FlyingScot

FlyingScot RN

Peds/Neo CCT,Flight, ER, Hem/Onc

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All Content by FlyingScot

  1. As a patient, is it okay to suggest a vein for IV?

    If a patient asks me to use a particular vein I always comply even if I see one that I like better. Experience has taught me that if I coerce the patient into agreeing to use the vein I like it...
  2. Measuring from a foley urometer

    Check your facility's policy. If I've had someone with a Urimeter it meant a close watch on output was necessary. Measuring from the large bag is pretty much guess work. We would check the smaller...
  3. I find that when I start throwing up before going into work then it's time to move
  4. Where is the shortage??

    There is no nursing shortage...there never was a nursing shortage...there never will be a nursing shortage. There are hundreds of thousands of nurses out there. What there was and will be again is a...
  5. Of course there is a reason to incorporate my faith into my nursing job. My faith is not something I wear just on Sunday it is part of who I am. However, incorporating my faith into my job as a nurse...
  6. Gastroschisis

    May I respectfully ask why the patient is being admitted to your hospital if there is no one with experience treating these types of babies? Please don't misunderstand me, I am not in anyway...
  7. I got RSV and Mycoplasma pneumonia while working in the PICU during the infamous RSV season. Waited too long to get treatment. The ER wanted to intubate me, I refused on the grounds that I was still...
  8. Gravity NS boluses for pediatric patients?

    OP...you asked a legitimate and well thought out question. I checked your profile and saw that you are a student. I admire your ability to "see the big picture" in questioning different aspects of...
  9. Gravity NS boluses for pediatric patients?

    The problem with the parents holding the kid is you can't ever get them to roll straight. One of the wheels always seems to
  10. Gravity NS boluses for pediatric patients?

    However, we all know that IV fluid isn't "sucked" into the blood vessel so even if a human exerts some miniscule amount of gravitational pull her/his premise is still absolutely
  11. Gravity NS boluses for pediatric patients?

    You do realize that the gravitational "pull" doesn't actually come from the patient so their size is kind of
  12. Gravity NS boluses for pediatric patients?

    It can be done but you must use a Buretrol or stay by the bedside. If a peds patient needs a bolus you place whatever size catheter you can get in quickly. Generally a 22 is the "go-to" size but if...
  13. Very true but I think people saying it is the "most challenging advanced practice nursing role" and the "top guns" of nursing are over stating it a little bit. There are other nursing roles that are...
  14. Dropping pressures with nitro. Anyone experience this??

    I'm quite sure Gila wasn't asking how to diagnose a RVI given his expertise. I'm equally sure he was responding to a snarky remark from another
  15. I know! I know! Code Blue Charades! We'd be the life of every
  16. Dropping pressures with nitro. Anyone experience this??

    Very common and also a reason to ask if the patient has taken Viagra prior to administering
  17. Starting as an ER Tech, what do you nurses want from me?

    If a nurse asks you to do something and you've already got a list of other things to do (from other nurses) do not tell her "no" or "I'm too busy" (especially if you are at the desk!). Your best...
  18. That will immediately help her be the most hated nurse on the floor. Nobody likes a tattle-tale regardless of how unfair the situation
  19. should I confess? 12-month full time then part-time for the rest

    No need to disclose but be aware. When/if you decide to go part-time your employer is not obligated to honor your wishes if they do not have a part-time position open. You may find yourself out of a...
  20. Find a friend in a senior nurse, cultivate that friendship, learn from it and do your best to ignore the others. However, if a year from now you are still crying on your way home don't try to "stick...
  21. lethargic(and need ABG) or just tired???

    We're on the same page Grey Gull I just didn't get into the specific order of care. I was responding to the poster who was talking about patient's who are acidotic with normal sats. Of course you try...
  22. How would you handle this?

    Sad truth of the matter is with this career you are going to have to "make nice" to a whole lot of cretins and do it with a smile on your face. If not, you will have a rough road ahead of you. Trust...
  23. lethargic(and need ABG) or just tired???

    An EtCO2 reading will be quicker, cheaper and far less painful. If the CO2 is elevated then you would have a reasonable rationale for an ABG. Plus are we talking about a lethargic patient or an...
  24. How would you handle this?

    Well I think pretty much all of us have been in this situation. I have two ways of handling this. First is the "pre-emptive strike". You walk up to him and before he starts in you very politely do to...
  25. How would you handle this?

    Seriously, Droogie, we'd like to help you but your description of the incident sounded pretty benign. Did he use a mocking tone? Did he refuse to answer your question? Did he treat you like you were...