lsyorke

lsyorke RN

Med-Surg, Wound Care

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All Content by lsyorke

  1. Levaquin IV and Hypotension

    So can psychosis! We're seeing this alot more. I've had patients hallucinate with
  2. MD discharge orders and standing orders

    A patient is a patient until they walk out the front door. Just because they've gotten a discharge order doesn't mean that they are forgotten about. I don't know of any time limit. In my hospital they...
  3. Help with a patient who wants to end her life

    I was present at a ventilator discontinuation on an ALS patient. I was a coordinator at the time and had worked with this patient in another hospital. She asked for me to be present. We went through...
  4. Another Five Star Visitor Thread

    This is a MAJOR pet peeve of mine! Do YOU drink sterile water???
  5. Has anyone given Haldol IV?

    I saw the result of Vistaril given IV by another nurse. The patient died secondary to hemolysis. I would NEVER give it IV regardless of a doctor saying it was OK. It says specifically on the drug...
  6. This used to be on the package that the sleeves came in when we first started using these. Reality is that this isn't done, and probably should
  7. And that is what's wrong with the advanced directive system. One mistake in paper work and your wishes are no longer known. BUT the tattoo would prompt the care provider to ASK for the documentation...
  8. It will definitely make the ER/paramedics think twice before starting
  9. Superpubic Catheter Insertion

    The initial insertion is a surgical procedure by a doc. Changes can be done by a nurse with a doctors order only when the "stoma" is well
  10. Stupid question

    Not always. I'm per diem and I schedule at month in advance. We chose our days that work with our life, not necessarily the schedule. If we're not needed we get cancelled. If not we fill in the holes...
  11. Would you do it?

    I LOVE
  12. Our hospital does 12's for the most part, but the float pool has 8's or 12's. Float fill in gaps, so they'll take us whatever hours they can get us! If you're looking for 8 hour shifts, check out...
  13. Computer or written charting??

    I was the "lover" of written charting...until we started computer charting. It's so much faster, prompts you to not miss things and easy to read! We have the ability to "copy" from a previous day's...
  14. Pediatric Deaths: Help with coping?

    The day you stop crying for a child who has died, is the day that you should quit. Those who chose to work in pediatrics are special people. You have my utmost
  15. Delegating bedmaking, bedpans . . .

    The act of washing a patient is one of the best way to assess your patient, emptying a bedpan gives you information that you need. I always wash at least 2-3 of my 6-7 patient assignment. I usually...
  16. Premium membership reservations?

    I don't do premium memberships on any board that I read. I'm the sole financial provider for a site that I'm involved with. (we don't accept sponsorships) Gotta pick your greatest
  17. Accutane

    There are way to many risks with Accutane. I wouldn't even consider it. It also carries depression/suicide warnings in addition to the strictest pregnancy warnings that are
  18. ortho evra patch

    http://www.fda.gov/bbs/topics/news/2005/NEW01262.html One area that is being investigated is the change in skin temperature effecting the absorbtion
  19. NJ was doing this, but after ALOT of complaints they changed the site and that information is no longer
  20. Best Ideas Your Hospital Uses?

    Sitters for confused patients!!!! It's a life saver for
  21. Lexapro

    Thats interesting that someone with a firsthand experience with a drug who is trying to tell ALL sides of ssri use is called a Scientologist. This is not a religon or organized attack... most have had...
  22. Psych Medications

    Yes, elevated prolactin levels and blood sugars are well documented side effects of the atypical antipsychotics. Google prolactin and risperdal. http://www.fda.gov/medwatch/SAFETY/2004/risperdal.htm...
  23. Depression in Children and Adolescents

    As a parent of a child who attempted suicide on ssri's my view is slightly different. As for the statistics on suicide, they are supported by the clinical trials that have been done, as well as the...
  24. Just what we need, another law that can't be enforced!!! Just what would you do to those parents who were found guilty??? Take their kids away, fine them for a legal activity?? That is a VERY slippery...
  25. Daily??? Newer nurses need "stand up" help!

    Daily means daily!! As long as the procedure is scheduled it doesn't have to be on the 7-3 shift. This is one of my BIG pet peeves!!! I've had nurses get a patient at 7p with a daily IV antibiotic...