CritterLover BSN, RN

ER, ICU, Infusion, peds, informatics

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All Content by CritterLover

  1. CritterLover

    charting"incident report filled" in nurse's notes

    CritterLover replied to NICURN04's topic in General Nursing

    you might want to reconsider. risk management tends to get very irritable when incident reports are mentioned in the medical record. i've seen nurses get fired for it (not the first time, but for...
  2. CritterLover

    Is this LEGAL?

    CritterLover replied to ShoesOnTooTight's topic in Pre-Nursing Students

    i would think (hope) that this wouldn't be the case since, in this situation, they were required to attend. had it been an optional graduation ceremony, then it probably would have been ok. to the...
  3. CritterLover

    charting"incident report filled" in nurse's notes

    CritterLover replied to NICURN04's topic in General Nursing

    you are not supposed to mention incident reports in the chart. doing so makes them fair game for attorneys. otherwise, the incident report is an internal document, for use by risk
  4. CritterLover

    Drawing blood from power picc

    CritterLover replied to jmgrn65's topic in General Nursing

    right -- but the op's concern was air embolism, and that is what i was addressing. i used to place boston scientific pasv piccs, and would leave the injection caps off until just before i took down...
  5. CritterLover

    Drawing blood from power picc

    CritterLover replied to jmgrn65's topic in General Nursing

    while what you describe is not "proper," given the long length of a picc and that the open end is most likely below the level of the heart, the chances of an air embolism are pretty low, close to...
  6. CritterLover

    "Well... it's not in the job description"

    CritterLover replied to antidote's topic in General Nursing

    while i do hear what you are saying, i just don't think that nurses today have the time to provide that kind of care. most nurses, whether in the er on on a floor unit, barely have enough time to...
  7. CritterLover

    wbc >150,000?

    CritterLover posted a topic in NICU, Neonatal

    what could cause a newborn's (1 day old) wbc to be so high? part of my job is to review abnormal lab results and address certain ones in our adult population. they all (adult and newborn) print out...
  8. CritterLover

    PreCalculus OR Finite Math?

    CritterLover replied to vetiver's topic in General Students

    what does precalc at your school encompass? at most schools i've gone to, precalc and college algebra are the same class. however, i've also seen trig called precalc. i would probably go with...
  9. CritterLover

    wbc >150,000?

    CritterLover replied to CritterLover's topic in NICU, Neonatal

    i'm sure the actual lab report has a differential on it (at least for one of the samples), but i'm not privy to it. i do know the infant is still alive, and she hasn't shown up on any other lab...
  10. CritterLover

    I know a CNA who's name badge says nurse!

    CritterLover replied to RNFROMTHEHILL's topic in General Nursing

    no one is doubting that mas can be certified. however, two points: 1. certification is not required for one to be employed as an ma. anyone can be walk in off the street and be called an ma at the...
  11. CritterLover

    I know a CNA who's name badge says nurse!

    CritterLover replied to RNFROMTHEHILL's topic in General Nursing

    while physicians delegate to mas in the office setting, some mas are hired by hospitals in a patient-care capacity. in that situation, the ma is working in the nursing department, and does fall under...
  12. CritterLover

    I know a CNA who's name badge says nurse!

    CritterLover replied to RNFROMTHEHILL's topic in General Nursing

    the bon can state that mas are not allowed to give injections all they want; however, they do not have the jurisdiction to regulate them (mas). mas are regulated under the medical boards, not the...
  13. CritterLover

    The sugar that just kept dropping...

    CritterLover replied to NewWayofLife's topic in General Nursing

    i've seen it before, but usually in someone in either liver failure or pretty severe sepsis. and certainly not on telemetry. i would think he needed icu -- not pcu. with q15min blood sugars, you can...
  14. CritterLover

    PICC line in IVDA pt

    CritterLover replied to gospursgo07's topic in General Nursing

    it is becoming more common. usually, we try to d/c ivdas that need long term abx to a snf for care and monitoring. however, these patients also tend not to have health insurance, so finding a snf can...
  15. CritterLover

    Is it possible to go to nursing school and work full time?

    CritterLover replied to nursing_88's topic in Oregon Nursing

    i had both a ft job (cna) and a pt job (research asst) while i was in nursing school (ft). it can be done; but depends on you, the program, and the particulars of the
  16. CritterLover

    how far do u go in triage ?

    CritterLover replied to time4meRN's topic in General Nursing

    the hospital where i used to work triage did not use an md or midlevel in triage,but it had "triage protocols" that enabled us to do quite a bit. in general, we drew blood, asked for urine, started...
  17. CritterLover

    How does area not become necrotic?

    CritterLover replied to LovebugLPN's topic in Gastroenterology

    because there is still blood suppy? i'm sure some scar tissue does develop, but just becasue the area is sectioned off so it can't receive food, doesn't mean that part of the gut isn't getting...
  18. CritterLover

    Tolerance wearing thin in Triage,Help!

    CritterLover replied to concededrn's topic in Emergency

    i'm another weirdo that liked to work in triage. i no longer work er, and sometimes find myself missing triage. i liked sitting in the little room by myself. i liked that my contact was brief, and i...
  19. CritterLover

    stat xrays

    CritterLover replied to calliesue's topic in General Nursing

    it doesn't for inpatients, though many people erroneously think it does. (i guess some facilities may try to bill more for higher-priority diagnositics, but insurances don't pay
  20. CritterLover

    PICCs in LTC

    CritterLover replied to CritterLover's topic in Geriatric, LTC

    i guess it depends on the area of the country, but we had a mobile xray company come out and shoot the film, then give us a call report. sending them to the hospital for the xray would negate some of...
  21. CritterLover

    PICCs in LTC

    CritterLover posted a topic in Geriatric, LTC

    i have recently started placing picc lines in the ltc setting, and i have found that they don't stay in very long. i have been placing piccs in the acute care setting for a few years, and while the...
  22. CritterLover

    How Long Do I Need To Be A Cna To Challenge The Lvn Bords

    CritterLover replied to 126RT's topic in NCLEX Exam, Programs

    I don't think you will ever be able to challenge the LVN boards with CNA experience. Last I heard, only military medics can challenge the LVN boards, and even that may have
  23. CritterLover

    Question about Nipride

    CritterLover replied to AprilRNhere's topic in General Nursing

    well, if you think that he "lives" at a sbp of 200 at home, or at least has for a while, then an sbp in the 90s isn't going to perfuse much. if he is in acute renal failure, then it really isn't...
  24. CritterLover

    Question about Nipride

    CritterLover replied to AprilRNhere's topic in General Nursing

    i guess it would depend on where they wanted the bp and why. if the goal was 110-130, then i probably would have turned it down at the low pressure, i just wouldn't have gone down very much. nipride...
  25. CritterLover

    Transducing a PICC line

    CritterLover replied to RNontheroad's topic in General Nursing

    piccs can be transduced for a cvp as long as they are "open" -- that is, valve-less. you wouldn't be able to transduce a groshong, or the boston scientific pasv picc, since they both have valves....