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!?!

First off, I have never taken the Hippocratic oath, and nurses do not work "under" doctors. We work with doctors but they do not regulate nurses. Secondly, what is it about male circumcision that you have such a problem with? I'm sure that it is painful at the time, but are there any long lasting problems? Isn't it considered to be a hygiene issue also? Male circumcision cannot even be compared to female genital mutilation. For those women, there is no valid reason for those procedures. I find your argument that parents of infants have the right to determine what is done medically to their babies to be flawed. Infants do not have the capacity to decide what they want done- if we were so concerned with what a baby, or even older child wanted in respect to painful or unpleasant things, a kid would never get blood drawn, an immunization, or thorough exam for that matter. I'm sure that people will always disagree with what age a person can make that kind of decision, but it surely is not as an infant. Parents are entitled to raise their children as they see fit (w/in the confines of the law) and we should not push our personal feelings on them. For many, circumcision is part of their religious practices, and since you brought the Bible into this by urging nurses to follow the golden rule, let us please not forget that circumcision is mentioned many times in the Bible as being a necessary procedure. I think that it would be more beneficial to promote use of analgesics with circumcision.

I have had interviews that consisted of "so what shift do you want to work?" and that's it. You know it's bad then!

Why don't you speak up when you are at the dr's office if something has not been explained adequately? Just because you are a nurse doesn't mean that you know everything- especially if it happens to be outside of your specialty.

Why lie about it? If someone gives you substandard care because they know you are a nurse, something tells me that if they didn't they probably still don't give good care. If anything, when I know that I am taking care of a nurse or family of a nurse, I try to give them the VIP treatment, sort of as a professional courtesy. Do doctors ever lie about their profession? I think doctors are the only people who go out of their way to make it known that they are a dr, even in social situations.

I can't believe I didn't notice the differences in dosages! This is a very informative thread!

I totally agree, it took me awhile to realise that this wasn't a psych pt. Her appearing to be asleep while sitting with a pt is unacceptable. Then her mouthing off should have gotten her fired, or at least suspended a few days w/out pay.

https://www.drugs.com/monograph/hydrocodone.html Norco is the same as Vicodin. I've administered it. See above link.

Thank you so much for clearing up lie down vs. lay down! I have struggled with which one to use for my entire life.

So go ahead, start something!

I think that it depends on the program. I think though that if they have you take a&p as a prereq, they will expect you to know it when you start. One thing you can do to avoid paying for books is to just check out an older edition A&P college textbook and study it. Just get a library card from a community college or university, and you can check out textbooks. Trust me, I only bought like 2 books in my lpn-rn program. I always checked the same textbook out, it would be the prior edition to the one assigned, but practically identical.