RNcDreams

RNcDreams

Tele, ED/Pediatrics, CCU/MICU

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All Content by RNcDreams

  1. Rectal aspirin

    RNcDreams posted a topic in Patient Medications

    If one needs to give rectal aspirin in an emergency situation, and a suppository is not available, can the PO form be

  2. Everyone's laughing except me.

    RNcDreams posted a topic in General Nursing

    Hello everyone... Recently at work, I had a really tough pt that needed a foley. Myself and a very seasoned PCT (they are allowed to place them where I work, and do so very frequently) tried to get it...

  3. Everyone's laughing except me.

    RNcDreams replied to RNcDreams's topic in General Nursing

    Just to clarify.... the doctor was female... :) Thank you for the support, it has really helped me just get over

  4. Everyone's laughing except me.

    RNcDreams replied to RNcDreams's topic in General Nursing

    that's exactly what i did... and i placed a second in what i thought was the urethral orifice.... as it appeared to be a separate hole..... aaaaaaaand they were both in the wrong

  5. Everyone's laughing except me.

    RNcDreams replied to RNcDreams's topic in General Nursing

    Their tone was kind of a mix of snide & "just joking around"......... but every single person standing there laughed. Thanks to you and all other posters for the support! I suppose I just have to...

  6. Funny essay by an ER doc.

    RNcDreams replied to bekindtokittens's topic in Emergency

    Funny.......and yet so

  7. BP 50's/30's left arm, 130's/60's right arm--?

    RNcDreams posted a topic in General Nursing

    So this patient was an older gentleman who was being tx for Ca and had a cardiac Hx. I ran into the room b/c he was alarming low bp; I took it on his other arm, and got a normal reading. He was...

  8. BP 50's/30's left arm, 130's/60's right arm--?

    RNcDreams replied to RNcDreams's topic in General Nursing

    Thanks for all the great replies and pointers! He did not have a history of dissection. He certainly didn't look like one, either. I checked into his disposition and he ended up transferring to...

  9. BP 50's/30's left arm, 130's/60's right arm--?

    RNcDreams replied to RNcDreams's topic in General Nursing

    Thank you... I am actually having a little crying moment here because I feel like I really let the patient down. I'll definitely listen to my instincts next

  10. BP 50's/30's left arm, 130's/60's right arm--?

    RNcDreams replied to RNcDreams's topic in General Nursing

    Have I done major harm by not calling the MD? It was so darn busy and I had a lot going on, so he sort of fell to the bottom of my list.... Ugh I will try to improve. And I am googling right now!...

  11. BP 50's/30's left arm, 130's/60's right arm--?

    RNcDreams replied to RNcDreams's topic in General Nursing

    Thanks for the pointers! he was absolutely stable-- ambulating, no dizziness, good CSM in all extremities, no tachycardia. And, no evidence of old fistulas or grafts. I just kept thinking, if all of...

  12. First needlestick :( :(

    RNcDreams posted a topic in General Nursing

    I'm disappointed in myself.... I know better. I was starting an IV with a #22 gauge angiocath, failed (never got a flash), and pulled out the angio and put it on the table- no blood on it. Catheter...

  13. Er Nurses

    RNcDreams replied to mamason's topic in General Nursing

    If I may, I'd like to explain why that sometimes happens. Often, if a pt arrives to the ER and is SOB, possibly needing a Chest CT, we go for the AC because the CT techs will not give the IV contrast...

  14. Nightmares about work?

    RNcDreams replied to Rabid Response's topic in General Nursing

    OHHH yes do I have them!! My worst one so far happened fairly early on in my post-orientation phase in a busy ER.... In my dream, I arrive at work and see that I have a patient that looks like a kid...

  15. How to set limits on inappropriate pt behaviors

    RNcDreams posted a topic in General Nursing

    Today was a rough day, I'll admit it. Long waits, sick people, 'lotta crap in the waiting room. The shift ended with three back to back discharges. As I was in room A helping elderly patient A into a...

  16. VENT! They could've KILLED somebody!

    RNcDreams replied to papergirlRN's topic in First Year After Licensure

    In my unit, if I have to give insulin, it goes like this: I obtain the vial ,draw it up, and then take it to RN # 2 and place it in front of her. She then tells me the kind of insulin in the vial and...

  17. Not allowed to say "I was busy w/ another pt"

    RNcDreams replied to General E. Speaking, RN's topic in General Nursing

    I think patients appreciate a truthful response. My last shift consisted of 4 patients-- one with chest pain, one patient waiting for an ICU bed, one patient who was a DNR and rapidly decompensating,...

  18. Keeping it all together

    RNcDreams replied to RoyalNurse's topic in First Year After Licensure

    It's like you took the words right out of my mouth! I'm approaching one year in the ER... my yearly eval was perfect, got the full raise.... and yet I always feel I am not doing as well as I should...

  19. How to be nice to yourself when you're in deep and feeling stupid

    RNcDreams posted a topic in First Year After Licensure

    Hello This questions is directed at ER and pretty much all newbies: We've all been there, when we get stuck with a patient in the ER who is for sure going to ICU, or on the floor, where your patient...

  20. The personal questions patients ask - sorry need to vent

    RNcDreams replied to Anagray's topic in Emergency

    When they ask where I live, I say "Oh, that's top secret!" and laugh... and they usually have nothing else to say. Kinda weird, but it

  21. "If I Only had a Brain......"

    RNcDreams replied to RiverNurse's topic in First Year After Licensure

    I just got home from a terrible evening as well, and I am almost at the 1 year mark. I feel for ya. All anyone can expect from us is our best. Nursing is a 24/7 job. The next shift should be checking...

  22. Help me stop obsessing over my shortcomings

    RNcDreams posted a topic in General Nursing

    Hello I'm open to any suggestions .... I'm almost finished with my first year in nursing. Some days I feel excellent about my performance, but more often than not I get totally fixated on what I have...

  23. Blood Draws

    RNcDreams replied to neyney1979's topic in General Nursing

    Get someone who is very strong to help you hold-- it only takes a little twist of the arm for that AC vein to disappear! Never underestimate the strength of a 2 year old!! Also: -Warm packs can help -...

  24. Charge nuse from HECK!!!!!LONG

    RNcDreams replied to PiPhi2004's topic in First Year After Licensure

    Ahh, I have the same issue. I just avoid her as best I can/ smile and nod when she orders me around. I like to tell myself that she behaves this way because she feels a lack of control in her...

  25. PANICKING! How bad is this?

    RNcDreams posted a topic in General Nursing

    Ever have this problem, where you realize a day or two later that you have left out some sort of documentation, something in report, etc? I recently transferred a patient (age mid 80's) who ended up...