Nursetastic

Nursetastic

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All Content by Nursetastic

  1. IV Valium and precipitates...

    My unit has started using diazepam rectal gel in severe ETOH withdrawal where lorazepam alone is not effective. Nurses love it...patients, not so much . I've never given diazepam IV
  2. BP arm VS calf while running pressors

    A patient is on pressors for days and doesn't have an art line? Why? I pressure the MD's for art lines as soon as a pressor is indicatede and usually win! Otherwise, I use the upper arm unless...
  3. What to do about disruptive behavior?

    If her behavior continues a formal complaint to HR will be in order. My unit has 2 nurses that behave this way on a regular basis for little things. We've filled out numerous incident reports about...
  4. Opinion, WWYD?

    Refuse to float? Go home as a call-in, it's against your record and you can't use PTO. Eventually you will refuse your way out the door permanently. The occasional refused admission due to safety is...
  5. What valuable experiences did you take away from Nursing School

    Completely agree. And it's even worse if didactic or clinical instructors think they are part of the "group". I also learned never to CYA. Admit to your mistakes. Ask questions when unsure. And,...
  6. Low census. . .no work. . .

    You are not alone. We are fighting to keep our hours. And we just had an influx of new grads hired so once they are off orientation it's going to be even worse. Though, I'd rather use PTO than float;...
  7. this is my idea of a perfect manager! willing to do the work that the staff is doing when needed. can i come work for you, please???
  8. Nurses Day Gifts

    I'd like for my employer to remember that there is a night shift! And that many of us work weekends. We get ignored all the time. Special things only happen during the week and generally before night...
  9. Iv site labeling, instant removal for no date

    Did anyone ever consider asking the patient if they remember when the IV was started? A&O patients will likely remember. And I agree, I'd throw a fit if this happened to me or a loved
  10. Skin tears

    We use Mepilex dressings. Either the border dressings or the transfer dressings. They seem to really help. I agree with moisturizing the skin,
  11. Love or hate your IV pumps?

    We use the Sigma Spectra pumps. I have a love/hate relationship with them. The negatives: Too many steps to program them and we have had more than one error because of all the "ok" and "yes/no"...
  12. night nurses- sleep schedules?

    This is exactly what I do. When I wake up on my first day/night off I've had enough sleep to enjoy dinner with the family before going back to bed. I also use Benadryl PRN. Melatonin never worked for...
  13. Why is it important to know patient's insurance info?

    I work ICU and couldn't care less what insurance (if they have any) my patients have. Regardless of ability to pay, may patients deserve the very best care I can
  14. Pain management post open heart surgery?

    Percocet as mentioned is great. Our hearts keep Morphine 2-6mg q1h PRN for breakthrough pain for 48 hours post op. Good pain management teaching is imperative both before surgery and after. The...
  15. Creepy Patient

    Yep, I'd have called security. And I have over smoking before. The physician also needs to know what is going
  16. Sad state of affairs!

    Yep, 4 years of school and only making about $200 more per paycheck before taxes. Then, after benefits come out, I'm making about the same as before I had my license. Thank goodness I love being a...
  17. I work ICU and I hang on to all of my report sheets. I've never been told it is bad practice. I keep them in my locker and they never leave the hospital. I've never had to go back to one, but they are...
  18. Hand help please!

    Carmex Healing Lotion. I use it every time I wash my hands. The scent is classic Carmex but very light. I get compliments on the scent all the time. People don't recognize it as Carmex right away. My...
  19. This is getting ridiculous!!

    Apresoline. It's my HTN best friend and I have not been able to give it in a couple of
  20. Advice from Nurse Managers, please

    I need some advice on how to proceed. I recently transferred from one department to another. I truly enjoyed the work I did in my original department, but thought my dream job was where I transferred...
  21. What do you say when calling out sick as a nurse?

    My personal issues and possible medical problems are nobody's business. I earn PTO and am allowed to use it as "call off" only 4 times a year. I've never exceeded 2 in a year. I feel no duty to give...
  22. Sepsis a syndrome?

    A syndrome is a group of symptoms that consistently occur together or a conditions characterized by a set of associated symptoms. http://www.merriam-webster.com/dictionary/syndrome So, by definition,...
  23. What's your nursing kryptonite?

    Oral care post extubation if the patient had crappy oral care while vented. The thick, nasty goobers and dried crap that can accumulate will take me down every time. Why don't my peers do oral care...
  24. Not a waitress or barista

    My response is usually along the lines of "I'm sorry. I can't step away for that long. Patients in the ICU need constant monitoring, as your mother/father/child is receiving. There is a soda machine...
  25. Dansko work shoes. Your opinion?

    Loved mine...until I lost my footing and the height caused my ankle to roll really bad. I'm lucky I walked away without a broken ankle. I'm back to Asics