shiccy

shiccy

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All Content by shiccy

  1. Magnesium sulfate and procardia

    shiccy replied to theamberdawns's topic in Ob/Gyn

    I unfortunately am not an OB RN, but keeping BP down will actually prevent pulmonary edema. Fluid overload can def do that, but I don't know how much IV / mag they're getting. I'd be more concerned...

  2. Do you push Fentanyl on the floor?

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

    We used to only be able to give 25mcg, but there was no time limit in the rules. We've now had a recent change to 100mcg for those 65yo -- all IVP. I've not seen a person that is in genuine pain have...

  3. New DON is Unprofessional

    shiccy replied to skittlebear's topic in Nursing Professionalism

    In many states it's not only unprofessional but also illegal to inform others why and how a person was disciplined. If something is bothering you, you can confront her yourself, or go to HR. It's...

  4. Nursing home firing oldest nurses.

    shiccy replied to user12345's topic in General Nursing

    That's the scariest part of working for a place that doesn't have an HR department. If it does, then you can fight it fully. If you're dismissed without cause, then obtaining a lawyer for wrongful...

  5. Hand sanitizer destorying my hands

    shiccy replied to itsmejuli's topic in General Nursing

    I suggest the foaming sanitizer as well. It's still alcohol but dries much faster and is easier to control how much you're putting on your hands (had a problem with that with the gel). I used to use...

  6. Is this ever acceptable?

    shiccy replied to Guest219794's topic in General Nursing

    If it's a dialysis cath like a QM, then you're instilling bloody heparin ... not the best idea. If it doesn't have heparin in it, then you're in danger of placing clotted blood back into the system /...

  7. dementia charting

    shiccy replied to litbitblack's topic in General Nursing

    If you gave examples of what you're having troubles with, it may help us with giving an

  8. Hi, are you the doctor?

    shiccy replied to Bortaz's topic in General Nursing

    Oh I definitely get that all the time where we work. I think the only thing that might HELP people is if I wore all white scrubs, but ... I wear navy blue ones (the 2 colors we are able to wear) and...

  9. How do you let go of the patients?

    shiccy replied to AmericanChai's topic in General Nursing

    Honest answer? Sometimes you never do. The thing that has helped me in my line of work is to know that they do have families most of the time, and if they weren't in a LTC facility then they'd have...

  10. Men in L&D

    shiccy replied to forgop's topic in Ob/Gyn

    CaLLaCoDe: I do the same with inserting foley's, and make sure to chart in my long notes with second RN present. I've never had somebody uncomfortable enough to refuse things with me, but many times...

  11. Why do units rotate shifts?

    shiccy replied to TooterIA's topic in General Nursing

    In our hospital we don't have shift rotations. Night shift is nights, Day shift is days. This being said, there's a HUGE amount of animosity against night shift from days, even those that just moved...

  12. Freaking out! Exposed to HIV

    shiccy replied to GoECU's topic in General Nursing

    What they're saying is correct. Unless you had an open sore in your mouth you should be fine... Take the antiretrovirals and keep getting tested! The positive spin about HIV is they've taken it off of...

  13. How To Document Sleeping On Night Shift

    shiccy replied to Iggy123's topic in General Nursing

    Pt resting with eyes closed, resps even and nonlabored. No signs of distress or discomfort. Fits on one line (at least for my tiny handwriting

  14. What Happens If the Nurse Didn't Aspirate For H1N1?

    shiccy replied to HappyMeNow's topic in General Nursing

    I aspirate as instructed by my educational facility when I went through college ( I asked what would have happened if it had been giving anyways, and her answer was that it would just not be held in...

  15. Difficult familily members (VENT)

    shiccy replied to Spritenurse1210's topic in General Nursing

    I find it very VERY helpful to involve these staff members in the care as much as possible. Have them tell YOU how to do something, and if they're wrong or their way is unsafe, then tell them WHY it's...

  16. Proper way to give suppositories

    shiccy replied to agldragonRN's topic in General Nursing

    Luckily you are the nurse for the patient, the nurse manager and DON are *not* the nurse for the patient. As long as your nursing is sound, there's nothing they can do about this other than give that...

  17. working as RN part-time during med school?

    shiccy replied to meddecisions's topic in General Nursing

    I was actually in pre-med before deciding to change to a BSN, and part of the decision process was the amount of time it'd take to complete my education... typically post-BA it takes 8-12 years to...

  18. OG tube aspiration with ET tube in place?

    shiccy replied to hallk008's topic in General Nursing

    The important thing, really, is that this was caught and caught early. Luckily she was not extubated, because if she was this probably would have made things much worse and/or she would have just had...

  19. First Per Diem Job, and constantly flustered-- How long does it take to adjust?

    shiccy replied to RNcDreams's topic in General Nursing

    There are a few studies that this actually is the main topic of debate. For the most part, after moving to a new unit or moving to a new hospital, the transition time is 1 - 2 years to feel 100%...

  20. hospital policy on Facebook, cellphones= suspension

    shiccy replied to ChristinaEDRN's topic in General Nursing

    Our floor just went to a "no text messaging / cell use at work" rule, and when it came out I was like, "THIS IS STUPID - WE DON'T TEXT *THAT* MUCH!" ....... then I started looking around. It's amazing...

  21. hospital policy on Facebook, cellphones= suspension

    shiccy replied to ChristinaEDRN's topic in General Nursing

    Take the suspension as her indication that she shouldn't be using a cell phone at work. There's a few places that explicitly prohibit cell phone use while on the job in our market. I personally took a...

  22. Help with Pulse Oximetry Question

    shiccy replied to purplestang's topic in General Students

    Yep and also realize that every patient is an individual. While 70's for SaO2 is not acceptable for most people, for many with COPD & CO2 retention, mid to high 80's is not only acceptable, it's...

  23. Abuse and Neglect

    shiccy replied to laronda134's topic in General Nursing

    You feel like JUNK the first time you do it. It is something that happens, so don't worry. The most important thing with meds are what? VITALS AND PATIENT CONDITION! The nice thing about pain meds is...

  24. Help with Pulse Oximetry Question

    shiccy replied to purplestang's topic in General Students

    My unit has the ability to see the wave form from the station. If you don't have a good wave form, no matter how good or how bad the sat reading is, the number is NOT accurate. UNTIL you get a good...

  25. Why don't docs send these pt's HOME!?

    shiccy replied to zofran's topic in General Nursing

    I would almost think Narcan'ing a pt for a reason that wasn't medically necessary would be almost illegal. I say this because you can't just give medications if a patient refuses them, and is of sound...