Perpetual Student

Perpetual Student

PACU

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All Content by Perpetual Student

  1. I just started a new job and have pneumonia. Very worried...

    Perpetual Student replied to LTCNS's topic in General Nursing

    As stated, they could terminate you if they so desired. It sounds like honestly they need nurses, and you sound like a motivated employee who happened to get really sick, so I doubt they will...

  2. Nurses: How Do You Feel About Your Patients Being Nurses?

    Perpetual Student replied to All4NursingRN's topic in Patient, Colleague Relations

    As a patient, I try to be extra accommodating and non-demanding. I will quietly voice any requests, but make it clear that I think it's a kindness for someone to do anything other than keep me from...

  3. Not getting any patients assigned at end of preceptorship

    Perpetual Student replied to Presto's topic in Emergency

    A student has no business taking an independent patient load in an ED nor any other sort of critical care area. While it's incredibly stupid that the facility does not provide access to the EMR to...

  4. Overtime

    Perpetual Student replied to Mickme's topic in General Nursing

    Specialized units with mandatory call often provide opportunity for OT (OR, PACU, IR, cath lab, and so

  5. Giving iv meds through running line

    Perpetual Student replied to fiveoclocksomewhere's topic in Patient Medications

    If the fluid is compatible with the drug I always just let it keep running (often turning up the rate if it's on gravity tubing to provide further dilution). When I am done pushing the drug I draw in...

  6. Overtime

    Perpetual Student replied to babynurse357's topic in General Nursing

    From staff perspective: the money can be nice; it's also better to have to work some OT occasionally than be so over-staffed that you have to take a ton of low census hours. For example, as a full...

  7. Medicating PONV vs. watchful waiting

    Perpetual Student replied to wannabecnl's topic in PACU

    I prefer to be very aggressive re: PONV. I personally absolutely hate feeling that way, and figure most patients share that view.You also lose style points if your patient is puking all over the place...

  8. V-fib refractory to an initial/second shock

    Perpetual Student replied to queenjulie's topic in Cardiac

    Refractory to means not fixed by in that context. So if shocking your v-fib isn't working, what other intervention might you want to try? You're on the right track when you mention that it's a...

  9. IV narcotics?

    Perpetual Student replied to AlphaPig's topic in Medical-Surgical

    I would do it as above posters described in the situation at hand. Another way to do it is to draw up some NS from the flush into another 10 cc syringe, then draw up the appropriate amount of drug....

  10. what are you going to do with this order?

    Perpetual Student replied to hnwxmo's topic in Patient Medications

    I'd fold it into an awesome paper airplane and then do my own homework. All kidding aside, what information would you like to have that you don't have? Is that information necessary to safely give the...

  11. As a nurse, what does it mean to be in medicine?

    Perpetual Student replied to BINOC's topic in General Nursing

    It annoys the heck out of me when someone calls nursing "medicine" or worse yet uses the phrase "medical field." It is misleading and disrespectful of nursing as its own

  12. First Code Blue

    Perpetual Student replied to liveyourlife747's topic in General Nursing

    Call for help while assessing and start BLS, and other interventions once adequate assistance is on hand. Start CPR as promptly as possible. Don't be afraid to direct others in what to do to assist...

  13. When is it too late to intiate CPR?

    Perpetual Student replied to myschuler's topic in Patient Safety Issues

    The only real problem in the post I see is where the above was used as part of the rationale for not starting CPR. Those are indications to perform CPR, not withhold it! That said, you've received...

  14. Pulled to other floors?

    Perpetual Student replied to DroogieRN's topic in MICU, SICU

    The ICU nurses in our hospital are floated all over the place frequently. A buddy who now works in the PACU with me left the ICU mostly because he was tired of working on the floors. He said if he...

  15. Preceptorship in the PACU

    Perpetual Student replied to Bellarara's topic in PACU

    Get dressed and wander in with a grin. Whoever is the first in should check that the bays are all set up. Take a look at the schedule for the day to get a feel for what's gonna go down, but expect...

  16. Very little witnessing going on with drug wastes on my floor!

    Perpetual Student replied to Nurse ABC's topic in Patient Medications

    All they gotta do to get around that is put some clear fluid in the vials. Shy of taste-testing or sending it to a lab, there's no way to really be

  17. What are you really good at?

    Perpetual Student replied to proud nurse's topic in First Year After Licensure

    Reassuring and comforting fearful patients, especially those in severe pain. Riding that fine line between agony and apnea is my specialty. I am the BEST at making a mess. If you want wrappers and...

  18. Average recovery times?

    Perpetual Student replied to luckynurse_1234's topic in PACU

    I work both phase I and phase II in a mixed inpatient and outpatient department. We typically use the gurney from the time the patient changes into the clothes until the time he goes home/to the...

  19. What is the hardest subject in the nursing curriculum, in your opinion?

    Perpetual Student replied to DichloroacetateAl's topic in General Students

    All of that pregnancy and birthing related stuff was incredibly challenging for me. It was (and still is) totally alien to me. Don't get me wrong, I kind of liked learning some of it as it's an...

  20. Depressed-Need Your Positive Thoughts/Prayers

    Perpetual Student replied to smithkidsmom's topic in Health, Stress Management

    If you accept that prayer works why wouldn't you accept that God exists and elect to worship him? I don't mean to troll. I'm actually what you could call an agnostic. I WANT to believe. But I don't...

  21. How much pain medicine is too much?

    Perpetual Student replied to jlwerley's topic in Patient Medications

    It's too much when the patient stops breathing sufficiently or becomes totally snowed. If a patient is awake and with it enough to realize it's been two hours it's obviously not too

  22. What is the attire for attending a continuing education class?

    Perpetual Student replied to leogirl8's topic in General Nursing

    A bikini is totally the way to go. The skimpier the

  23. Pain Meds

    Perpetual Student replied to erin1821's topic in Patient Medications

    Vicodin with 500 mg of acetaminophen is still out there--I got a bottle myself very recently. It has indeed been banished from the inpatient end of our system, however. As to the posters questioning...

  24. Pain Meds

    Perpetual Student replied to erin1821's topic in Patient Medications

    The difference between oxycodone and Percocet is the acetaminophen in the Percocet. Most patients seem to understand that when I explain it. The pertinent difference between hydrocodone and oxycodone...

  25. Nursing listed as 4th on a list of fun jobs.

    Perpetual Student replied to DizzyLizzyNurse's topic in General Nursing

    What other professions allow you to play guess "what rectal foreign body will be removed tonight?" Or try to convince a normally a&ox4 dude that he's really in the hospital, not at