cursenurse

I agree w/the posters who warn against personal documentation d/t legal issues. I attended a legal documentation seminar hosted by a nurse attorney who said that any personal documentation has to be declared and will be subpoenaed and will almost certainly work against you. That being said, I do keep copies of certain documents that I am concerned may "disappear" when I have had unusual problems at work. I have worked in the kind of LTCs where nurses notes have been rewritten, narc sheets changed, etc.

Everyone gets an 18. Unless you are a trauma you get a 14 or 16. Yes you can put blood through a 20 in a pinch, but 18 is ideal. Often with smaller gauges you end up with hemolyzed potassium. With a larger line you can often obtain specimens from the line much easier w/o them being hemolyzed.

everyone gets an 18g.

Okay, so I just found my nursing reference. The formula for qtts/min- Volume (66ml) X gtt factor (15qtt/ml) Time (in minutes- 30) It's really easy once you know the formulas.

I remember when years ago if one of the residents in LTC was having TIA or stroke sx we were told not to send them to the er because, there is nothing that can be done.

For the second part, I figured this way- 66ml x 15qtts/ml= 33qtts/min. 30 min I do believe this works. You want to give 66 ml in 30 minutes, which means giving 2.2 ml/min. 2.2 X 15=33qtts/min. Granted I have not done drip factors in approx 5 years, and I just worked a rough 12 hour shift, but I believe this is right.

Well it seems to me that if you have 100ml infusing in 45 minutes, and 15 minutes have passed (1/3 of the infusion time) I just break down the fluid into thirds, which is 33ml. 33ml x 3 = 99ml. So we have approx 66 more ml's to infuse per gravity. The second part of the problem, I cannot remember the formula to figure out right now.

Along those lines, has anyone ever tried to counsel one of these patients about how to find anatomically correct safe appliances for them to use instead of the various household and pet shop items they use to satisfy their sexual urges? I'm considering it.

What I do not understand are the people that have not tried to relieve their pain with tylenol, motrin, asa. You ask what did you take at home for this 10/10 pain, they say "nothing." It makes you have a newfound appreciation for the guy that tries a few shots of Mr Daniels at home for relief of his pain. I'm like, who raised you to not even try to take care of your minor pain at home?

Cold outside- bus didn't come so mom said call 911. abd pain. vomiting x 1. smoked weed for the first time and don't feel right. family of 5 in minor fender bender- noone hurt but need to get checked out. chafing of the member secondary to excessive masturbation. And of course all of the STD complaints.

I think that you are putting too much pressure on yourself. You have only completed one semester of nrsg school, no one expects you to be an expert. Even for those of us that are experienced, when something happens to someone close, esp a child, we would probably panic. As an ER nurse, I would have been upset enough about the lip swelling to call 911 myself. Did you ever find the beehive? Why was he getting stung so much?

I've said a variation of that. For the people who can't breathe, but are able to yell continuously, and spew profanities, I tell them that they are doing alot of yelling for somebody who can't breathe! I tell them that if they can yell, they can breathe.

Yes, that's one that I find unreal! If we all take the Sabbath off, who takes care of the patients? While I agree with the 10 commandments as they are actually written in the Bible, I feel that the person who interpreted meanings on that site was incorrect about their applications. I think this person is also very clueless about vital healthcare issues- do we really need to be told not to take sexual advantage of our patients, really? No offense to the Catholics on this board, but the Church would be better served by focusing on the sexual exploits of its own clergy, than worrying about if I choose to use some birth control. Honestly, talk about trying to pluck the straw from my eye when there is a rafter in yours!

:ancong!:

Do you mean that he was walking round and round a pole in circles!?!