NurseKatie08

NurseKatie08 MSN

Geriatrics, Transplant, Education

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All Content by NurseKatie08

  1. What are the top 5 medications YOU administer daily?

    NurseKatie08 replied to northmississippi's topic in Patient Medications

    Replying to five years ago me...things have changed with a specialty change! I'd say now my top five (excluding pain meds & Zofran) would be Lactulose, Xifaxin, Prograf, CellCept & SC Heparin....

  2. What gauge needle for subq heparin do you use?

    NurseKatie08 replied to evarunnr's topic in Patient Medications

    We use a 25 gauge 5/8 in needle, the smallest one we have. Our heparin is 5,000 units/1

  3. How long did you stay at your first job?

    NurseKatie08 replied to chacha82's topic in General Nursing

    I stayed at my first job in subacute rehab for four years. I was starting to feel the need to try something different when I moved fifty miles away with my now fiance and the one hour versus ten...

  4. Hours between shifts

    NurseKatie08 replied to purplerose05's topic in PACU

    We can work up to 16 hours at a time & need to have 8 hours off in between shifts at a

  5. What is the Registered Nurse Patient Ratio at your hospital?

    NurseKatie08 replied to LinenP's topic in General Nursing

    Med/Surg Hepatobiliary Transplant with some tele, 3-5:1 days, 5:1 nights (used to be 6:1, now with an extra nurse on at nights we will rarely have to go to 6 if we are full and down a

  6. Multi-dose insulin vials

    NurseKatie08 replied to Sunshine716's topic in Patient Medications

    Communal inhalers? Eww! If I were the patient I would refuse to take it! Spacer or no

  7. Random question of the day: What's your baseline blood pressure?

    NurseKatie08 replied to LDAthleteNurse's topic in Health, Stress Management

    BP systolic 95-110s/60-70, baseline HR 90s-110s (70s if I am

  8. Tardiness

    NurseKatie08 replied to Vtachy1's topic in Nursing Professionalism

    As a clinical instructor myself, I have struggled with students who are chronically late. Points are taken off their final evaluation at my

  9. Bending and Breaking the Rules in Nursing

    NurseKatie08 replied to TheCommuter's topic in Geriatric, LTC

    Agreed. More than once I have had security open the main kitchen for me at 0200 so I could retrieve something as simple as a Coke for a patient on a restricted diet with poor PO intake who was just...

  10. Case Study help

    NurseKatie08 replied to Bharatpur14's topic in Nursing Student Assistance

    What are common post op complications for the surgical

  11. students charting Assessments

    NurseKatie08 replied to BSNbeauty's topic in Nursing Educators, Faculty

    Why shouldn't they? My students chart on their patients in Epic and I am able to cosign their work/notes. I see it as an important tool for their

  12. 0200 BP's - Dealing with Tired Rude Doctors

    NurseKatie08 replied to Jennifer in Cali's topic in Patient, Colleague Relations

    Every four hour vitals are policy at my hospital for anyone on telemetry monitoring, on a PCA or on an Epidural, checked at 00-04-08-12-16-20. On my unit specifically, we usually also check transplant...

  13. Worried about phenergan IV push

    NurseKatie08 replied to Jaellys's topic in Patient Medications

    I wouldn't piggyback it, I'd y-site it below the pump. When you piggyback, the primary fluid stops, so you do not get the added benefit of further dilution by the primary

  14. Scanning in the supply room

    NurseKatie08 replied to elizabeast7's topic in General Nursing

    We use a Pyxis type system where you log in and select either the patient, or a "stock patient". Only way you can get to supplies is to log in, however people (myself included) often pick whatever...

  15. TBC patients, health check or no for staff?

    NurseKatie08 replied to hybr1d's topic in General Nursing

    Similar situation happened on my floor a while back. Patient ended up testing positive for TB while in the ICU....had been on my floor for several weeks. I initiated the rapid response that led to...

  16. Npo and medication

    NurseKatie08 replied to igotsdamunchees's topic in Medical-Surgical

    Actually, not at all a strange order coming from the perspective of a pre & post transplant nurse. If our liver failure patients are admitted acutely encephalopathic and are able to take PO meds,...

  17. Never wanna take students again.

    NurseKatie08 replied to remotefuse's topic in Patient, Colleague Relations

    OP, don't let a bad experience with one student sour you for the whole bunch. This student way overstepped their bounds (whether they are a nurse 20 years or not, they are a STUDENT in this scenario)...

  18. How long is your commute?

    NurseKatie08 replied to the nurse who lived's topic in General Nursing

    I live about ten miles from my current job. Since I take back roads from a smaller rural town (by eastern MA standards), takes about 25 minutes due to low speed limits posted most of the way. For a...

  19. Getting over a med error, what now?

    NurseKatie08 replied to CmacD's topic in General Students

    Where was your instructor? I am a clinical instructor and my students NEVER have sole responsibility for administration of meds! They must always be given with my presence and co signature, never mind...

  20. Help with 4 year old Hem/Onc in isolation

    NurseKatie08 replied to Hearts wide open's topic in Pediatric

    I have little advice and no experience in this situation as I don't know peds or heme/onc well. Just wanted to offer my best wishes for a speedy recovery for your little

  21. LPK Transplant Nursing Feeling Lost

    NurseKatie08 replied to PaddyW's topic in General Nursing

    I just saw this post...wish I had seen it when you posted initially. I've been a nurse 7 years and I work on a floor very similar to yours, except we do just livers/kidneys, no pancreas. Also deal...

  22. When did you find your calling?

    NurseKatie08 replied to SBDon's topic in General Nursing

    I wanted to be a nurse since I was ten years old and watching my brother go through treatment for juvenile pilocytic astrocytoma. Was always fascinated by his nurses and the idea of helping people. It...

  23. Why does everyone say that they "consigned" a drug waste.....

    NurseKatie08 replied to roser13's topic in General Nursing

    If you haven't heard it and this thread is cracking you up....listen to Word Crimes by Weird Al Yankovic....it's what this post is reminding me

  24. Can't recall a term for cast?

    NurseKatie08 replied to Jmarty31's topic in General Nursing

    Carter

  25. Why is insulin drawn clear to cloudy?

    NurseKatie08 replied to Cell-Nurse's topic in Patient Medications

    Others have answered your question well. Just wanted to point out that Lantus, as you mentioned, is NOT cloudy, and should never ever be mixed with other insulin in the same