Perpetual Student

Perpetual Student

PACU

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All Content by Perpetual Student

  1. Is it ok to say . . .

    YES! It is absolutely OK and a good thing to do! I tell every single patient I have (even those who supposedly can't understand me) something positive upon discharging or transferring them. For most...
  2. What kind of nurse are you?

    I'm a no BS nurse who wants to provide excellent comprehensive care. I tailor my approach to each patient based on my assessment of the best way to accomplish my goal (generally to keep him safe,...
  3. I want to leave work at work..

    It sounds like your family has some serious issues and they don't understand nursing. I reserve my "hand-maiden" ways for those who're in severe pain, suffering from delirium, or are having some sort...
  4. How do you avoid double/triple charting? Tips.

    I have always been pretty scant in my documentation unless there's something whacky and never had an issue. Even when something is wrong, I write what needs to be said and nothing more. The more you...
  5. Nursing,2nd career choice and bit of disappointed

    I'd look into all of the different types of critical care settings if I were you. Yeah, there's some of the dirty work, but that's not the focus of your job. I personally don't mind doing a little of...
  6. I feel so embarrased and feel like harrased...

    Erections happen. Unless someone says or does something inappropriate it's no reason to get worked up. What's worse is when you're walking around in scrubs when it
  7. IVPB Zofran?

    I would have no concern about giving 8 mg of ondansetron IV. As a matter of fact, I effectively do it all the time when a patient receives 4 mg at the end of the surgery and 15 min later is c/o nausea...
  8. Area of hospital with minimal vomit...

    I dunno, I work in the PACU and don't mind the puking as much there as in other areas. At least the patients have been NPO and it usually doesn't have a strong odor and is generally a small volume....
  9. What's your weird quirk?

    I must lack insight, as none are immediately popping into my head. Oh. I know. I like to remove the little papers from the bags that the O2 masks come in to make it easier to pull them out when the...
  10. Hourly doses of vent sedation, is this common?

    When extubation is anticipated soon (e.g. a patient with pseudocholinesterase deficiency who's taking a while to process her succinylcholine), I've maintained sedation with intermittent pushes of a...
  11. PA to RN? (I do know the difference all too well)

    I recommend that you keep plugging ahead, study harder, graduate, and find a job in a setting that appeals to you. I think you may be a burnt out and looking at the grass on the other side of the...
  12. Peripheral Line Not for ABT?

    Peripheral administration isn't ideal for vancomycin, but it's acceptable, especially in the short term. Assess the IV site pre- and post-infusion and instruct the patient to report discomfort during...
  13. Multiple drip administration

    I prefer to have vasoactive drugs and sedatives connected as close to the patient as possible, ideally with a maintenance fluid pushing 'em along. That way when I make a dose adjustment it will...
  14. Why RNs cannot say 'That's not my job'

    Often times the buck does stop with nursing, it's just part of the game. A big part of our role is to keep the interdisciplinary team on the same page and make sure the patients' needs are met. That...
  15. Tips for a good shift!

    Use down time (make a little if you have to) to keep yourself hydrated, toileted, fed and so on. There are few things more annoying than worrying about wetting your pants while doing a jaw thrust, for...
  16. New RN, should I renew my LPN license?

    I didn't. I couldn't see a need then, nor do I
  17. what do you like and don't like about your nurse manager?

    Like: Enthusiastic, sense of humor, realistic, not afraid to pitch in when necessary, considerate, supportive. Don't like: Hmm, not sure. I don't agree with her 100% of the time, of course, but...
  18. Nurses Working Conditions

    It boggles my mind that the regulatory agencies aren't more aggressive. The police get 15 year olds who look 30 to go buy a pack of smokes to fine some poor sap at a gas station. It seems it...
  19. Nurses Working Conditions

    That is DISGUSTING! I would be tempted to punch the leadership in their faces on my way out the door. Quit and report that place to the appropriate regulatory bodies today. That level of negligence...
  20. night shift with a 3yo lab and a 14wk puppy

    Wow, that's gonna be tough. Your idea of exercising and toileting (grassing?) them before going to bed seems prudent. I have nothing more to offer other than wishing you good
  21. Questions from a Microbiology instructor.

    Consider the content of that powerpoint, but as hiddencatRN said, don't modify the course too much based on the fact that they're nursing students. I loved Microbiology because I love science...
  22. I am done with healthcare

    Altra, I love your post. It made me laugh and filled me with warmness--or maybe that's just the beer? You're right. Other people's lives are theirs to live. There's no sense in getting worked up...
  23. BM's anyone?

    Ha. I've never encountered weirdness with this (thank goodness!). The only time bowel movements come up is when discussing taking Colace or whatever with their pain
  24. Why do RN's avoid LTC positions?

    I hate the infantilization of the elderly. It truly makes me want to cry to see someone lose their cognitive function, or independence, and so on. I have nothing AGAINST this population; as a matter...
  25. 6 months in the ER, too early to move on? Long.

    I'd consider trying to talk to the charge nurse regarding your concerns. Explain your desire to provide safe, excellent care and your motivation to be an effective member of the team. If the folks...