jelly221,RN

jelly221,RN MSN

CVICU, CCU, SICU, MICU

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All Content by jelly221,RN

  1. The Mockery of Nursing

    jelly221,RN replied to Old.Timer's topic in Patient, Colleague Relations

    oooo goodie!! georgia has been my fave for awhile, i'm joining you

  2. The Mockery of Nursing

    jelly221,RN replied to Old.Timer's topic in Patient, Colleague Relations

    OMG ur lyk SUCH a crusty old batt.... asuming that every1 has windows... I'm a NGRN (new grad nurse, duh) and I have a MAC! Cuz I'm so much more tecknoligickly ADV then u! So my buttins aren't in...

  3. What have your co-workers done to make a shift go more smoothly?

    jelly221,RN replied to xtxrn's topic in General Nursing

    I know this thread is old, but I find it extremely interesting that almost all of the people complimenting their co-workers seem to be from night shift.... maybe I'm

  4. New Nurse's 1st Crash & Burn

    jelly221,RN replied to JazzyK89's topic in MICU, SICU

    The numbers I've read are much higher- >50%, and up to 90% with late stages of septic shock, which it sounds like this patient would definitely qualify for!! Great suggestion, as long as the pt...

  5. Best floor for experience prior to ICU

    jelly221,RN replied to sedation_season's topic in MICU, SICU

    I work on a Cardiac DOU, and while we get a LOT of MIs, CHF decompensations, open hearts around day 3, post-cath lab (about half with A-lines), etc., we also get a fair amount of the types of patients...

  6. Nurse managers-Do you think tattoos look professional?

    jelly221,RN replied to Blackcat99's topic in Nurse Management

    Just FYI, this is my 2nd. None of my patients ever see it, but many of my co-workers have, including my manager &

  7. Nurse managers-Do you think tattoos look professional?

    jelly221,RN replied to Blackcat99's topic in Nurse Management

    You HAVE to be kidding me, right? So if I have two initials tattooed on the inside of my wrist, very small & neat but still visible, you're going to be checking my arms for track marks? (I don't...

  8. IV amiodarone for chronic afib, is it safe?

    jelly221,RN replied to rnvancouver's topic in Cardiac

    Amio definitely has some toxicity issues, but we use it all the time in chronic afib pts, although this is technically an off-label use. We keep pts on Amio drips for days. The half-life of Amio is...

  9. Cath Lab RN Interview

    jelly221,RN replied to Rbartz's topic in Cardiac

    Yeah I'm with CCL RN- our cath lab requires at least 6 mos in CVICU and prefers 1-2 years of experience. But congratulations on getting the interview, how'd it

  10. RCP medication administration in Ca Cath Labs.

    jelly221,RN replied to TM6538's topic in Cardiac

    I think you're making a common mistake of confusing a Respiratory Therapist with the Radiology Techs that work in CL. They're both called RTs so it can be a little confusing. I've never seen Resp....

  11. HR drop/rhythm change during sleep..Would you call Doc?

    jelly221,RN replied to BandaidBunny's topic in Cardiac

    Yeah, I'm with everyone else- since it was the first time I'd call, especially since he left those parameters. Maybe would've waited until 6 or a bit more tolerable hour, since the doc isn't going to...

  12. Standard practice for arterial line pulls

    jelly221,RN replied to butofcourse's topic in Cardiac

    Oh phew the 10 minutes thing was scaring me. We usually hold 30 mins for a femoral stick, more if it's antegrade or the pt is obese. One MD orders manual pressure for 45 minutes.... I just hope...

  13. Wiping off IV ports

    jelly221,RN replied to blondy2061h's topic in General Nursing

    I guess that depends on how tightly you screw it on- I've never had an issue removing it later. What I DO have problems with is the hubs on PICCs/TLCs- how the heck do the big strong radiology guys...

  14. What do you think? (warning: vent ahead)

    jelly221,RN replied to Nursey103's topic in Patient, Colleague Relations

    I probably would've done the same thing, or at least told the patient something like "let's wait 15 minutes after the dilaudid and see how you do". I've found that with these patients, often just...

  15. Saline flush without a physician order?

    jelly221,RN replied to stephenfnielsen's topic in General Nursing

    I know this thread is old, but it made me chuckle. Last week I had a pharmacist (per diem hopefully!) tell me that I "SHOULD have an MD's order to flush with NS". I told her that was ridiculous, as...

  16. Wiping off IV ports

    jelly221,RN replied to blondy2061h's topic in General Nursing

    I'm curious about this also. Not like the stomach is sterile. Actually, studies have shown that 15 seconds of vigorous scrubbing, similar to the motion you'd use when juicing an orange, are...

  17. contaminated urine specimen

    jelly221,RN replied to Spring235's topic in Nursing Student Assistance

    Good job =) Even though the patient had already left, you did the right

  18. Are risk for diagnoses always a lower priority than actual ones?

    jelly221,RN replied to ER(notso)n00b's topic in Nursing Student Assistance

    Here's a couple of Daytonite's threads: https://allnurses.com/nursing-student-assistance/understand-how-write-225330.html https://allnurses.com/general-nursing-student/help-care-plans-286986.html And...

  19. Are risk for diagnoses always a lower priority than actual ones?

    jelly221,RN replied to ER(notso)n00b's topic in Nursing Student Assistance

    We need more information before we can help you. What are the diagnoses you have? Also, a little background info about the patient would be nice. I'd say that generally actual go before potential....

  20. Can I use the same nursing diagnosis twice in 1 careplan if the r/t is different?

    jelly221,RN replied to rocket surgery's topic in Nursing Student Assistance

    I agree with Ashley. However, remember with the "Impaired tissue perfusion" dx, you can also specify where the tissue perfusion is impaired- cerebral, cardiac, peripheral, etc. That doesn't really...

  21. ** Back-priming/Back-flush Secondary IV line**

    jelly221,RN replied to twinjeep97's topic in Nursing Student Assistance

    Our pharmacy over-fills most of our bags so that we don't have to go through all that hoo-ha with flush bags. It says on the label if it's over-filled. The only exceptions I see are Venofer and mag...

  22. Please Help with Care plan

    jelly221,RN replied to LuvmybysLuv2runLuvnrsng's topic in Nursing Student Assistance

    Great reply GrnTea!!! I work on a stepdown and am hopefully transferring to CVICU in a few months, and your explanation was better than my Critical Care textbook.

  23. contaminated urine specimen

    jelly221,RN replied to Spring235's topic in Nursing Student Assistance

    Let the primary nurse know! Or the charge nurse, if that nurse isn't working. They might pick up on the fact that it was contaminated if the patient's clinical S/S don't go along with the results,...

  24. Question about MSN and post-msn certificates

    jelly221,RN replied to bsnwnab's topic in Post Graduate Students

    It shouldn't matter what the core is, because you'll be taking all of the courses that are necessary/relevant to the NP program. There are just different requirements if they were going to be...

  25. Nurses' Feelings Toward Work

    jelly221,RN replied to XUMastersStudent's topic in General Nursing

    Done. I agree, interesting questions! Good luck on your thesis, my Chapter 1 is due in a couple of weeks.