amk1964

I would just like to say that the text books aren't always accurate; you have to ask, because within cultures there is wide diversity. I live in a 90% Mexican-American community and the things I learned in nursing school weren't correct. Its taken me nearly my whole 9 years here to begin to have an understanding. Good luck in your new job. Be humble, keep your ears and eyes open, and mostly keep your mouth shut unless you're asking questions!

I've never seen a policy on dilution, but its a good idea. to capgirl, When I was still in Buffalo we rarely gave demerol ivp. It was almost always ordered with vistaril IM.

I belong to amsn academy. Academy of Medical-Surgical Nurses. They offer a certification [CMSRN] about 6 times a year. they have a web site i think is amsn.com and to get info on the cert test dats etc email at: [email protected] actually i am planning to attend the yearly conference in october in reno, nv and they are going to offer the cert test there as well. I'm looking for a travel companion to go there with.

this is the one forum i can really identify with. i guess things are pretty much the same all over. but have any of you experienced this: pt is officially discharged, but has no way home, or are awaiting ems transport to a nh, or maybe the daughter is at work and won't be able to p/u mom until 5 or 6 pm...then the hospital supervisor or what we called "bed control" poeple were calling and coming up to your floor every half hour demanding to know why the pt wasn't out of there. very stress producing situation. i was even told a couple of times to place the pt in the lobby so an er or icu pt could be transferred in. anyhow...i now work in a small er

this is the one forum i can really identify with. i guess things are pretty much the same all over. but have any of you experienced this: pt is officially discharged, but has no way home, or are awaiting ems transport to a nh, or maybe the daughter is at work and won't be able to p/u mom until 5 or 6 pm...then the hospital supervisor or what we called "bed control" poeple were calling and coming up to your floor every half hour demanding to know why the pt wasn't out of there. very stress producing situation. i was even told a couple of times to place the pt in the lobby so an er or icu pt could be transferred in. anyhow...i now work in a small er

well karoline i have done agency staffing in the CDU at an area HCA facility and found it unpredicatable. most of the time its not truly a short-stay unit, but an overflow when there are no beds. one day i had an exacer of chf, a dm out out of control, etc.. then the next time i had a vent [ post-arrest], a r/o mi, and a pedi head injury.....wow. i don't know if i care for that much variety in less than a week. i'm flexible, but there have to be some limits.

well karoline i have done agency staffing in the CDU at an area HCA facility and found it unpredicatable. most of the time its not truly a short-stay unit, but an overflow when there are no beds. one day i had an exacer of chf, a dm out out of control, etc.. then the next time i had a vent [ post-arrest], a r/o mi, and a pedi head injury.....wow. i don't know if i care for that much variety in less than a week. i'm flexible, but there have to be some limits.

i've inserted a few picc lines and do use them to draw blood with 10 cc syringe; BUT the problem i've noticed is other nurses aren't heparinizing the lines after draws. this is important with small lumen caths. i've noticed younger nurses seem to think heparin flush solutions are dangerous. they are misimformed by misimformed teachers. SASH used to be the norm and was and is effective, but hospitals have switched to ns flushes only for the primary purpose of cost-savings. sure are alot of clooted lines these days?????

i've inserted a few picc lines and do use them to draw blood with 10 cc syringe; BUT the problem i've noticed is other nurses aren't heparinizing the lines after draws. this is important with small lumen caths. i've noticed younger nurses seem to think heparin flush solutions are dangerous. they are misimformed by misimformed teachers. SASH used to be the norm and was and is effective, but hospitals have switched to ns flushes only for the primary purpose of cost-savings. sure are alot of clooted lines these days?????