nursenatalie

nursenatalie ADN, RN

Surgical

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All Content by nursenatalie

  1. New nurses!!!! Student needs your help!!! PLEASE!!!!

    nursenatalie replied to tiggerlily's topic in Medical-Surgical

    These are not black and white questions and I would answer them differently at different times and frames of mind. First of all keep in mind that nursing is not this narrow and there will be a broad...

  2. Surgical floor for New Grad

    nursenatalie replied to cicf2005's topic in Medical-Surgical

    I absolutely recommend a surgical floor for a new grad, as was said earlier you will get the medical aspect anywhere because patients always have co-existing medical problems. I think you will have...

  3. Staffing Issues

    nursenatalie replied to JenTheRN's topic in Ob/Gyn

    Do patients not go to the ER first? Is the hospital so small that you have laboring moms just wander onto the floor without registration. If this be the case then I think the primary problem would be...

  4. What they SHOULD teach in nursing school . . .

    nursenatalie replied to MistyDawnRN06's topic in General Nursing

    Let me just expand your education,when inserting an NG if you are in the lung look at the patient they will turn blue and cough lots, no water

  5. K+ and Minimal Urinary Output

    nursenatalie replied to dmdrn's topic in General Nursing

    I have never given someone with low output a bolus out of the primary fluids like that, never had it ordered either. This pt had 40 of lasix and no urine output? I would say that would be a huge red...

  6. double-checking insulin with cokworker

    nursenatalie replied to bth44's topic in Medical-Surgical

    Was the instructor drawing up regular insulin and lantus? There are times when you have to give two

  7. Calulating Heparin Drips

    nursenatalie replied to stidget99's topic in Medical-Surgical

    We have a nomogram we use to determine the rate change and attached to the nomogram is a simple step by step explanation of the math used. We also have a standardized concentration 50U/ML. The more...

  8. Nurses cannot take orders from MA's, what is your protocol?

    nursenatalie replied to DutchgirlRN's topic in Medical-Surgical

    I am not sure where there may be a risk in refusing to take an order from a nurse because of policy? The administration in my hospital doesnt have beans to do with my license! I prefer to comply with...

  9. My first code

    nursenatalie replied to RN50's topic in General Nursing

    No, you responded to a code called by a fellow employee. It is impossible for everyone who walks in the door to verify the patients code status before joining

  10. Nurses cannot take orders from MA's, what is your protocol?

    nursenatalie replied to DutchgirlRN's topic in Medical-Surgical

    Since I work 7p-7a I dont have to deal with MA's but I dont personally take an order from a nurse for a doctor either. We have a surgeon who has his nurse first assist and she is an RN the same as I...

  11. Salem Sump NG Tubes

    nursenatalie replied to annmariern's topic in Medical-Surgical

    Our anti-reflux valves are blue on the vented side and white on the other. You may use the white side to block the tube since air does not flow this way and the blue side should be inserted into the...

  12. What is your least favorite kind of med-surg patient?

    nursenatalie replied to DutchgirlRN's topic in Medical-Surgical

    Definately the abdominal pain with intractable nausea and vomiting. Labs all within normal limits and the intractable nausea/vomiting is gone once they hit the floor and get pain med of choice every...

  13. Challenge LPN exam?

    nursenatalie replied to summerdaze's topic in General Nursing

    The reason I asked about what kind of experience you may have is because I doubt very seriously that anything you are doing now is going to be able to prepare you to be an LPN. It is much more than...

  14. Challenge LPN exam?

    nursenatalie replied to summerdaze's topic in General Nursing

    Just curious, what kind of experience are you speaking

  15. Wound Vac

    nursenatalie replied to Choircat's topic in General Nursing

    There is not usually sharp debridement involved in a wound vac dressing change. We have them all the time, and on more than one occasion the patient has pulled apart the dressing and it has had to be...

  16. why no tylenol before blood cultures drawn?

    nursenatalie replied to nursenatalie's topic in General Nursing

    This is how our debate started last night. Tylenol does not suppress growth, the temperature our body runs is in defense against bacteria, I just dont get how tylenol wouldn interfere on a cellular...

  17. why no tylenol before blood cultures drawn?

    nursenatalie replied to nursenatalie's topic in General Nursing

    It is the somehow render the test invalid part that I am wondering about,

  18. Med-Surg Topic of the Week .... Nurse to Patient Ratios

    nursenatalie replied to RNPATL's topic in Medical-Surgical

    Depending on how our staffing is, or like now we have one nurse out on maternity leave and one out for surgery; the usual is 1:4-6 on days and nights are 1:5-8 on nights. I work nights and have had 9...

  19. Futile Care. Dead is dead.

    nursenatalie replied to Trauma-tizedRN's topic in General Nursing

    We have a similar experience on our floor now. I work on a surgical floor and we have a patient who is 60 something days post op from complete removal of her small bowel secondary to necrosis, septic...

  20. What is your policy/procedure for drawing blood for PTT from Central line....

    nursenatalie posted a topic in MICU, SICU

    When heparin is infusing...we have been debating this and are finding a lot of conflicting information...How do you do

  21. How to handle cussing nurses?

    nursenatalie replied to DutchgirlRN's topic in Medical-Surgical

    I personally dont think it is a good idea for a previous shift to make out an assignment. It is too easy to make you the scapegoat because you "made the assignment and left." I am not saying there...

  22. How to handle cussing nurses?

    nursenatalie replied to DutchgirlRN's topic in Medical-Surgical

    I personally dont think it is a good idea for a previous shift to make out an assignment. It is too easy to make you the scapegoat because you "made the assignment and left." I am not saying there...

  23. Heparin drip infusing in same port with other compatible drugs ok?

    nursenatalie posted a topic in Medical-Surgical

    Had this discussion last night when we had a patient with a single lumen PICC with a heparin drip and D5NSwith 20K running they were both on an individual pump of course but infusing into the same...

  24. GOOD nursing shoe suggestions other than Danskos??

    nursenatalie replied to NCNurse2be's topic in General Nursing

    I am not sure if these shoes come in a solid back form but I think so. I wear the Cherokee Rockers lites, they weigh next to nothing and I now cant wear any other kind or they feel so

  25. What is your policy/procedure for drawing blood for PTT from Central line....

    nursenatalie replied to nursenatalie's topic in MICU, SICU

    Our heparin for heparin drips is fifty units per milliliter, sounds like apples and