CritterLover BSN, RN

ER, ICU, Infusion, peds, informatics

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All Content by CritterLover

  1. CritterLover

    No More Demerol IV Push???

    i think she may be referring to the current nation-wide shortage of
  2. CritterLover

    Neuro question

    there is actually pretty differing viewpoints on the hob up/hob down positions in pts at risk for/with elevated icps. where i have worked as an rn, we have always kept the hob elevated for pts with...
  3. CritterLover

    NG tube question-please help!

    because if the ngt is to suction, then the suction will suck the med right back out. you need to give the stomach time to absorb the med before you reconnect the suction. (only applies if the ngt is...
  4. CritterLover

    Triple lumen catheters

    it depends on where you work, and what your policy is. on every tripple lumen/quad lumen i have seen, the white port is proximal and 18g, the blue port is medial and 18 g, and the brown port is distal...
  5. CritterLover

    NG tube question-please help!

    actually, there are legitamate reasons why a patient would have both an ngt and have pills ordered. they could be just getting supplemental feeds per ngt, say post-op or for whatever reason just are...
  6. CritterLover

    NG tube question-please help!

    it really depends on why the pt has an ngt. in general, the tube is there for feeding or for decompression of the stomach. if it is for feeding, it may be due to the pt being unable to take nutrition...
  7. CritterLover

    Help with Math for nursing

    it really depends on how you learn -- what works best for you. i took the gre a few years ago, and it had been over 10 years since i had taken a math class (calculus my first semester of college)....
  8. CritterLover

    Is it a JP or is it a Blake?

    My understanding is that they are different brands of the same
  9. CritterLover

    deceased patients

    yeah, have to agree with the others......you should have called a code. from a human standpoint, i'm kind of glad that you didn't, since it just doesn't seem right to pump on the chest of a patient...
  10. CritterLover

    If you could no longer be a nurse?...

    i would be a vet. definatly. in fact, if i wouldn't have to retake all of my science classes, and the nearest vet college wasn't over a 2hr drive away, i would probably look into it now...... if...
  11. CritterLover

    ACLS on-line review

    here is a website that has a couple of mock codes on it: http://www.mdchoice.com/cyberpt/acls/acls.asp i think i found it by putting "mock codes" or "acls code simulator" in google. there were other...
  12. CritterLover

    HIPPA -- Use patient's first name or last name?

    we use first and last name or just last name. i don't think it is a direct hipaa violation. hipaa really isn't as restricting as many think it is, but we are so afraid of violating it, that we tend to...
  13. CritterLover

    What happen to taking Vital Signs???

    i briefly worked as a cna in a ltc facility while i was in nursing school. one of the aides laughed at me for taking a bp with the cuff/scope. he told me to double the pulse to use as the systolic,...
  14. CritterLover

    Dosage Calculations - pt Factor ?

    i think that they are referring to the relationship between mcg and ml per hr for this patient. when you calculate the ml per hour for 2 mcg, you get 3.375 ml per hour (which we all round to 3...
  15. CritterLover

    Drug seekers "Drug of Choice"

    in short, addiction is a psychological as well as a physical need for the drug/substance, which causes "drug seeking" behaviors. habituation/dependency, however, occurs when someone is using...
  16. CritterLover

    What happen to taking Vital Signs???

    yes, mechanical bp cuffs can easily pick up "twitching" and interpert it as the pulse. this will mess up not only the pulse, but the bp, as well. even if you use an electronic cuff to get the vs, you...
  17. actually, what is required by law is a medical screening exam. once the doctor, or his/her appropriate designee (apn, pa) examines the patient and determines that an emergency medical condition does...
  18. CritterLover

    nurse with chronic pain accused of diverting narcs

    seems to me as though maybe they should mind their own business??? it wasn't their licesnse being potentially put on the line by idle gossip, was it? i still think you did the right thing. maybe...
  19. CritterLover

    CNA acute care vs. CNA LTC

    i did both while i was in nursing school. i only lasted 3 months in the ltc facility, then went on to work in the hospital for the rest of my time in school (2 years). however, i think it was because...
  20. CritterLover

    Administering CPR

    when i worked in an all-rn staffed icu, i did cpr quite a bit. however, once i moved to an er that had quite a bit of ancillary staff, i haven't done it at all. the unlicensed staff are usually the...
  21. CritterLover

    nurse with chronic pain accused of diverting narcs

    i am so sorry you are going through this; it is tough enough to work in pain, but to have to work without the support of your co-workers, too is so unfortunate. i think you did the smart thing in...
  22. CritterLover

    So mad at my nurse manager I could spit!

    i think that you are justifiably upset over your manager's reaction. however, i don't think you should go to the nursing vp. what i think you should do is take a day to gain some perspective. we...
  23. CritterLover

    Problem: who should do the accuchecks?

    maybe you need better communication with dietary? is there a way you could flag the diabetic's (or other people having their sugars checked) so that when the tray comes up, the dietary aide knows to...
  24. CritterLover

    Drug seekers "Drug of Choice"

    agreed. sigh.....if only there were some truley reliable way to determine if someone was really in pain or just wanted the narcs. unfortunatly, there isn't. the best thing we have is the pain scale...
  25. butterly needles are also way more expensive than a regular vacutainer needle, causing some departements/hospitals either to stock them in very limited quantities, or to not stock them at all. the...