Up2nogood RN

Up2nogood RN RN

pulm/cardiology pcu, surgical onc

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All Content by Up2nogood RN

  1. I keep getting hugged

    Now I dont mind hugs when both parties are willing but my manic co-worker will walk up to me and give me a boob-press and it makes me throw up in my mouth a
  2. I think after nursing school you'll be surprised with all the free time you have once again. My kids were a few years older than yours are now but they were definitely happy to have Mom back after...
  3. What is the largest number of BP meds have you have ever seen?

    I had a pt once who had an bilat adrenalectomy in hopes of controlling his BP. He took 4 different bp meds, exercised, was not overweight and followed a low sodium diet and BP was never under 180/90....
  4. What is the highest regular dose of Oxy that you have seen

    The highest dose I have given of oxycontin was 80 mg TID. I once had a breast ca pt with metastasis to the spine who took 24mg of oral dilaudid Q 4 hrs with 20mg oxycodone Q 3 hrs for breakthrough...
  5. Nursing Unions...what are the downsides?

    If you research who has gotten significant raises in this economy you will find it's mostly union nurses. Who has had pay cuts and lay offs? Non union
  6. Critical thinking/scenario practice

    I apologize for the assumption. Everyone learns in their own way and what I found helpful was making patho maps for certain conditions when in school. You did have patients in clinicals so you could...
  7. care plans

    Where I work we actually use the nursing care plan to help guide the care and interventions/tx. If you don't have any nursing diagnoses than why are you even seeing the patient? A lot of our bedside...
  8. Critical thinking/scenario practice

    You also have real live patients to practice with too,
  9. What is the largest number of BP meds have you have ever seen?

    Why would you give a renal patient K+? Is your patient following a renal
  10. Day 2 and feeling pretty blue

    Well it sounds like your preceptor doesn't want to precept or perhaps just wants the extra pay. Whatever the reason may be it's good to know that you wont be stuck with her the whole time. If you are...
  11. care plans

    As an RN you will initiate the care plan. If you are an LPN you would follow through with the interventions and document the responses of the patient. But please document according to your facility...
  12. I think it depends on each states BON and what they will allow a facility to be able to delegate. I know in my hospital ED techs have training but are tecnically still CNA's and can insert foleys per...
  13. By Jove I Think I Got It !

    If their aren't any positions posted to fill it's a moot point. Hospitals have what's called a float pool to avoid using agency and usually have per diem/on call staff also. There are already agencies...
  14. Are you bothered by the noise of the AM shift staff?

    My unit is usually the same. I can't wait to shoo day shift out the door at 1930 and it's such a shock to be bombarded again by them 12 hrs later. For the most part we are a quiet bunch at noc except...
  15. Medical vs Surgical Nursing

    I love my abdominal- GI- oncology- surgical unit. Our specialty surgeries are Whipples and colon resections (guts & butts). I love drains and wounds (yes, I'm twisted)! We've also took over the...
  16. Can an R.N. just be PLOPPED into ICU to work???!??

    I also work in an LTAC and while I haven't been floated to high obs (they're term for ICU) there are vented pts on the floor. I know in the LTAC I'm in the RT's are highly qualified and do the...
  17. High contact sports and nursing?

    I like to ride quads and dirtbikes out on the dunes and its such an awesome stress relief for me. Roller derby is something I've always wanted to try also. My A & P professor was on a derby team...
  18. MD Quote of the Week

    I suggested to teaching service ABG's for my tachypneic patient (with no identifiable reasons). They pulled up a recent chest x-ray, said 'his lungs look fine' and walked
  19. Ohio's Medication Aide Program

    It can also help attract nurses since they won't have to pass most routine meds any longer. A question to the OP, will utilizing med aides work with the budget and will it cut some licensed nursing...
  20. Ohio's Medication Aide Program

    I believe our med aides in Oregon are required to take a 120 hr course also along with 80? or more hrs in clinicals. They take state boards and are licensed through the state. I was a med aide early...
  21. *Vent* RN's make toast?!?!?!

    Send her my way too
  22. *Vent* RN's make toast?!?!?!

    I don't know what the kitchen is up to but the smell of cooking hamburger at 4am just doesn't smell right, especially when mingled with the aroma of ostomies and fistulas:barf01:. Why can't they just...
  23. Opinions from experienced nurses

    We have an IV team with PICC nurses but we are supposed to try to start our own IV's 1st before calling IV. This changed a few years back to save money since I guess the IV team bills the unit when...
  24. *Vent* RN's make toast?!?!?!

    I would really appreciate a poached egg atop my buttered toast please.... and a newspaper. Thank you. ETA: Ooops I almost forgot, and a large freshly squeezed orange juice too. Thank
  25. *Vent* RN's make toast?!?!?!

    We can't have a toaster or even make popcorn in microwaves anymore due to fire alarms being set off! But honestly I see this as a huge hindrance to nurses to take them from the bedside to do a...