CritterLover BSN, RN

ER, ICU, Infusion, peds, informatics

Member
  • Content

    929
  • Visitors

    13,415
  • Followers

    0
  • Likes

    212

All Content by CritterLover

  1. CritterLover

    Bait and Switch

    i think part of the op's concern is that day shift tends to have 3 patients apiece. indy, is this tele unit more of a step-down? i worked icu stepdown as a new grad, and we had 3-4 patients on days...
  2. CritterLover

    I really, really feel like calling it quits

    a couple of other things..... also agree that the notecard idea is a great one. this is actually how we learned to do a head-to-toe assessment where i went to school. it will break the assessment down...
  3. CritterLover

    I really, really feel like calling it quits

    i have to agree with what others are saying. i'm really sorry you are going through this right now, but in the end it will make you a better nurse. i think it is a little harsh to expect you to be so...
  4. CritterLover

    When is a situation considered an Emergency?

    oh, i don't know......sometimes it sure does seem like that is why they come
  5. how is it being done? [color=#483d8b] [color=#483d8b]when i was in school, i worked at an alf where each individual patient had a pill box (28 slot -- am, noon, pm, hs for each day) in their apt....
  6. CritterLover

    POP technique for declogging PICC lines

    there was a thread about this in the iv nurses forum not too long ago. i'm not sure, but i don't think the consensus opinion was a good one. i (accidentally) saw this work once when i was trying to...
  7. CritterLover

    Stressed and confused

    i hope you filled out an incident report to alert risk management of this unsafe
  8. CritterLover

    Proud to say or keep it hid away?

    the only place i advertize my rn is at work. otherwise i hide, hide, hide it. if i grocery shop on my way home from work, i make sure i take my nametag off. when i bought my house, my real estate...
  9. CritterLover

    ipods at work

    i use mine when i'm doing non-patient care related tasks. i do a lot of qa/chart reviews for my job, and it is done outside of the hospital. i'm easily distracted, and since my desk is in a cubical,...
  10. i almost always love my student nurses. just love them. i do find them helpful and usually eager. even if they are just starting out in school, they often have the time to give the patient more tlc...
  11. CritterLover

    'Scuse me sir, don't bite into that frito ! ! !

    and cms wonders why the chf patients keep returning two days after we d/c them...... its isn't always the care (or lack of care) they received in the hospital, but lack of adherence to their diets...
  12. CritterLover

    Posters that are not nurses

    in general, i don't mind the non-nurses participating in threads so much. i find that their perspective usually gives me something to think about. and how else are they going to learn that there...
  13. CritterLover

    Posting from work tonight?

    i'm too chicken to post from
  14. CritterLover

    Abusive Nursing Instructors-LPN

    that sounds familiar......but if it is the situation i'm thinking about, the student was not really treated as bad as he thought. he had issues (to say the least) and blamed much of his lack of...
  15. CritterLover

    Why are paper towel dispensers locked?

    well, the average person has more use for the papertowels than the pulse-ox, right? when i was in college, i lived in the dorms for a year. friends of a girl that lived down the hall used to come to...
  16. CritterLover

    Dementia patients not getting respect

    kind of what i was thinking, too. i was going to ask what the op meant by "talking to these patients like they are children." on the one hand, you have to be simple, concrete. they won't understand...
  17. CritterLover

    TPN and meds

    it all depends on facility policy. however, i have never seen a hospital that ok'd infusing anything into tpn, other than lipids. homecare is a different story. i had a patient once who had a port a...
  18. CritterLover

    CTs with contrast through central lines

    iv contrast for non-vascular studies usually can be done this way. however, if they are trying to visualize arteries (ct angio of head -- or anything else -- ct chest r/o pe), then the contrast has to...
  19. CritterLover

    levophed calculations

    exactly. always follow hospital policy. if they are insistent on getting a mcg/kg/min rate, then tell them the pt's weight and give 'em a calculator :) (had a ct surgeon once that insisted on...
  20. CritterLover

    lovenox..and coumadin

    no, lovenox does not "attack" the existing clot. heparins (i'm including lovenox) and coumadin both work by preventing the formation of blood clots/keeping the clot from growing. however, they work by...
  21. CritterLover

    Rules for the ER (long)

    this is a bit off-topic, but i'm having a really hard time understanding why your doctor is sending you through the er when he knows you need to be admitted. that is a horribly inefficient way of...
  22. CritterLover

    lovenox..and coumadin

    lovenox does not have to be monitored with ptt, but it can be monitored with ptt. the reason is that the studies with lovenox showed a very predictable relationship between weight-based dosing and...
  23. CritterLover

    I have a question about PE and DVT, can anyone help?

    since she already had one clot, she was at very high risk for developing another clot. since she was unable to tolerate anticoags to prevent just such a thing from happening, she most likely did...
  24. CritterLover

    lovenox..and coumadin

    usually, the heparin (lovenox) is given until the coumadin is threapeutic (inr level). while this usually happens in the hospital, by using lovenox instead of iv heparin, it can be done at home since...
  25. subclavian lines can, at times, head "north" and end up in the jugular vein. [color=#483d8b] [color=#483d8b]i have also seen several lines placed from the left side of the patient (either ij or...