CritterLover BSN, RN

ER, ICU, Infusion, peds, informatics

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All Content by CritterLover

  1. CritterLover

    Sending drug abusers home with picc lines?

    some abx (such as vanc) are only given iv. (well, it can be given po for git infections; but it doesn't get absorbed for systemic infections). for other abx, it is just that some dx (osteomylitis)...
  2. CritterLover

    Jehovah Witness RNs

    from the op, it sounded as though she wanted to have a conversation via pm, probably to avoid getting attacked. even if she had wanted to have a public discussion about how her beliefs impact her...
  3. CritterLover

    L&D nurse/abortions/accepting patients

    it sounds like you handled it very well. there are many cases where i'm not comfortable telling patients things like "you did the right thing," even if i share that opinion. to me, it is similar to...
  4. CritterLover

    Pet Peeve: Poor Grammar by Nurses

    :) i do believe we have discussed that here before. it is the french pronounciation. i think some learn it it school growing up. irritates me, too. i'm learning to "let it
  5. CritterLover

    blood products question

    for prbcs, it depends on patient condition: if they have cardiac compromise, i it give slowly, over 3-4 hrs. if they are exsanguinating as we speak (bad gi bleed, gsw), then i give it as fast as...
  6. CritterLover

    Pet Peeve: Poor Grammar by Nurses

    we're not asking that people write in formal english when posting replies here. :) the thing is, without some sort of attempt to use proper spelling/punctuation and refrain from a whole slew of...
  7. CritterLover

    boards need to regulate MA's

    it is supposedly covered under the md's license and malpractice insurance. i don't think it could be considered battery, unless it was done without consent. battery is a criminal charge, and most...
  8. CritterLover

    boards need to regulate MA's

    i wouldn't be so quick to come to that conclusion. nurses (rns and lpns) operate outside of the scope of their practice all the time. some get lucky and don't get caught. others get caught and...
  9. why do yo still work there????? from all that you have written, that place just sounds like a dissaster. i'm not sure where the dividing line is for when your responsibility starts. i know that my er...
  10. CritterLover

    Pet Peeve: Poor Grammar by Nurses

    i think it is fine when writitng conversationally. i do it all the time in my posts here. the same idea can be conveyed using proper/formal grammar, but it takes more words. i also start new...
  11. CritterLover

    "Looping" IV Tubing

    if i'm understanding what you are talking about, i see it done all the time, and it makes me cringe. (you are talking about when you disconnect the iv tubing, taking the end that goes into the iv and...
  12. CritterLover

    boards need to regulate MA's

    it isn't just a "cost" issue. yes, mas tend to get paid less than nurses. but i think that for physicians, that is only half the issue. the fact is, nurses are limited by their scope of practice....
  13. CritterLover

    Anyone have info on UPH Kino in Tucson?

    i went to school in tucson and lived there for 8 years. kino didn't have the best reputation. it is a "community" hospital, so it gets a lot of the uninsured. or it did at the time. i worked with a...
  14. CritterLover

    How do you define "Prioritization"?

    they go together, but are separate ideas, and sometimes they conflict. "prioritization" means to me "what needs to be done now, over other things?" if i have five people waiting to be triaged in the...
  15. CritterLover

    Pet Peeve: Poor Grammar by Nurses

    the purpose of "an" vs "a" is to ease pronunciation when the indefinite article ("a") is followed by a word that begins with a vowel sound. since "rn" begins with a word that has a vowel sound...
  16. CritterLover

    Stupidest reason to go to ER

    part of the issue is that wic requires a "real" pregnancy test -- an ept from walgreens won't suffice. of course, wic does not require an er pregnancy test -- one from planned parenthood or the...
  17. CritterLover

    IVs

    has the patient gotten iv iron before? this is certainly an iv drug where the first dose must be given in a controlled environment. (such as a clinic with resus equipment readily available) it...
  18. CritterLover

    Hgb level

    no set policy anywhere i've worked. and really, it would be inapproprite to have a set level. what one patient tolerates, another might not and need blood. to illustrate: i had two patients last...
  19. CritterLover

    First day without preceptor and first error

    i agree. in some facilities, it is policy that kcl only gets hung in increments of 10 meq at a time. this is the standard i learned when i was in school, and was adheared to in all the hospitals i was...
  20. while this reasoning might be sound for most nursing jobs, checking credit is standard for most jobs, esp those that involve cash-handeling. to illustrate the point: a registration clerk recently got...
  21. CritterLover

    Guess the mispronounced medical term

    oh, if i only had a dollar for the number of "virginia pains" that have come through triage........... that one never really confused me -- that is, when they spell "virginia" correclty (or come...
  22. CritterLover

    Choice of diet

    hmmm, well the dementia really does cloud the issue, doesn't it? i earned a degree (bsa) in nutrition before i got my bsn. one thing i learned from that is that even toddlers will balance out their...
  23. CritterLover

    Sending drug abusers home with picc lines?

    we tried to send them to ltc for their abx. it was one of the more common reasons for use of a "charity bed" spot in the snf run by our hospital system (freq these pts don't have insurance). while i...
  24. CritterLover

    Picc Line Flushing

    From bard's website: Most piccs come with the 25psi pressure restrictions. I believe the power injectable piccs can withstand higher pressure, but all I can find is that the bard power picc can...
  25. CritterLover

    Picc Line Flushing

    It depends on facility policy and the type of picc. Most manufacturers recommend that nothing smaller than a 10 cc syringe be used. Our facility, however, allows 5 cc syringes to be used. A 3cc or tb...