CritterLover BSN, RN

ER, ICU, Infusion, peds, informatics

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All Content by CritterLover

  1. CritterLover

    What do I do...I witnessed pt. physical abuse

    CritterLover replied to abnurse's topic in General Nursing

    i don't know......sometimes i'd rather see an old thread brought up, rather than rehashing an old argument all over again. i agree, it is pretty pointless when someone is asking for advice, and the...
  2. CritterLover

    Declotting PICCs

    CritterLover replied to Mommy TeleRN's topic in Infusion, Intravenous

    they keep the end sterile, and closed (since though the end of the catheter has a leur lock connector, it is "open.") those caps should be changed weekly/with every dressing
  3. CritterLover

    SaO2 and PaO2

    CritterLover replied to dmp1950's topic in General Nursing

    in what situation? much of it depends on your perspective. speaking from the triage point of view...... in a normal, healthy individual, i really don't like to see sats below 97%. i'll take 96%,...
  4. CritterLover

    I'm sure I'll get 10,000 replies saying to run, run, run from this place!

    CritterLover replied to megananne7's topic in General Nursing

    megan, you need to get out of there. yesterday. (well, actually, several weeks ago :) ) i do understand, though, the need to pay bills. i also understand the need to have a job that will work around...
  5. CritterLover

    Adenosine & Defib...

    CritterLover replied to ERRNTraveler's topic in Emergency

    ???? a central line is the ideal way to give adenosine. the drug doesn't get metobolized while it is traveling through the central line tubing; when it hits the blood stream, it is right in front of...
  6. CritterLover

    Declotting PICCs

    CritterLover replied to Mommy TeleRN's topic in Infusion, Intravenous

    here is ucsf's policy on how to declot a central line. it doesn't have pictures, but does a pretty good job of explaining the two ways to create a vaccuum:...
  7. CritterLover

    Declotting PICCs

    CritterLover replied to Mommy TeleRN's topic in Infusion, Intravenous

    they both need updated. heparin does not break down clots. it is no more effective in "decloting" than saline is. heparin is used in the case of a dvt or a pe to prevent the clot from growing, while...
  8. CritterLover

    Pot Smoking and Nursing

    CritterLover replied to MrsNurseCA's topic in General Nursing

    the only way i see any issue with that is if they were vacationing in amsterdam, or somewhere else where marijuana was legal. then, i can see some room for argument. however, i still think the...
  9. CritterLover

    Pot Smoking and Nursing

    CritterLover replied to MrsNurseCA's topic in General Nursing

    i know this is a really old thread, but i'm going to chime in anyway. many posters made the point that nurses should not be held accountable to their employers on their days off, even if they are...
  10. CritterLover

    Any nurses out there who think express care should not exist?

    CritterLover replied to JessicRN's topic in Emergency

    yes, part of the "allure" to admin is that they ("fast track" areas) make money. but, they also have a separte, important (to admin) function: they decrease average los. there is a nation-wide push...
  11. CritterLover

    Improving Patient Satisfaction

    CritterLover replied to MrsMommaRN's topic in General Nursing

    exactly. happy nurses ==> happy patients. i can't understand why admin can't figure out that crappy staffing is at the root of so many of their problems: unhappy nurses, unhappy patients, unhappy...
  12. CritterLover

    Administering blood w/meds via PICC

    CritterLover replied to IngyRN's topic in General Nursing

    some piccs don't have a "distal" port. the ones i place are trimmed, and thus both ports are flush with each other, rather than staggered. doesn't matter as far as infusing incompatable substances are...
  13. CritterLover

    A Funny Thing Happened on the Way to the Morgue

    CritterLover replied to BloodNGuts's topic in Operating Room

    sounds pretty reasonable to me. when i first read the op, i couldn't figure out what the surgeon would have to hide. patients with dead bowel die sometimes; they don't always make it to the or in...
  14. CritterLover

    Nurses Obtaining PICC Consents

    CritterLover replied to bobnurse's topic in Infusion, Intravenous

    sorry, i agree with the mock surveyor. it is never a nurse's responsibility to obtain consent. "obtaining consent" implies informed consent. "informed consent" means that the patient has been...
  15. CritterLover

    "The Jesus Factor"

    CritterLover replied to FireStarterRN's topic in General Nursing

    true. but as nurses, it is our responsibility to educate them on the proper diet, exercise, lifestyle, etc....correct? in fact, diet/medication/lifestyle education for chf patients at discharge is...
  16. CritterLover

    Another triage vent thread

    CritterLover replied to Djuna's topic in Emergency

    i had a group of three friends check in last night for relativly minor complaints (minor knee pain, no limp; minor back pain; "spider bite").......isn't that how we all want to spend an evening out...
  17. CritterLover

    does bladder irrigation have to be aseptic technique?

    CritterLover replied to matt59's topic in Patient Safety Issues

    correct. the irrigation solution that is saved should be left in the original bottle (with the screw-on top) with the lid on tight until needed next. and it is good for 24 hours from when it was...
  18. CritterLover

    does bladder irrigation have to be aseptic technique?

    CritterLover replied to matt59's topic in Patient Safety Issues

    yes, it is sterile, since the bladder is a sterile environment. you might not need to wear sterile gloves, because you don't have to touch anything that goes into the bladder in order to irrigate the...
  19. CritterLover

    60 Second Tube Feed Stop********

    CritterLover replied to Kymmi's topic in General Nursing

    i think the reasoning is in case the tube (dobhoff, ng, whatever) becomes disloged/migrates while the patient is being turned/moved. as for the peg tubes, many things we do are based out of habit. it...
  20. CritterLover

    Manager expects me to stay once I graduate

    CritterLover replied to nickikh23's topic in General Nursing

    you might want to look around and see if you can get an extern job in a nicu. it will give you an idea of what it is like there, and you will have a better chance of getting a job in one when you...
  21. CritterLover

    I need some info please

    CritterLover replied to Misbic's topic in General Nursing

    if you are doing it under his direct supervision, then it is mostly likely legal. not necessarily safe, but not practicing nursing without a license, either. check to see if any limitations are put on...
  22. CritterLover

    Vein viewing device

    CritterLover replied to All_Smiles_RN's topic in General Nursing

    i'm surprised anyone would try to use the vein viewer for picc placement. unless you were using an a/c vein, or the patient had just wonderful veins, i wouldn't think you would be able to illuminate...
  23. CritterLover

    Vein viewing device

    CritterLover replied to All_Smiles_RN's topic in General Nursing

    i've used it. i wasn't impressed. i think it is helpful in the pediatric population. the problem with adult patients: the device only illuminates about 1/8 of an inch down (per the rep). this means...
  24. CritterLover

    "Red Flags" of Drug Diversion

    CritterLover replied to WriteStuff's topic in General Nursing

    if you know what the count should be, and are the one "counting," then you tell the person that is writing what should be there instead of what is there. [color=#483d8b]if you are the one writing,...
  25. CritterLover

    Cardiac patients in the ER - a poll

    CritterLover replied to NurseCherlove's topic in Emergency

    i would guess it at about 20-25% for perceived cardiac issues -- that is, the patient and/or triage thinks it might be cardiac related. only a small percentage of that turns out to be actual cardiac...