ChiSmile6

ChiSmile6

Trauma/MedSurg

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All Content by ChiSmile6

  1. IV saline/hep lock

    ChiSmile6 posted a topic in Patient Medications

    Sorry..I have so many IV questions..here's another! I feel like IVs are a weak area for me. When your patient has a saline lock, as part of your initial pt. assessment, do you guys check for patency...

  2. I feel like a complete failure

    ChiSmile6 replied to ChinupBSNRN's topic in First Year After Licensure

    I just want to say very good for you for getting out of a situation that was hurting you emotionally and physically. I can relate to that feeling of dread and fear you talked about when it comes to...

  3. Zero Confidence and Scared! eeek!!

    ChiSmile6 posted a topic in First Year After Licensure

    I am a new grad (graduated May) and part of a 3 month RN residency program (thank God!) I have only worked two shifts so far and they have been really good/busy/interesting/crazy but I never thought I...

  4. Nursing Documentation-if you didn't document it, you didn't do it!

    ChiSmile6 posted a topic in First Year After Licensure

    Ok... so I am sure many of you have heard your instructors or fellow nurses say to document everything you do (education, interventions, therapies, assessments) because if you forget to document, then...

  5. Did I need to call the Doc?

    ChiSmile6 replied to ChiSmile6's topic in General Nursing

    thank you all-your comments make a lot of sense and are helping me see the situation from a different light-great input

  6. Did I need to call the Doc?

    ChiSmile6 posted a topic in General Nursing

    I was caring for a pt the other day who had a baseline BP of 120-130/80s. The midnight BP was 94/60. I re-took it at 0100, it was 84/43. I called the surgical resident and he said it's fine, the pt...

  7. Did I need to call the Doc?

    ChiSmile6 replied to ChiSmile6's topic in General Nursing

    Thanks you guys. I guess I am just scared that the MD will come in the a.m. and ask "why wasn't I called about this?" b/c I have heard it happening before to other nurses for situations that seemed...

  8. NG tube help..not very familiar with NGs

    ChiSmile6 posted a topic in First Year After Licensure

    Hey, I was wondering if anyone could give me a brief overview of NGs and the different types, when they are indicated, and what their purpose usually is for. I know after different surgeries it is...

  9. NG tube help..not very familiar with NGs

    ChiSmile6 replied to ChiSmile6's topic in First Year After Licensure

    thank

  10. NG tube help..not very familiar with NGs

    ChiSmile6 replied to ChiSmile6's topic in First Year After Licensure

    I do open my book and study regularly as a nurse. I also have tried sites. The information I get still does not help me understand all the indications for NGs, I was asking on this forum to perhaps...

  11. Most Common IV Push Meds on Med-Surg

    ChiSmile6 replied to nurseJ88's topic in First Year After Licensure

    dilaudid, morphine, toradol, zofran, phenergan is usually IV piggyback, protonix, benadryl, ativan, I too work on med/surg. These are def. the most common ones...especially protonix! I love when I...

  12. First medication error & on new graduate orientation :(

    ChiSmile6 replied to gardenia09's topic in First Year After Licensure

    I have done the exact same thing..walk out of a patient's room with all the meds and check AGAIN maybe for the fourth or fifth time..just because I want to be XTRA sure...might sound crazy but it's...

  13. IV question-air and tubing

    ChiSmile6 posted a topic in First Year After Licensure

    I have a few questions regarding IVs. First, are there any good tips to spinking/priming bags so that air doesn't get in the line? What I specifically mean is--I have found that I will go to hang a...

  14. I and Os!

    ChiSmile6 posted a topic in General Nursing

    I don't know why...but I absolutely hate I/Os!! I guess I am looking for some tips regarding recording I/Os...simple question I know. For the most part, do your nurse aids document the output if they...

  15. 6 months in and not a big fan of ICU

    ChiSmile6 replied to NickiLaughs's topic in First Year After Licensure

    It's probably hard for you to exactly pinpoint why you aren't fully able to enjoy your job...maybe it would seem better if the nurses were nicer and not as catty, or maybe if they were nicer and more...

  16. Normal to feel so stupid?

    ChiSmile6 replied to Virgo_RN's topic in Emergency

    ICU and ER may seem similar but I don't know how they can expect you do just know everything because they really are different. In the ICU at my hospital the nurses only get one patient, when my...

  17. Nursing Documentation-if you didn't document it, you didn't do it!

    ChiSmile6 replied to ChiSmile6's topic in First Year After Licensure

    so if you can't chart "WILL MONITOR...." then what do you write? for example, we do PIEP notes (problem, intervention, evaluation, and plan) I see most nurses write "WILL CONTINUE TO MONITOR..." as...

  18. IV saline/hep lock

    ChiSmile6 replied to ChiSmile6's topic in Patient Medications

    awesome, that's what I thought too-that you can just aspirate...thank

  19. footwear

    ChiSmile6 replied to appleapple's topic in Scrubs, Uniforms, Gear

    I feel like a gnome with the dansko's b/c they look so much like clogs. I heard they are amazing though, however I feel like they will slip right off my feet. I wear Nikes and I actually really like...

  20. Nursing Documentation-if you didn't document it, you didn't do it!

    ChiSmile6 replied to ChiSmile6's topic in First Year After Licensure

    so the other day my pt's blood sugar was 96 and the sliding scale said "notify md if lower than 100". Obviously 96 isn't that low, but still, I took the instructions literally. I notified MD and my...

  21. IM Injections

    ChiSmile6 replied to mcneillmama3's topic in General Nursing

    I gave an arixtra injection the other day and was surprised when I pulled out the needle and the needle shield was already in place! I think it is a great feature although I do not know if I...

  22. Normal to feel so stupid?

    ChiSmile6 replied to Virgo_RN's topic in Emergency

    hey! I FEEL THE SAME WAY! I'm done with my fourth week and some days I feel super confident but then go home, and start worrying about the next day. Real life nursing is so different than clinicals...

  23. IM Injections

    ChiSmile6 replied to mcneillmama3's topic in General Nursing

    I'm sorry, I'm confused, what do you mean 'allow to retract while in the

  24. am dose v pm dose steroids

    ChiSmile6 replied to Nurse Lulu's topic in Patient Medications

    giving steroids in the a.m. mimics the body's natural release of

  25. Random Med Questions-narcotics and IV push

    ChiSmile6 replied to ChiSmile6's topic in Patient Medications

    thank