nursenatalie

nursenatalie ADN, RN

Surgical

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All Content by nursenatalie

  1. 50 mg of Phenergan IV push!!!!!!!!!

    Patient was receiving scheduled Toradol...no doubt the inappropriate dosing/drugs used here...dont think 1 gm of Tylenol would help his pain much...dont matter how often or much. If I take orders from...
  2. Ok, I just wanna run this by you guys to see if my thinking is correct. It helps to ask the opinions of those removed from the situation, cause I cant be objective. I have worked on this surgical...
  3. checking NG tube placement

    Unfortunately most of the time I put down an NG tube I immediately receive 1800cc return...no need to check that! I do subsequently check placement by
  4. Where's a pretty place to live?

    Asheville North Carolina...all the things you wanted, four seasons, low cost of living, some of the most beautiful mountain views. You can be so far out in the country you could walk out on your front...
  5. Things Patients Have Taught Me NOT To Do

    How about visiting all area hospitals ED trying to get re-admitted one week after an incisional hernia repair and when none would admit return to first hospital but only after opening the incision...
  6. Baking Soda

    My good friend experienced PICA during her pregnancy and from the way she explained it she would smell the laundry detergent and have a nearly uncontrollable impulse to eat it. Same with...
  7. Nurse patient ratio

    I work on a surgical unit which is a little different from straight med-surg. During a typical week we don't have "medical" patients only post-op patients that have co-existing medical problems....
  8. what do you recommend?

    Ok, it sounds like there is a lot of assumptions being made...so let me throw my opinion into the mix here. I was a CNA before beginning nursing school and I felt like there was so much I knew about...
  9. Negativity?

  10. 50 mg of Phenergan IV push!!!!!!!!!

    This patient had a crushed patella repaired with a muscle flap graft. He weighs about 400 pounds, he will be having a roux en y in three months, so I'll see him again then. Anyway he had been on a...
  11. I work nights on a surgical unit. Most of the nurses on the night shift are young but there is one nurse, we will call her Nita, who is in her upper 60's. Well, Nita has been a nurse for 40 years and...
  12. Is it time for this nurse to retire??

    I assure you there was no ageism intended by my post, and I dont mean this to sound that way either but working on a busy floor knocks my 28 year old butt off!!! I would love to be able to physically...
  13. Frustrated!!N/M probs

    In my state LPN's can push IV meds, hang blood, TPN they do require an RN to co-sign on admission assessments in our facility. Is this the reason for you (NurseStyles) not wanting an LPN to orient? To...
  14. Frustrated!!N/M probs

    I am a new grad and after I completed my orientation on days for two weeks I went to nights and was oriented by an LPN. I dont know why you think this is unacceptable? This particular NURSE was the...
  15. flu shot hypersensitivity

    Well, not sure if this experience will help you or not. We had a patient admitted with a reaction to the flu shot that sounds similar to the reaction that your dad experienced. The gentleman had...
  16. Is it time for this nurse to retire??

    heck, she IS the charge nurse half the time...have heard no complaints from day shift. Our dilemma is that we all have these suspicions but no one has found concrete evidence that we can show anyone...
  17. central lines

    Ok, if the doc, or anyone else wants to use the line prior to x-ray results then why get the x-ray in the first
  18. Can attitudes be taught?

    I think that attitudes can be influenced. For instance, someone who normally wouldnt gossip may join in on the conversation if everyone around starts. On my unit we have a nurse who refuses to hear...
  19. I work on a surgical floor. We supposedly only take non-contagious medical patients as overflow from our medical floor. It is becoming a trend that on the weekend we are getting patients dumped on our...
  20. Irrigating foley catheter

    We do a lot of irrigations after the CBI has been discontinued following TURPs. The warming of fluid is a good point...of course what we use is room temp but 72 degrees is a great deal colder that 98...
  21. I have talked to my units service director about this. The house supervisor influences the ER doctor at times regarding the floor the patient is admitted to because she wants to be sure to have beds...
  22. chest tubes

    Ok, im glad that this is somewhat confusing to someone else. We use an Atrium waterseal system as well. I have the booklet put out by Atrium that explains how to manage the system. Lots of nurses on...
  23. Mixing Lantus Insulin

    I would like for you to help squelch a debate between my co-workers. We know not to mix Lantus with regular insulin or any other med...however we are argueing about the reason. Co-worker says that it...
  24. How long is your shift report?

    I am so glad to see this topic addressed. I began working at a surgical unit a few months ago and it is hard for me to sit through report without rolling my eyes. You will hear where the IV is, what...
  25. I received a letter from my state board of nursing two months after sending in my fingerprints for the CBC that the FBI rejected my fingerprints;they were smudged or something to that effect. In the...