Virgo_RN BSN, RN

Hello all, Had a pt. on diltiazem gtt, 10mg/hr, HR 96, A fib. Pressure was trending down, SBP 94. MD order was to titrate gtt for HR 90-100, and we have unit specific protocol. Checked with resource RN who is very knowledgeable and experienced, who...

I've been on orientation for three weeks, and I still feel so completely inept, slow, and stupid. I feel fairly comfortable with 2-3 patients, but have made a couple of mistakes; nothing that's killed anyone, thank goodness, just made me feel like e...

...to shake a new nurse's self confidence. I watched my patient die before my eyes tonight. 89yo LOL, DNR, admitted for CP, totally alert and oriented. 2 hours after admission, suddenly says she "can't breathe". Desatting, despite increasing O2 f...

Is it within an RN's scope of practice to lance a boil, or to remove an embedded object, such as a piece of glass, from a finger/hand? I have checked my State BON's website, with no luck.

Except in this case, it's more a medication allergy than a food allergy. At any rate, OP, what about the intranasal vaccine. Are you able to take that?

I don't pray. I am an atheist. I agree with both you and your husband. I agree that sometimes, in order to pay the bills, one must do what one must do. On the other hand, I agree that job satisfaction in the long run is crucial. Sometimes, you ta...

When I worked cardiac, I only avoided the left arm if it was a fresh implant, simply because the left chest is already tender, and those automatic cuffs can squeeze like the dickens. Probably makes no difference, but I felt better.

I was taught to clamp at 500-600ccs in nursing school, but this not the standard practice in the real world. The rationale was bladder spasms.

You can go back in and do a late entry. Just make sure you document it as such.

Sounds like a really stressful situation. When do you get a day off?

Honey, you have to toughen up. Don't wear your heart on your shirt sleeve. Take criticism as an opportunity to do better. Do not take things personally.

I wouldn't count apple sauce as "free" water or fluid. "Free water/fluid" refers to just plain water/fluid without any solids in it. The key word is "Free".

I'd just tell him it's "against the rules".

Sucks to be a misspellophobe.

The word is "gruDge", not "grunge".

Families like this drive me absolutely buggy. They will not be satisfied until 100% of your attention is focused on their family member. It sounds like you did your best, and too bad if it wasn't good enough for them. At least you didn't have to d...

I'm going to agree with your educator and say that this is a legitimate concern. There are no guarantees that 3rd shift will always be "quiet". As a former noc shifter, I know for a fact that people do NOT always sleep all night. As a member of the ...

Well, having never gone through anything like your experience, I can say that it is different providing care for someone that you do not share a close personal bond with, as opposed to your child or family member. I would think that because of your e...

You should post this in the "Students" section.

Of course I appreciate them! I used to be one.

Are you a student, pinkpop? You can get direction and assistance with care planning in the "Students" section of this website.

I usually start with "Hello!". I'm not being sarcastic. I'm serious. Just take a deep breath, relax your shoulders, put a smile on your face, walk in the door, and start with "Hello".

In my acute care facility, an immobile patient >350lb gets a bariatric bed, bariatric lift, and requires six staff members for turning. Sounds great in reality, but try to round up six staff members every two hours! Not likely....

Okay, I think I did misunderstand you. It looks like what you actually said was "Well I think they didnt offer to transfer because during my first meeting with the manager I said that I dont see any difference between "making it" on a tele floor or...

Yeah, the little smiley face feels a bit condescending. I might not mince words, but my intent is to help. She is free to disregard my opinion if she chooses. That's the beauty of posting on this forum, is that you will receive a lot of opinions, ...