 6-8. In the States normal blood sugars are between 60-120. To figure out the conversion factor from canadian to american you times the value (lets say, blood sugar is 26) ...

this is my last night shift as a traveller in Las Vegas. I got 1 dayshift of orientation, which included all the med tests, computerized charting etc. Then my orientation nightshift was horrible. We were short, that meant we had 12 patients apiece. ...

I have seen alot of long vents on this site, but foolishly never thought I'd be one of them. Starting last Friday night, I bit into a piece of pizza and broke my tooth. Pain wasn't too bad, went to work, it started of ok. I get this phone call fro...

Get on the phone girl, we have a policy at our workplace ( even posted) Abuse will not be tolerated to staff or patients. We all know it is a bunch of garbage. About 6 weeks ago I got assaulted by a drunk 18 y/o in my E.R. The police were ever th...

Okay Smiling Blue Eyes, WHAT pray tell do you do with these toilet deliveries?I have seen alot of things in my past 15 years nursing, but not that. Thanks for the info on how to get rid of the pop-ups. Thanks

Deb, Will keep you and your son in my prayers. Bless him and all the others for keeping us safe, because as you probably know Canada military is a joke. Shearernurse

I work in a 16 bed rural hospital, we handle anything that walks through the door. From a hot M.I. to a mom @10cm. Tonight, we had a 2 1/2 year old kid, who was bitten on lthe face by a dog. After consulting with plastics in the city, they said we...

I currently work in both places, Alberta and Montana. I wanted to work in the U.S. in order to somehow avoid strike measures in Alberta. NO resolution there yet either. Lets face it, when you are hired in the states you are wanted. THEY WANT YOU! a...

peyton O'Grady is part of the AMN ( american mobile nurses) network. My advice DON'T do it. You will find alot of negatives about them. Paperwork out the wazoo. Good luck

Hey cowgirl, sorry, you are just someone in my neck of the woods. I am here in Seattle with a TN visa under the NAFTA programme. It won't matter what you call it, it will change as of July 1. It is called the VisaScreen, and you have to go throug...

Hi there, from an about to be first time traveller. I have one simple question. Have you ever phone interviewed with more than one place and had to make a decision as to which one to decline and which to accept? I have interviewed at 2 places and...

Okay guys, this one rates right up there. Sorry no pun intended(ie: guys and right up there). Had a gentlemen with dementia who awaiting LTC. He had a catheter put in on June 14 and pulled it out on the 16 of JUNE. He seemed to be in alot of pain,...