ChiSmile6

ChiSmile6

Trauma/MedSurg

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All Content by ChiSmile6

  1. IV saline/hep lock

    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 even if the IV is not being used for IV meds? I a...
  2. I feel like a complete failure

    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 even just THINKING about going back to a place that ...
  3. Zero Confidence and Scared! eeek!!

    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 would be this SCARED about starting on my own. I...
  4. 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 you pretty much have no proof that you actually d...
  5. Did I need to call the Doc?

    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?

    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 is sleeping, no worries. This pt was transferred...
  7. Did I need to call the Doc?

    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 to be not so urgent. I also am confused at who nee...
  8. NG tube help..not very familiar with NGs

    thank u!
  9. 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 important to keep the stomach empty, I also have hea...
  10. NG tube help..not very familiar with NGs

    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 get advice based on real experiences from fellow n...
  11. Most Common IV Push Meds on Med-Surg

    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 see it ordered PO!
  12. First medication error & on new graduate orientation :(

    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 what helps keep me feeling sane!
  13. IV question-air and tubing

    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 new 1000 L bag, the primary bag, and if this line i...
  14. I and Os!

    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 have a foley? What is an acceptable urine output...
  15. 6 months in and not a big fan of ICU

    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 encouraging everything would feel better for you.....
  16. Normal to feel so stupid?

    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 friend moved to a med/surg floor she didn't think she ...
  17. 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 the plan. I try to be more specific for example, Pl...
  18. IV saline/hep lock

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

    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 them. The first couple days my feet hurt a littl...
  20. 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 preceptor said that it was a good idea too. I tol...
  21. IM Injections

    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 accidently activated it without knowing or it just did it ...
  22. Normal to feel so stupid?

    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 so naturally, this is supposed to be a bit of a rea...
  23. IM Injections

    I'm sorry, I'm confused, what do you mean 'allow to retract while in the pt'
  24. am dose v pm dose steroids

    giving steroids in the a.m. mimics the body's natural release of hormones.
  25. Random Med Questions-narcotics and IV push

    thank you!