danamobile

I think money is a strong motivator for those that thing aspiration is not needed. Its because they KNOW a vein will be hit, its statistically going to happen if you inject enough people, and medication is wasted. Well boo hoo to them, do what you we...

I agree with some of the posters. I think it would be best if some nurses had surgery very few years as a reminder LOL. I'm going to be getting jaw surgery in the next year and it scares me to think of my own personal nursing standards and some of th...

That's the best way to think of it-- preload, afterload, contractility-- EXACTLY how things run where I work. Fill it, squeeze it, then pump it more to get what you want... perfect! Glad you said it like that!! :)

GREAT answer!!! Not confusing to me!!! I need to keep you in my back pocket for when I get tough questions

That's awesome... and here during school I was doing homecare pulling up stockings and doing blood sugars for the forgetful :)

I work on a GI unit currently (and casually back in the ICU) and its weird to see people with a normal Hct. I mean, the patients are mostly dehydrated due to their diarrhea/alcoholism of sorts, but many have a GI bleed so we really don't look at it t...

sounds like these techs have a wide range of things they do... where I used to work, we had one person doing stocking on day shift mon-fri, and wasn't replaced if they werent there, and also helps with transports, no more. We also have Nursing Aides,...

I have use vasopressin a lot to decrease the amount of levophed used, successfully in a lot of patients. I knowthe doctors I work with don't like using high doses of levophed to potential SURVIVORS because of the peripheral damage it can cause.. but ...

1) Full vitals would be good to know. You're asking if the crappy waveform can be from the hematocrit? Hematocrit is a number that is reflecting the % of RBCs in the blood. If its low, you have less cells=hypovolemia. If his BP low, HR up, and we can...

oh man that is not good nursing practice... lazy if you ask me!! I honestly hope she didn't know better, better to not know and do than know and ignore, although both serious I hate hearing this kind of stuff! I'm glad you know your reasoning...

I worked in a toxic ICU environment for a year and it was pure heck. If there are many bad apples where you are, consider changing units, YES. Don't let what they say get to you, I let it get to me and I ended up leaving the ICU altogether, and it ho...

makes me sick. plainly just very very wrong I'd look into spending the $20 to find a new job...

Stroke volume is like tidal volume, which will always vary because the lungs will expand different with each breath-- and the heart will not contract exactly the same with each beat, and the CO will not be the exact same with each contraction... mayb...

I think its no one's business but your own why you'd want to try something different, but like someone said, the truth is good, no reason why you should hide from wanting change. Heck, I want change too, and I'm going for it, but nursing related as w...

I think its hard to rotate shifts, I've worked on a 6 week schedule, half days half nights and didn't mind it (as a young new nurse) then in the ICU, we had 4-days on, 2 days, 2 nights, then 4-5 days off, rinse repeat. I HATED IT!!! Switching from ni...

Very good point, I never thought about the 'exam with someone present'-- I think that's BS anyway. I mean, you don't know what's really going on under the drapes (No pun intended)!!! If there is a will, there is a way to do what negligent people do. ...

Where I work we have 'education pay' where diploma RNs get an extra 0.75/hr and degree RNs get 1.25/hr on top of their base pay--so it might be quite possible there will be a difference in pay depending on where you are! (I'm in Canada though)

I was exposed to blood from my patient into my eyes. I was trying to loosen a bandage wrapped with kling wrap with saline as blood oozed to the outer wrap, and it sprung loose when I tugged and up came the fluid. I can't say I know how you feel but I...

The difference is not IM to subQ, its IM to IV---and if you do not aspirate you cannot possibly know where you are injecting, it it hit a blood vessel or not. But you know that its best practice to aspirate before injecting and that's the most import...

I was in a similar situation myself as a student, and I find a lot of the older nurses have not been shown the ventral gluteal landmarking (that I've experienced). Like the other poster said, stick with your guts, and you will have the courage to spe...

I agree with the writer above me, and have had the same issue with patients not remembering, BUT with a great BUT BUT BUT too... I find that a lot of nurses are cutting corners these days, and I find too, some nurses do 'bare bones' nursing, or some ...

Maybe just a slip of the fingers (and pardon my pun ;P), but its 'rouses' not 'arouses'. I write something very very similar to this one, as all information is objective, and is observes, not an opinion of judgment. My eyes can be closed and I very w...

hey there, i hope you find what you're looking for in edmonton, it's a nice city, but you gotta shop around, so i would recommend you do some major looking before you come... the housing market is "just" starting to fall in prices as they skyrocketed...

thats a great idea! but i guess if there is going to be longterm venting, they trach a lot quicker now (where i am anyways). but just to clarify, i think when they mean lavage, they mean water straight down the hatch, i think when you clean the tubin...

if you can inflate the balloon by blowing, then you have mad skillzzzz