Perpetual Student

Perpetual Student

PACU

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All Content by Perpetual Student

  1. Questions about IV Meds

    I too would've just used the second lumen. Less hassle that way. Yes, that is what she said and she's correct. Yes, after verifying compatibility. If they were all compatible with heparin, but not...
  2. Embarrasing illnesses

    Yeah, the foreign bodies definitely rank up there. I suppose one could contend it's a mental illness which leads to the insertion of at least some of these items, esp. the bizarre improvised ones....
  3. what items could you not go a nursing shift without?

    Clothes and Diet Coke. I can scrounge for the rest of what I need. I'd go without the clothes, but getting from the parking lot to the locker room without being seen and probably arrested would be a...
  4. Best floor for experience prior to ICU

    PACU's definitely not the same as the ICU, as the focus is on stabilization and transfer to some sort of longer term unit, whether it be an ICU or the floor. It still is critical care, however, as...
  5. Need RN's opinion- BIG clinical mistake

    Umm, even the lowest reading (which was when the hydralazine was really doing its thing) was still high. You did nothing wrong per se, and you certainly did not harm the patient. Take the opportunity...
  6. How often do you get called and asked to work on days off?

    Pretty much never because I typically work every single day that my unit is "open" for elective business. I do sometimes get asked to start earlier/later to better fit the surgery schedule, which...
  7. Managing pain question- best advice

    That also is incorrect and not best practice. I realize that some of the regulatory types (e.g. JoCo) advocated such things, but they are not consistent with a sound understanding of pain management....
  8. Online Rx Eyeglasses

    Yeah, when even most of the expensive name brand ones are MIC it seems moot to buy local. I tend to buy like 5 pairs at a whack from zenni. They hold up pretty well and in my experience are just as...
  9. have you seen septic shock develop this QUICKLY?

    I would be interested in seeing his I&O intraop and in the PACU, as well as what he received in the way of pressors before getting to you. My guess is that he was receiving fairly aggressive...
  10. Funny "Code" Last Night

    Yeah, I noticed that, too. I hope her colleagues corrected her lack of follow
  11. Managing pain question- best advice

    According to whom? Policy in your place? Range orders certainly are appropriate--and best practice. Nurses using their judgment to appropriately medicate based upon patient pain rating, tolerance,...
  12. Funny "Code" Last Night

    That probably almost turned into a code
  13. Abuse of tertiary referral hospitals

    Wow, it sounds like you certainly are receiving some major dumping from that other hospital. Out of curiosity, how does funding for your hospitals work? I just tried looking up your health care system...
  14. What was your best?

    I have a lot of good moments and totally love my job. The good moments out-weigh the bad ones for me by far. I had a patient last week who I took report on after he'd been in the PACU for probably 30...
  15. Quit nursing already?

    You might try looking for an outpatient surgery job. More support there, but typically less physically taxing than inpatient units and often there are 8 hr shifts. Same goes for various other...
  16. The difference in responses to roughly the same question on this site and on a mostly male forum I read are quite interesting. The consensus on that site was that you should be upfront about it, even...
  17. New Nurses Precepting Students/New Hires?

    A nurse with a year or two of experience who is appropriately knowledgeable and skilled (for that level of experience) is totally qualified to precept a student. Whether or not (s)he is prepared to...
  18. Pain management

    As stated, always follow your facility's P&P. That said, what that other nurse was telling you was VERY stupid. If your policy is consistent with what she said it should be changed promptly. I...
  19. What motivates you to go to work every day?

    1. It keeps me from being insanely bored. 2. It's usually fun. 3. I enjoy the mental challenges. 4. Gotta pay the
  20. Being a young Nurse.

    I'm pretty young compared to most of my coworkers (not the youngest anymore, though) and that's after I've been in nursing for several years (over 5 now if you count my LPN experience). I'm still...
  21. I'd lean toward #2 given the provided information. The only thing that makes me leery is the whole 2 year contract thing. What are the penalties for quitting before 2
  22. Antiemetic Shortage

    We're currently short on injectable ondansetron, but there's still plenty in the Pyxis for now. When feasible the orally disintegrating tablets are being given as a substitute. I've noticed that some...
  23. pathopharmocology

    Who cares whether it'll be on the NCLEX or not? Pay attention and learn if you want to be a competent nurse. Understanding pathophysiology and pharmacology is essential to nursing
  24. med error

    To CYA you might want to consider reading all of her documentation to see how it jives against what she told you during report before administering any meds. I agree with the above poster. It's one...
  25. exposure to the Operating Room

    In my program we spent two days in the room observing cases and the roles of the various people involved. It certainly was not enough to learn how to do the job, but it was enough to get at least a...