CritterLover BSN, RN

ER, ICU, Infusion, peds, informatics

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All Content by CritterLover

  1. CritterLover

    NGTs

    in school, i was taught lcs for salem sumps (vented). if intermittent suction is used, it needs to be medium suction. nurses (and docs) tend to be so resistant to the idea of using continuous sxn...
  2. CritterLover

    Drug Testing At Hospitals

    oh, I really have to disagree here. there are many, many, many "functional" addicts out there. some are alcoholics, some are using cocaine, some are diverting narcs..... I've worked with some, went to...
  3. CritterLover

    Highest PEEP you've seen?

    37.5 which was as high as the vent would go. yes, she blew out her lung (or......we blew out her lung)..... and was asystole pretty quickly afterwards. she was young and otherwise healthy, in an mva....
  4. CritterLover

    When should an infusion pump indicate an alarm

    it really does depend on the setup of the infusion pump. most infusion pumps infuse the secondary med passivly. the pump doesn't recognize that it is giving the secondary med; that is set up by the...
  5. CritterLover

    How do you deal with Non-Urgent Patients

    they are evil people who rank right up there with joint commission in terms of: 1. cluelessness 2. coming up with aggrivating crap 3. making our jobs difficult 4. missing the
  6. i agree completely, and was getting ready to say something similar. op, you say you "keep getting fired." is that more than the two jobs you talked about here? if it is the two situations you...
  7. CritterLover

    Fibromyalgia

    a long list of antibiotic allergies does not tend to make me think "seeker." drug seekers tend to be allergic to non-narcotic pain medictions, and pain-medication alternatives. i'm going to be honest,...
  8. CritterLover

    Fibromyalgia

    ers tend to get saturated with dental pain patients. while most are happy to give an initial rx for pain meds, they can't fix the problem, and it isn't going to go away. you need a dentist, not an er...
  9. CritterLover

    What do you mean I didn't get a raise........

    the only times i got a raise at a 3mo eval was when it coincided with obtaining my cna cert, and then (many years later) my rn. yearly raises (at best) only for
  10. i wouldn't be surprised if the attempted-hit was a bit of an exaggeration (on the part of the op's coworkers, more than on the part of the op), but the rest of it doesn't sound that far-fetched....
  11. CritterLover

    Is a Medical Technician Assistant a CNA

    it is probably some kind of advanced cna training. if it was an lpn position, it would say so, since lpn is a licensed position. that kind of job is hospital-defined, within the scope of practice for...
  12. CritterLover

    Study: Incompetent People Really Have No Clue

    it really just makes sense to me. to be incompetent, there has to be some element of needed or attempted competence. i can't do surgery, and i can't fly a plane, but i'm neither an incompetent surgeon...
  13. CritterLover

    The drug-seeker file in ER

    i wasn't there but, i think the death was probably due to a missed diagnosis, because the provider dismissed the complaint as drug seeking behavior. something like abd pain or chest pain, that was...
  14. CritterLover

    Salem Sump NG Tubes

    Theoretically, the salem sump can be hooked to continuous suction. The blue port is supposed to keep the tube from sticking to the wall of the stomach, which is the main danger of continuous suction....
  15. CritterLover

    Pet Deposit Question...Oh, and Health Insurance.

    that is really interesting. i looked into "traveling" locally a few years ago (i live >60 miles from the city where i work). one company that i talked to didn't have anything locally, but was very...
  16. CritterLover

    Arterial line insertion by the RN

    and on an inpatient level, the hospital isn't even able to bill for supplies. [color=#483d8b]insurance companies pay according to drgs, not what the patient received. connecting the supply with the...
  17. i first found this site when looking for some help finding home-health related pda software. about a year later, i found it again when doing anther nursing related internet search. then, i decided to...
  18. CritterLover

    Should rad techs make as much as RN's?

    pay rate has more to do with market need/availability than education. most of the social workers i work with have a masters degree, yet they make considerably less than rns do. where i work, rts make...
  19. CritterLover

    The Order...

    well, no, not really. in an emergency, you use what you have. paramedics push d50 through peripheral lines all the time, because that is all they have. it isn't good for the veins, but you do what you...
  20. CritterLover

    Did I do the wrong thing?

    i'm going to disagree with what many here are saying. i worked for a hha while i was in nursing school. there were two levels of assignments: home health aide, and companion. in addition, it could be...
  21. CritterLover

    The Order...

    and we all know how well peripheral veins tolerate d50
  22. CritterLover

    The Order...

    if you are giving all of this through a peripheral line, please give the d50 before the
  23. the hospital where i used to work triage had gotten into some emtala-related trouble, so we were very careful about that kind of stuff. i can think of two patients that didn't need to be in the er...
  24. CritterLover

    Is Joint Commission more hindrance than help?

    i agree that much of the progress joint commission made in the begining was good. think about it: we had people dying from strangulation in their posey vests, sentinel events that were covered up, and...
  25. hope that