CritterLover BSN, RN

ER, ICU, Infusion, peds, informatics

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All Content by CritterLover

  1. CritterLover

    Need advice

    why wasn't the patient given his home bp meds before the sheeth was pulled? [color=#483d8b]why did you end up writing the order, when someone else gave the meds? [color=#483d8b]whose decision was it...
  2. i've had some luck with using duoderm/comfeel around the site. [color=#483d8b]othe than that, just making sure the skin prep is "no-sting." [color=#483d8b]really, i guess it depends on why the ostomy...
  3. CritterLover

    picc line criteria

    agree 100% clinical judgement/critical thinking is the key. one of my "sister" hospitals wants to decline anyone with abnormal coags/platelets. absurd. a picc will (almost) always be the safest type...
  4. CritterLover

    Home care nurses in Danger?

    you know, that was the one aspect of home care that never bothered me. i did both inner-city and rural home health. never were any of my territories considered to be in the "good" part of town. when i...
  5. CritterLover

    Need advice and a kick in the right direction

    what part of tn are you in? i work in tn, and don't know of any nursing school that requires a cna first. not that getting a cna wouldn't benefit you in nursing school (and may help you get in) but...
  6. CritterLover

    Whites or Colored scrubs?

    i picked "all colors, incluiding white," even though i rarely wear anything white. [color=#483d8b]if i do, it is a jacket. i had a white scrub top that i wore once, and spilled something on it that...
  7. CritterLover

    Gastric bypass - psycho

    most of us that work in a hospital have a skewed point of view. [color=#483d8b]we see the patients that have problems/complications and have frequent admissions. [color=#483d8b]i don't think it is out...
  8. CritterLover

    Woman dies in ER Lobby

    here are the threads i found. i think there is one more in current events. several of these threads have good links to articles about the case....
  9. CritterLover

    Woman dies in ER Lobby

    there are already three threads on this -- one in nurisng news, one in the er forum, and one in general discussion. [color=#483d8b]while it is a tragic, unfortunate, event, i cannot place all of the...
  10. CritterLover

    Linear Algebra?

    since its course number is higher than both calc 1 and calc 2, i'd skip it. the course description also looks like a "real" linear algebra class, though one at a slower rate since it is 2 semesters...
  11. CritterLover

    IV Lasix

    i agree with the others. [color=#483d8b] [color=#483d8b]the only reason to diulte lasix would be to get it into enough volume to make it easier to "control" when pushing it over a long time (it is...
  12. stats suck. [color=#483d8b] [color=#483d8b]i love calculus, so i'm a math geek. and stats suck. [color=#483d8b] [color=#483d8b]i'm embarking on a new career, and i'm really, really, really, hoping...
  13. CritterLover

    Linear Algebra?

    where are you thinking of taking this class? [color=#483d8b] [color=#483d8b]in most colleges/universities, linear algebra is an upper-division class that is waaaay beyond anything that would be...
  14. CritterLover

    the last measure to be performed before surgery

    i do see quite a bit of abx ordered pre-op, but i also see pepcid, robinal, maalox, and an occasional valium. all of these are considered "preanesthesia" meds, since they are used because of general...
  15. CritterLover

    the last measure to be performed before surgery

    unless they have a foley, they need to void right before they go down to surgery. they need to have an empty bladder when they go into the or. po meds take a while to work, so i wouldn't give them...
  16. CritterLover

    Metoprolol IVP rate

    There is a big difference between a large-bore vein and a large-bore iv. While I agree with you about not giving phenergan through a hand vein, giving it through a 24g iv is much safer than giving it...
  17. CritterLover

    Easy question on pancreatitis- who's smart?

    any food in the digestive tract is going to stimulate the pancreas, causing pain, and possibly damage, to someone with pancreatitis. [color=#483d8b] [color=#483d8b]some foods may stimulate it more...
  18. CritterLover

    Whats with the scrubs?

    they had a nurse on a few years ago. i was really interested to see what they would say about her work clothes. [color=#483d8b] [color=#483d8b]well, absolutley nothing. didn't cover the topic of...
  19. CritterLover

    Drawing blood from a PICC line

  20. CritterLover

    Drawing blood from a PICC line

    if you have an old-fashioned style heplock cap, then you just stick the needle into it. [color=#483d8b] [color=#483d8b]if you are using a needleless system, there are special vaccutainer "needles"...
  21. CritterLover

    Drawing blood from a PICC line

    the amount of blood required for each tube is written on the tube. not difficult at all to make sure you get the correct amount into them, even for the coag tubes. our blue tops require 4.5cc of blood...
  22. CritterLover

    Would this happen at your ER?

    no way the ent doc would have been allowed to send that pateint to the er to be seen. i'm surprised that the er charge nurse allowed that to happen. the house supervior could have been called to go...
  23. yes, if the nurse has icu experience and has been oreinted to that unit. [color=#483d8b]yes, even if the nurse doesn't have icu experience, but is taking patients awaiting a room on the floor....
  24. CritterLover

    Drawing blood from a PICC line

    no, the smaller syringes exert more pressure, not less. use a large syringe, no less than a 5cc (our facility allows piccs to be flushed with 5cc syringes. other facilitiess may require a 10, just...
  25. CritterLover

    On call PICC nurse? Does such a thing exist?

    no, for us the venipuncture is us-guided, but threading the picc is blind. [color=#483d8b] [color=#483d8b]the bedside us equipment used for picc placement isn't quite on the same caliber as the...