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Toquay's Latest Activity

  1. Toquay

    Port in the arm instead of the chest

    Sounds like a passport was implanted which looks like a mediport only much smaller. The passport can indeed migrate or flip over so its very important to feel and determine that the port/septum side is up. You must still use a huber or noncoreing needle to access the silicone septum which is only about as big as your smallest fingers nail bed. The size of the patient or the amount of tissue one has to feel through can make this port a little more tricky to access. You should still feel the back of the port through the septum when accessing before trying to use it. Once accessed follow your hospital port policy for maintaining it. Hope this helps. Toq
  2. Toquay

    Some OB questions

    I am a nurse but not in OB so wanted to ask the experts. Is it common for OB to change the due date in the last few weeks pregnancy? Daughter had been going to fetal maternal medicine for entire pregnancy until a week ago and has been told she is due Nov 19th and at her OB appt the other day (OB she has never seen before) was told her due date is the 26th. OB stated only US that counts was the 6 wk one as it is most accurate (daughter was getting an US twice a month through preg) and that all other US are off by 2 weeks. This OB insisted my daughter heavily consider epidural since it was first baby and started throwing out possibility of c-section, I asked about epidurals slowing labor and was told "not the way they do it" as they only do it at a certain point in labor. I told her I was under the impression that anesthesia called the shots and most times it was at their convenience or when they were on the unit to which she did agree that was partially right. Daughter lost her mucous plug 1 week ago (I saw evidence of this) had some contractions but nothing that lasted or became regular. She saw OB (not the one above) the next day and was confirmed to be 2cm dilated but no mention of effacement. The OB above refused to do vag exam after moving my daughters due date back a week states baby has 2 more days to be at 37 wks and this would be risky for baby. She did do a speculum check and stated cervix was closed up and not 2cm anymore, explaining that the cervix opens and closes at the end of pregnancy. I know the baby will come when it is good and ready and not before. However, my questions are is it common to discount all US except the first one? Is it usual for cervix to close after losing mucous plug and being at 2cm with manual exam? Can the speculum exam be as accurate in determining the cervix was closed (exam was super fast maybe 3 secs)? Finally any thoughts on the epidural (I know its a personal choice) and laboring times? Women have given birth for thousands of years it is not an unnatural act it seems like instilling fear in expectant moms is common. Thanks for any feedback, I know every pregnancy can be different. Toq
  3. Toquay

    Fl. educated nurses

    Edison Community College ADN 1992 Review for NCLEX by hospital internship (once a week x 6 weeks) Passed 1st attempt
  4. Toquay

    Unhappy in Job

    The best advice I can offer to any new nurse is to be very kind to yourselves and don't be afraid to say you are overwhelmed. The best thing students can do before applying to a department is to be very observant of the staff during your rotation through there. Do the staff help each other, are they patient with students or new nurses on their unit (ask the new nurses how they feel), are there cliques or cattiness? If it's a unit you did not rotate through ask the director of that department if you can come have an observation day as part of your learning experience and watch the teamwork or lack thereof. Then choose wisely the place that will nurture you and allow you to grow as nurse. Toq
  5. Toquay

    Treating pain in ER

    Just a question for the OP, since it seems vomiting was relieved why not go home and take the RX's you already had? Toq
  6. Toquay

    What is the silliest thing you've heard a nurse say?

    I was giving a guy a TD IM shot in his arm. He is all tense so I told him "Just relax, let it hang limp" and he replies "It usually is" and his wife starts to giggle. I proceed to give the injection and say "This won't hurt but you'll be a little stiff in the morning" to which he says "It always is" and the wife is now howling with laughter. I musta turned 5 shades of red when it dawned on me what they were thinking. We all had a good laugh but now I make sure to add your arm to the instructions. Nothing dangerous or bad but I sure felt silly. Toq
  7. Toquay

    New grad RNs: Do you hate nursing already?

    Another solution that may work for you is going to part-time, since your spouse makes enough to support this change. This was to option I went with a few yrs ago and its worked out great. I love nursing and using my skills to help and educate people but was getting burnt out doing full time for 15 yrs (ER night shift). I would find myself counting down the hours I had left to get ready for work and feeling emotionally drained before I even got to work. I found myself snapping at things that were beyond my control and dwelling on it for hours. I felt isolated in my feelings and stopped doing things for myself because I was so mentally drained. Now that I work part-time (3 twelve hrs shifts a pay period), I am able to go to work feeling refreshed and new every other week-end. I find I am more helpful to my co-workers and to my patients because I am now taking care of me. I only wish every nurse were able to to work these type hours and still make ends meet. I do help out co-workers and cover shifts for them to help out now and then and admin likes this as I am never in overtime. Its a shame to lose good nurses totally and this may be something to think about. Toq
  8. A few yrs back had a 32 yr old female arrive by EMS... she walks off the rig through our doors holding her fingers to her carotid "I have no pulse" and denies any other complaints. Ems giggling and shaking their heads. Triage--------------> Toq
  9. Maybe over time due to people opting for more government health care options over the higher priced Insurance companies, we will all become government employees and at 20yrs of work we get to retire with full benefits. I can dream can't I? With the hits my 401K took I will prolly have to work til the day I die. I envy my firefighter neighbor who retired at age 45 OMG!! Toq
  10. Toquay

    Health Care Vote- Is there anyone else as confused as me?

    The new bill will make insurance "affordable" for many that currently can't afford coverage. There will be subsidies to help the unemployed and low income. Businesses will be encouraged to provide health care options to their employees, again I venture to say not many employers provide "free health care", there will be a cost. Parents will be able to keep children on their family plans until age 26, again premiums will increase. Many people that are employed had opted out of health care for multitudes of reasons, these people will now have to contribute to the health care system to some degree whether they like it or not. I think alot of people feel this new bill is "free" health care when its truely not, more people will have to contribute to the system than currently do. I am undecided how this will all work out in the long run but I guess time will tell. Toq My hubby was informed his insurance would now require a 3k deductible and that is before co-pays will even start, and of course he still has to pay the weekly premiums.
  11. Toquay

    Faking Seizure in ER

    Ok Just had to post this... [url=http://http://www.youtube.com/watch?v=_m64cy1MMPg][/url] http://www.youtube.com/watch?v=_m64cy1MMPg Toq
  12. My husband laughed at this idea... but what if we had a National lottery once a week whereas the winner would be exempt from future government taxes. One ticket per person at the cost of $1. US population 307,025,703 as of July 28th. Seeing a FL billboard bragging about 22 billion lottery dollars to the school system since its inception made me get to thinking. How many here would spend $1 a week at even the slightest chance to never pay taxes again. The governemnt would only lose 52 people a year that should be paying taxes. Toq Ok so I am a dreamer and like thinking of off the wall stuff but am curious how many think something like this could work?
  13. Toquay

    Health Care: The Ticking Time Bomb

    No where did I post that people with poor life choices would not get care. I again for the record stated that if one can afford 5-6 dollars a day for smokes why could they not put same amount into their healthcare. Why, Lamazeteacher, are you so opposed to people taking some ownership for their own care? Toq
  14. Toquay

    Health Care: The Ticking Time Bomb

    If you read my post I never said there were not people that did deserve or need help/ assistance. I merely stated that there are people that do work the system and hurt the others that truly need help. I have also read many posts here by people that needed help at different times in their lives and government programs helped them to get back on their feet. I do feel if someone has the money to buy an unhealthy lifestyle (which is their right) they should not be entitled to take money away from people with true hardships. Toq
  15. Toquay

    Health Care: The Ticking Time Bomb

    People have the right to smoke, drink, eat diets that will kill them and engage in risky behavior of all sorts. The issue is not about rights because if you work to support the above "choices" then why not work to support paying for your healthcare as well. If you can pay 5-6 dollars (many smoke more) a day for smoking (or whatever vice) then why not put 5-6 dollars a day towards health insurance. Then people truly needy of government help could get it. The problem is too many feel they are entitled to free care. Toq
  16. Toquay

    Grammy awards given in triage!

    The intractable nausea and vomiting that is observed putting their finger down their throat to make themselves heave. The hyperventilating anxiety attack put in a stretcher complaining they are going to passout and being told to "Go ahead". I personally like the fake seizures that need to sign papers for registration and the seizing stops long enough to sign their name and then resumes. Toq It's all job security and if you don't laugh once in a while the absurdity will kill you.