deeDawntee RN

Travel Nursing, ICU, tele, etc

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All Content by deeDawntee

  1. deeDawntee

    need help with ABG question

    This is a very difficult one to determine without the clincal picture. But just a guess, would be a patient with severe COPD that is vented and has blown off enough CO2 to bring up the pH to an...
  2. deeDawntee

    Determine O2 without a pulse oximeter available

    Pink warm skin. No signs or symptoms of dyspnea, tachypnea, shortness of breath or air hunger... Normal pulse. Also, I would think that all the signs that indicate good perfusion would also be...
  3. deeDawntee

    Considering Critical Care

    First of all, I would caution you not to look at ICU as an "up-grade" because you will soon see that though it entails a distinct set of nursing skills and abilities, your basic good nursing...
  4. deeDawntee

    STUDY strategies

    Here is a couple of things I learned about studying that really helped and continues to help me. If you are learning new material, do it early in the day, because if you do it at night your mind will...
  5. deeDawntee

    ltc to hospital

    I did it about 6 years ago and at that point I had done LTC, TCU, home care, a vent house (not in that order) and there is no reason that you won't be a great nurse in the hospital as well. I was a...
  6. deeDawntee

    It's long, dangerous, but worth typing, to me!

    I do appreciate your frustration and I totally honor your right to vent as loudly and clearly as you need to on this forum. I have struggled with the same judgments in myself with similar patients...
  7. deeDawntee

    Lab analysis assistance pls

    Hey, I would bet that this guy overuses Ibuprofen. That would account for both his GI bleed and high creatinine! And, also if this patient had gone into shock and was severely hypotensive along with...
  8. deeDawntee

    Lab analysis assistance pls

    If this pt were dehydrated his lytes would be elevated not decreased. And creatinine is not affected much by dehydration, certainly not THAT much. Creatinine jumped out
  9. The first thing I would tell you is not to worry about remembering everything. We all forget a lot of what we learned in nursing school but when you go back to learn it again it is much easier or if...
  10. deeDawntee

    Lab analysis assistance pls

    I think you are definitely on the right track in your analysis. The elevated BUN could certainly be secondary to GI bleeding, but I would bet that it is renal because with the Creatinine being...
  11. deeDawntee

    Vent settings and documentation

    If the patient is overbreathing the vent that can be a good sign in that they are able to deliver their own breaths and have the strength to do so, however if they are not well-sedated and the idea is...
  12. deeDawntee

    Vent settings and documentation

    Where I work there is four settings we document: the tidal volume (which is IDEAL weight based--8ccs per kg) the respiratory rate (important to know, as to tell whether or not the pt is overbreathing...
  13. deeDawntee

    Unions for nursing?

    I started as a nurse in a hospital with a Union in 2001 and to be honest, with a little trepidation, because there seems to be a lot of controversy surrounding Unions of all types. But, I will tell...
  14. deeDawntee

    Think I am in trouble, maybe fired

    Get a lawyer and haul that bullcrap facility into court and the unsafe environment for its
  15. deeDawntee

    Clinical Tips

    I have seen something suggested on other posts on Allnurses and that is to keep for yourself a Clinical Journal, people have reported how valuable it has been when they have reached the point when...
  16. deeDawntee

    I need your opinion

    OK Nightingale, I totally believe in being politically correct but that you were placed on leave is IMHO 100% BULLCRAP!! Your short insecure pharmacist took the opportunity to take a situation and...
  17. deeDawntee

    Multiple Sclerosis

    Hi all, Thank goodness for allnurses and that this thread exists. I just found out on Friday that I have "multiple" T2 hyperintensities in an MRI I had because of Migraine headaches I was getting....
  18. deeDawntee

    Anyone else studying for CCRN exam?

    all right!!! congratulations!!! way to go!!!! rn, cen, ccrn!!!!!!
  19. deeDawntee

    Anyone else studying for CCRN exam?

    all right!!! congratulations!!! way to go!!!! rn, cen, ccrn!!!!!!
  20. deeDawntee

    Too Sensitive to be a Nurse?

    Wow, what a brave and honest post! First of all, being shy and having social anxiety should not impact your relationship with your patients. Lots of patients respond to the quiet, soft types and...
  21. deeDawntee

    ? about DVT

    Frequently if a pt is up and doing rehab for 3 days, the cuffs are no longer necessary. However, that being said, if it is still part of the protocol to have them on, then they should definitely be...
  22. deeDawntee

    How is it possible to be in 5 places at the same time?

    Just a suggestion, but I would ask that your labs be printed for you when you come for report. Perhaps you have a HUC who could do this for you or you could implement it as part of your routine, come...
  23. deeDawntee

    Had a rough shift...need some input please!

    I would have called a code. Nobody would EVER have faulted you for calling a code for a pt with a pulse over 180. To hold her hand for 3 1/2 hours is totally insufficient. You did NOT get the...
  24. deeDawntee

    Don't you just love the stereotype?

    I want to know why they all have gas masks on? Does the public assume we clean up smelly substances all the time??? On the other hand...not a bad
  25. deeDawntee

    Bariatric Surgery....years later

    Thank you so much for starting this thread. I had RNY over 9 years ago and am very concerned about the long term implications of RNY. I have had many chronic issues that I suspect may be secondary...