GQRN

GQRN

Urgent Care, Step-Down, and ER

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  1. Benadryl, Dilaudid, and Promethazine are all compatible with each other. For an IM shot, can you mix all three in one syringe and administer? I've been giving a lot of Dilaudid/Promethazine or Morphine/Promethazine or Morphine/benadryl or dilaudid/b...
  2. New Grad positions anyone/anywhere???

    Check you inbox.
  3. I feel so stupid. What should I have done?

    You actually did the patient a favor by sending her to ER. First of all, if you had suspected a UTI, you'd be on the phone trying to get a hold of the doctor for an order to do U/A with C/S. Then you'd send it to the lab and probably get it back the ...
  4. Earning master's degree online

    Which ones are charging 20k? The ones I've researched are charging around 35-40K for the entire MSN program online!!!
  5. A lifestyle of a Nurse

    Lifestyle: a 25 yr old been a nurse for bout a year. Whats the 1st thing she buys? A CONVERTIBLE MERCEDES. Now thats the lifestyle of an RN.
  6. Hi, I recently joined Intermin as well partime. One of my co-workers works with Interim, she referred me so I went in for the interview. It was more like a meet n greet and having your questions answered about home health. When I walked out, they ...
  7. Higher incidence of depression among nurses

    oh by the way, after reading this post, i'm going to go have a beer for all the stressed nurses out there and enjoy it... to all the hardworking nurses out there... cheers!
  8. Higher incidence of depression among nurses

    I'm going to have to disagree with that. It takes a lot to be a nurse. You should consider yourself real special to be a nurse. We learn to deal with a lot of adversities throughout our nursing careers and learn to deal with them. If you are a go...
  9. home health

    It depends by which home health agency you work for. Some agencies give you a schedule for an 8 hour day. You can finish that schedule in less than 4 hours and get paid for a full 8 hour day. It all depends on the agency I guess.
  10. Cannulated an artery

    I just remembered my 2nd semester of nursing school. During our IV sessions, my partner (NOW WIFE) had a field day practicing IVs in me. Obviously, I was being sweet and told her that she can practice on me as many times as she'd like. Boy did I r...
  11. oral vanco?

    Yes, exactly. Make sure you flush. Did you check placement first? Always check for placement prior to administering.
  12. Career change

    Tony, What qualifications do you have? Degrees? In what field? What sort of work have you been doing your entire life? Its important to know all those factors in order to decide what part of medical field will be best for you. Be more specific an...
  13. strategies in studying

    How about "If you fail, you won't be able to come to America to make the big bucks". Is that inspiring enough?
  14. shot opinion?

    The bum bum is still the best site to give IM shots. VL is the best in the little ones. In my experience, most patients report that VL shots hurt like heck as compared to the bum bum shots. Bum Bum = Ventro or Dorso
  15. oral vanco?

    I don't think it would make a difference. Its not like you have a measured amount of fluid in your gut. It all mixes down there. If its bitter, give it a little more mixture. I don't think there is any restriction with foods while taking Vanco PO...
  16. Ativan IM?

    Ativan is a thick medication. Why do we Dilute it giving IV? So we can administer it with ease. Ever tried pushing it undiluted? Good luck with that. As for IM, There is no need to dilute that Ativan, just make sure you use a larger gauge needle ...
  17. Where I work, yes we need an order to place oxygen on a patient. If a patient is in obvious distress and oxygen saturation is low, I'm not going to wait for an order, thats your "nursing judgment", and call the doctor once I stablize the patient and...
  18. worried about back pain.. what to do :(

    I'm 6'2'' and I workout and am in good shape. Working at a med-surg floor when I started as a new nurse took a great toll on my back. I always use to think that it wouldn't happen to me since I am in great shape, but its all about BODY MECHANICS. I...
  19. Respiratory Question: What to do first?

    Not familiar with "HIT" term, but I know CPT means chest physio therapy. Bottom line is, you need to grab the policy and procedure manual at your facility and read it regarding Trach Care. I'm sure it should answer all your questions. Here are my 2 c...
  20. Understanding PCA settings

    I've worked with 3 different PCA pumps. Even though I feel like I know how to work the PCA pump, I've always made sure I had the proper training via in-service and was checked off. This is a high alert infusion, so you must be trained properly. So ...
  21. Is ACLS necessary for all staff members??

    I think ACLS is great even though you only work on a regular med-surg floor, especially for nurses that haven't experienced a code and are afraid how they will perform during a code. So if you don't need to take it, I'd rather have you take it to pr...
  22. Change of shift report

    You are a new grad, so I expect you to do that, keep it up. But in a few years, you will understand why I said what I said.
  23. How does your own PCP treat you?

    Knock on wood and pray to god... Haven't really met my PCP yet. Hope it stays like that for another 50 "healthy years"
  24. Don't call 911

    :banghead::banghead:
  25. Don't call 911

    Let me give you a great example. One night I receive a call from a nursing home that a patient had chest pain but it went away after nitro x1. The nurse said the patient has frequent bouts and it usually goes away after nitro. So she decided not t...