GrumpyRN63

GrumpyRN63 ADN, RN

Gyn Onc, OB, L&D, HH/Hospice/Palliative

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All Content by GrumpyRN63

  1. Cesium Implant

    GrumpyRN63 replied to abbaking's topic in Oncology

    Used for cervical cancer, the implants are temporary. usually the patient goes to the OR to have 'fletcher suits' placed, rods that stay in place during the treatment. Pt comes back from OR, rad...

  2. Weekend Off

    GrumpyRN63 replied to rn4babies63's topic in General Nursing

    I guess it all depends what nocs your facility considers the weekend. Mine uses fri/sat as WE for nocs so technically, a PM on sunday wouldn't be 'considered' the weekend-(-eventhough it would be a...

  3. Neutropenic Precautions

    GrumpyRN63 replied to Daisies's topic in General Nursing

    All of above plus excellent oral care with mouth rinses, watch for

  4. Night nurses

    GrumpyRN63 replied to ear's topic in General Nursing

    sat/sun schedule for nocs sucks, where I work, nocs is fri/sat, sunday starts the new week. Well, it seems in effect your weekends will be kind of split, therefore you must change your thinking to...

  5. I had just had it with my job!!!(long)

    GrumpyRN63 replied to OklaLPN's topic in General Nursing

    you are awesome !!! :bowingpur good for you !!!

  6. Do you use gel when inserting Cytotec?

    GrumpyRN63 replied to klone's topic in Ob/Gyn

    nurses and MD's use gel where I

  7. A new home health nurse cannot afford the health insurance

    GrumpyRN63 replied to faygokraze's topic in Home Health

    Those rates sound outrageous, If I were you I would make sure those are correct quotes, If you are a weekend/baylor nurse you should be getting rates a full-time employee receives--that's the perk of...

  8. Orientation/Overtime

    GrumpyRN63 replied to BiologyNerd's topic in General Nursing

    Where I work, most orientees start on days w/their preceptor and then change over to what they were hired for. As far as shift diff, 7a-7p get NO EVE shift diff, while the 7p-7a get paid NIGHT SHIFT...

  9. 3-11

    GrumpyRN63 replied to michael79's topic in Geriatric, LTC

    If I didn't have kids, I would definitely do 3-11. I hate getting up at 5:00 am, and now I'm too old for nocs, I loved 3-11 years ago, we would go out after for last call, or get something to eat. I...

  10. Brother busted again DUI..help with anxiety

    GrumpyRN63 replied to Armygirl7's topic in Nurses Recovery

    I'm having the same situation with my brother,it's very difficult, he's on his 6th DUI ( I think), has permanently lost his license, last DUI was also a violation of probation, took his wife's car,...

  11. birth control and pap HELP SCARED

    GrumpyRN63 replied to 4x4country's topic in General Nursing

    I don't think you should worry about being judged, The M.D. or N.P. should be very experienced and after examining hundreds and thousands of patients (I would hope,) should not be judgemental. In the...

  12. can someone please explain the heparin drip calculation to me?

    GrumpyRN63 replied to NPs4health's topic in Patient Medications

    It's normally 25,000 Units in 250 cc's NS, gives you a 100 Units per cc ratio. Goal is usually ptt of around 60, PTT is usually checked q 6 hrs til therapuetic , adjusted and changes depends on MD...

  13. zofran question

    GrumpyRN63 replied to Nurse Lulu's topic in Patient Medications

    I've worked onc forever,I've never seen it as a

  14. Courage to change jobs

    GrumpyRN63 replied to chenoaspirit's topic in General Nursing

    I understand how you feel, when you leave your shift, and you start counting down the hours, dreading the time when you have to go back, it's probably time to move on.. that being said, it sounds like...

  15. calories and intake while waiting for surgery

    GrumpyRN63 replied to GingerSue's topic in General Nursing

    The pt should be on TPN if it is anticipated the NPO status will continue for a while post op, from what I've seen,(with OUR service) usually a week is pretty much the cut off point, our doc's are...

  16. IV Push

    GrumpyRN63 replied to ljbutler's topic in Nursing Student Assistance

    :yeahthat:

  17. IV Push

    GrumpyRN63 replied to ljbutler's topic in Nursing Student Assistance

    I didn't take it that way at all, I am just saying, I feel quite comfortable dividing by 4, that's

  18. IV Push

    GrumpyRN63 replied to ljbutler's topic in Nursing Student Assistance

    OP said she used a 3cc syringe, I took that as including the demerol since I figured 4cc's wouldn't fit in a 3cc syringe, whatever , I divide total volume, halving it, pretty simplistic, I don't...

  19. IV Push

    GrumpyRN63 replied to ljbutler's topic in Nursing Student Assistance

    I find it easy to just keep halving everything... 50mg/3 ml...25mg/1.5 ml.... 12.5mg/ 0.75 ml no fuss,no

  20. IV Push

    GrumpyRN63 replied to ljbutler's topic in Nursing Student Assistance

    I just keep halving everything, 50mg/3ml: 25mg/1.5ml : 12.5mg/

  21. activity intolerance

    GrumpyRN63 replied to aanzules's topic in General Nursing

    HMMM, some things that come to mind...depending on severity of activity intolerance: Increased passive/active ROM Conservation of energy in performing ADL's...

  22. de-accessing a port-a-cath, Safety Loc Huber?

    GrumpyRN63 replied to DutchgirlRN's topic in Home Health

    we use 6cc

  23. Drips

    GrumpyRN63 replied to Nursekat64's topic in General Nursing

    I always bolus w 5,000 U/ml, Heparin runs

  24. Husband and Wife need advice!

    GrumpyRN63 replied to gospel Rn, BSN's topic in General Nursing

    My facility has an 'opt-out' kickback if you decline the benefits, rate of pay is not affected, just a lump 'refund' if you will, youi ll just have to compare who has better coverage (if you have diff...

  25. Where should the BUBBLE Be

    GrumpyRN63 replied to pat8585's topic in General Nursing

    Air always goes last, many like to add a bit ( .2cc or so) when also giving IM's ,air ensures all of the med gets delivered none leaks out, important w/ irritating inj's, also no leakage/ bleeding ,...