nursenatalie

nursenatalie ADN, RN

Surgical

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All Content by nursenatalie

  1. why no tylenol before blood cultures drawn?

    nursenatalie posted a topic in General Nursing

    We were just discussing why last night and everyone had a different reason and most just heard not

  2. Irrigating foley catheter

    nursenatalie posted a topic in Medical-Surgical

    Ok, I tried to do a search on this as I am sure that this topic has been debated before, couldn't find anything...got tired of looking. When irrigating a foley catheter do you use sterile water or...

  3. Has your hospital closed the floor for low census?

    nursenatalie posted a topic in General Nursing

    Our hospital closed our surgical floor to admissions on Thursday. The rationale was that they anticipated a decreased census because of the holiday. We joined our Orthopedics wing on Friday afternoon...

  4. What do you use? A fanny pack?!

    nursenatalie replied to er1c15's topic in Scrubs, Uniforms, Gear

    I wear unisex scrubs with only two pockets. One on the left chest and one on the back. I don't put anything in the back but can fit everything I need in the one pocket; two blue pens and one red,...

  5. Fem Fem Bypass

    nursenatalie replied to tnbutterfly - Mary's topic in General Nursing

    I would insist on speaking to doctor. Don't know about this doctor but we frequently have doctors speak to family members before a procedure and they always call. The doctor is the one to speak to you...

  6. Need help with IV technique

    nursenatalie replied to Firemedic7's topic in Emergency

    I can't imagine that being color blind should affect your ability to start IV's. I think you are looking with your eyes for a vein and that may be the problem. Feel with your hand and finger. The...

  7. Heparin in an emergency-to draw PTT or not?

    nursenatalie replied to Shell5's topic in Medical-Surgical

    Please, aspirin is an anti-platelet drug and doesnt significantly increase ptt. Like I said, if the patient is having clinical symptoms that require heparin then best to begin heparin and adjust dose...

  8. Can a suppository be given via a colostomy?

    nursenatalie replied to floatRN's topic in Medical-Surgical

    yes, if the surgeon orders it. Had an order from the medical doc to give suppository via new colostomy and called the surgeon to make sure it was ok and he said no. If the surgeon himself ordered...

  9. Heparin in an emergency-to draw PTT or not?

    nursenatalie replied to Shell5's topic in Medical-Surgical

    Our surgeons wouldnt give a rip what the ptt started out they would only want to change rate based on 6 hour ptt. Too late to get a baseline if you've already pushed the bolus. Some docs would be...

  10. Fentanyl patch & witnessing

    nursenatalie replied to gtmoore's topic in General Nursing

    We have to witness waste with another nurse. Form comes with patch, we must cut patch in two and put in sharps

  11. Lap chole

    nursenatalie replied to cndrn's topic in Medical-Surgical

    Funny how things are different, we allow pts to drive after 24 hours. I was back at work in three...would be funny to be able to work but not able to drive yourself

  12. Sleeping pill at THIS time????

    nursenatalie replied to mediatix8's topic in General Nursing

    As a general rule with only a few exceptions, I would not give a sleeping pill past 2 am. I work on a surgical floor and the day time is reserved for walking and therapy so pts need to be as awake as...

  13. Lap chole

    nursenatalie replied to cndrn's topic in Medical-Surgical

    We rarely have any stay overnight. Usually when pain and nausea are controlled and they can pee they go home. Average 2 hours. I had a lap chole last summer and left after 45 minutes, I met criteria...

  14. Lantus part II, oh how I want to scream!

    nursenatalie replied to evans_c1's topic in General Nursing

    I personally agree with your charge nurse. If the patient is not eating then you are probably giving them sliding scale as well as the lantus, right? I would prefer to manage them on an as needed...

  15. PACU RN's- what is your visitor policy?

    nursenatalie replied to RN34TX's topic in PACU

    We allow no visitors in PACU. There are no walls between beds, only curtains, and the report between anesthesia and nurse is verbal so I think it would be difficult to maintain patient privacy(you...

  16. What is ur average 2 week take home pay?

    nursenatalie replied to chioma829's topic in General Nursing

    Here goes... 1.Type of nurse? Surgical Nurse 2. How many hours u work per week? 36 one week, 48 the next. 3. How many years of nursing? three 4. What Shift: Day, Evening, nights, or weekend only?...

  17. Heart Sounds anyone?

    nursenatalie replied to ltrnkoczy's topic in Medical-Surgical

    yes, definately make sure the earpeices are facing forward. I am embarrassed to say this but it is the truth: I was out of nursing school roughly six months before I realized I had earpeices turned...

  18. Labelling Lidocaine

    nursenatalie replied to imenid37's topic in Ob/Gyn

    Don't work in OR or anything so this doesnt affect me as much but seems like a sterile pre-packed syringe of frequently used meds would come in handy. then you could open the package and place it on...

  19. decadron as antiemetic

    nursenatalie replied to skrunchy's topic in Certified Registered Nurse Anesthetist, CRNA

    Not specifically for diabetics, but we have some surgeons who will use it for retractable nausea after all other anti-emetics given. It works. Given as one time order usually. We'll use a sliding...

  20. Piggyback regulation (student question)

    nursenatalie replied to brewerpaul's topic in General Nursing

    In real life I program it on a pump and run it as such. In a couple of emergency situations when I had a patient crashing and primary wide open x two lines and need to get abx before OR I have put abx...

  21. IV scenario

    nursenatalie replied to chuckc's topic in General Nursing

    Ok, this illustrates how different things are in facilities. We always run TPN and lipids in same port (dedicated) with lipids connected below filter. I would not interrupt TPN. We use mostly triple...

  22. Why are unstable ICU/CCU pts on our med/surg floor?!

    nursenatalie replied to christvs's topic in Medical-Surgical

    ....AND YOU ARE A NEW GRAD:selfbonk:

  23. Why are unstable ICU/CCU pts on our med/surg floor?!

    nursenatalie replied to christvs's topic in Medical-Surgical

    Ok, if you have a ventilated patient and are titrating dopamine then how is that different from ICU? You are taking a big risk having five other patients too. I don't care how good your NA is, they...

  24. IV scenario

    nursenatalie replied to chuckc's topic in General Nursing

    Wow, please don't stop TPN. Ok, assuming this is a triple lumen CVL (why do they make any less) I would run TPN and lipids in one port together and dedicate this line for TPN. The second port for abx...

  25. Medical Assisting

    nursenatalie replied to ddianneepooh's topic in Medical Assistant, CNA/MA

    You are very mistaken if you think that MA's are in no way shape or form a nurse. This is what you said that hit raw nerves...YOU are in fact mistaken for thinking that you are some shape or form a...