nowplayingEDRN

nowplayingEDRN

Step down, ICU, ER, PACU, Amb. Surg

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All Content by nowplayingEDRN

  1. Pharm test for new hires?!

    Ya know I do believe you are right now that I think of it.....I have always taken one, either when I filled out the application, when I went for the interview or shortly after being hired. Anyway you...
  2. titrating drips and hemodynamics

    Springhouse makes some excellent pocket guides.....You can also go to Barnes and Noble or Amazon on line and run a search on this particular reference. NNCC makes a sweet little pocket reference for...
  3. NG tube irrigation

    I think it all depends on what the doc wants. Usually we use tap water....post op RGBs we use sterile water (when ordered by the doc of course) just in case of leakage......as for unclogging the...
  4. Pharm test for new hires?!

    Well, you know how it is.....we tend to, as humans go....get worked up over the trivial things and in the end realize it wasn't as bad as we anticipated
  5. Npo

    Where ever I have worked....NPO meant just that and if there were critical med, the order had to be written by the doc stating meds with sips or NOP except ice chips....if you needed to put it in...
  6. Pharm test for new hires?!

    I know that when you apply and are being hired by an agency they have medication tests. It is solely dependant on what you are being hired for...mine being ICU/CCU the drugs were specific to critical...
  7. nyc=rude nurses?

    I think there are rotten apples where ever you go and they always spoil it for the ones that are good. My husband and I have both spent time in hospitals in NYC and we both recieved excellent...
  8. Concious Sedation...on your unit??

    CS is done in the scope room, in the ER, in PACU and in ICU....the nurse must attend a class and pass the test. Documentation during the CS is done on an anesthesia flow sheet and after the procedure,...
  9. Different Cap Styles

    That is correct petite....Each nursing school is different and usually the stripe on the student nursing cap matches the school color and upon graduation, the coloured stripe gets changed to a black...
  10. Crafty Old Rooster

    I love
  11. Infusing TPN

    I know I have read something about dwell time recommendations, as Gwenith has mentioned. Now, the problem is remembering where I read it. I am either: A) getting old, B) developing Alzheimers at an...
  12. Infusing TPN

    Check out these links that I used when developing my CVAD inservice. http://www.meditheses.com/997-962.htm http://www.nursingcenter.com/prodev/ce_article.asp?tid=260258...
  13. Infusing TPN

    No, Tweety.....that would be 2 different venipuncture sites. The site that will be used for the veinipuncture is cleansed with either betadine or chlorhexadine and then the blood sample is taken. If...
  14. Infusing TPN

    Again, let me reinforce...each facility has a different SOP for doing things. Usually for changing caps, sterile technique is enough but when the dsg change is done, not only should the nurse be...
  15. Infusing TPN

    I have seen a few like this and changed them, STERILELY I might add but not enough to merit going into crises mode over using the CVAD as it was intended....to infuse multiple meds and draw blood....
  16. Infusing TPN

    And Gwenith you are right...a blood culture should never be drawn from an existing line....but a fresh veinipuncture site cleansed with chlorohexadine or betadine and then the blood specimen obtained....
  17. Infusing TPN

    I am an advocate for the patient and I can tell you that when I have had a CVAD to draw from, I have never had any of them develop sepsis. I have had multiple patients develop phlebitis and cellulitis...
  18. pediatric iv standards

    we go by weight and age....but primarily weight and we use a Buretrol set and an infusion pump, using PALS guidelines for fluid resucitation in pediatric
  19. Infusing TPN

    And I would like to add that no matter how world class, first rate a facility is.....doctors are only human and are prone to making mistakes...which is why we have a variety of qualified medical...
  20. Infusing TPN

    The only thing infused with TPN through the same line (piggy backed in) is Lipids. This is to decrease contamination. However, if folks follow their hospital policies for blood draws from a CVAD and...
  21. standard of how many IV attempts

    Don't brag too hard Tom.....there is a first time for everything......:kiss Although I am one of the very few top IV starters in my facility...I do have my days and you know it will be one of those...
  22. Blood Administration & KCL Bolus

    I was alway s taught like Angus reiterated....never EVER infuse anything with blood but 0.9% NS. Feel free to infuse other products/medications at the same time via a DIFFERENT line and site but...
  23. Alternative Abbreviations

    Hehehehehehe! I wonder if I could get away with using a few of those abbrv. at
  24. Hospital Acuities.........or NOT!!!

    The DoD/Army has an Acuity System in their hospitals called the Workload Management System or WMNS for short. It is a 2 sided form with a variety of items on it from Activities to dsg changes to use...
  25. "The View" insults nursing

    Hehehehehehe! Somehow I knew you already did and I think it's hysterical. :chuckle That will definitely give them food for