CritterLover BSN, RN

ER, ICU, Infusion, peds, informatics

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All Content by CritterLover

  1. CritterLover

    Doing the right thing

    we have a week to file an incident report. of course, they want it sooner than that, but they do give us a week. you know, administration wants every single med error, or near med error, written up so...
  2. CritterLover

    ER- HELP: Dumbest reason people go to ER

    depends on what they got. if they left before being seen by the doc/pa, we called them "left without being seen" and they only got billed if they had labwork or xrays done as part of a protocol. a...
  3. CritterLover

    Phone Triage

    if your facility is requiring you to do telephone triage, then it needs to have a policy/procedure for it. phone triage is an accepted part of nursing, but it comes with straight-foward guidelines and...
  4. CritterLover

    punishment advice.....please......

    when i was a cna, i always did the resp rate when i was taking the temp. the thermometer had the nice little timer feature, and with the temp probe in their mouth, they couldn't talk. the temp was...
  5. CritterLover

    punishment advice.....please......

    the hospital where i currently work apparently has an epidemic of patients that breathe 20 times per minute. if you exclude the icus (where the nurses do their own vs), i would (probably...
  6. CritterLover

    Non-verbal communication board

    does your facility ever use diprivan? [color=#483d8b]one of the icus i've worked in had nice picture boards the diprivan rep provided. if any of the units in your facility use the drug, you might try...
  7. CritterLover

    How do you protect your identity?

    actually, the last two jobs i've had, they did not want the paper license. all they did was check my license online and verify it
  8. CritterLover

    Got my 1st butt chewing today - humiliating!

    ok, i'm not an ob nurse, but... how dare he chew you out because this baby was deciding to be born a little too close to his trip? what would he have done if this woman had srom'd at, say 930? or...
  9. CritterLover

    Nsg care of hypotensive pt

    what meds did you give him? since you were checking the bp before giving them, i'm guessing that you might have given him a bp med? many bp meds will lower hr as well. beta blockers, clonidine, and...
  10. CritterLover

    How do you protect your identity?

    those other professions don't give the same level of personal care that nurses give. i'm sure that there are physicians out there that have been stalked by their patients, and teachers that have been...
  11. CritterLover

    Multiple IV's question

    the iv drug book i have states that "reconstituted solutions may be refrigerated for 14 days. when diluted, solutions are stable for 24 hours at room temperature." [color=#483d8b]so yeah, maybe your...
  12. CritterLover

    Multiple IV's question

    i've seen them do the abx infusions before on implanted lines (permacaths, ports, and hickmans), so it doesn't surprise me. well, actually what i tend to see is "vanc locks," kind of like heplocks,...
  13. CritterLover

    Multiple IV's question

    most piggybacks mixed by pharmacy have some overfill (more volume than is written on the bag). so your 100 cc bag probably had 110ccs or so in it. that would account for their being "slightly more"...
  14. CritterLover

    Use of Diprovan in your ER

    but see, that is the thing. diprivan is not indicated for moderate sedation. its therapeutic class is "general anesthetic." it is indictated for "mac," but that is a deeper level of sedation,...
  15. CritterLover

    a dumb question

    had a similar situation last weekend. sandostatin + protonix + levophed + antibiotics + blood they had trouble cross-matching my patient (his hct wasn't anywhere near as low as your patient's, so...
  16. CritterLover

    Should new grad be able to start IV at work?

    most employers don't have an iv classes for rns. some might, as part of a comprehensive new-grad orientation; none of my employers ever offered that. it was expected that i had been exposed to...
  17. CritterLover

    Interviewing the interviewer questions...

    consider asking if you can shadow a nurse for 4-8hrs. i always ask about the "culture" on the unit. don't always take the answer at face-value, but it can give important information anyway. i also...
  18. CritterLover

    Use of Diprovan in your ER

    i love it for sedation on vented patients. i was an icu nurse (trauma) before i was an er nurse, and we used it frequently on our vented patients -- esp those with closed head injuries, since it tends...
  19. CritterLover

    Nurses taking patient's off backboards without doctor clearnce?

    i've been watching this thread for a while now, interested to see what kind of practices the rest of the country has. i spent the past few years working in a fairly small er. our docs had to clear pts...
  20. i don't think she should be willing or able to fail you if she "can't put [her] finger on it." it needs to be more concrete than that. if you've done well on your assignments, clinical papers, etc,...
  21. CritterLover

    I made med error, what now?

    i'm going to agree with the others -- don't obsess about this too much. i was certainly more of a pharmacy error than a nursing error. yes, you will most likely be held partially to blame, as you...
  22. it depends on the meter. some have only been tested with capillary blood (finger sticks). some can be used with capillary, venous, or arterial whole blood. some can even use spun serum. it all just...
  23. CritterLover

    Really need your help- dysrhythmia exam

    being off by 0.2 is quite a bit. (do you mean 0.02?) [color=#483d8b]when you measure with your calipers, "set" the calipers by measuring from the begining of the interval to the end of the interval....
  24. CritterLover

    PA School

    i wouldn't want the pa or md to put the pt on the bedpan ... unless they were up for changing the bed afterward,too i don't say that to be mean or condescending, but lets face it: there is a certain...
  25. CritterLover

    Really need your help- dysrhythmia exam

    how are you getting it wrong? (too long, too short, completely off....) are you using calipers? (very important when learning) is it a math error, or are you having a hard time telling where to...