9309

9309

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All Content by 9309

  1. Math Quiz For Er Nurses!

    1. 250 2. 15 seconds 3. All of them 4. All of it 5. None. You are already late. 6. It will only be opened once- by the entire varsity soccer team , looking their buddy with the sprained ankle. 7. She...
  2. How to cope with a drug error - destroyed confidence

    The fact that you are as concerned as you are is an indication of your commitment to provide good care. You are probably much less likely to make a consequential error now.
  3. suboxone and sublingual narcan

    Suboxone is taken sl. The idea is that the narcan will not be effective if taken sl, alowing the bupenorhine into the system.. If crushed and injected, the narcan will bind with the receptors...
  4. Hippa Gone Wild

    Ok, just a short rant. I need a copy of my own health records from our occupational health. (Immunizations, etc.) I called, and asked if they could send a copy to me. The secretary was more than...
  5. I cringed on the inside

    Having a child with weight issues is one thing. Having a child who is morbidly obese from eating family size packages of snacks, drinking half liters of mountain dew, and being sedentary is another...
  6. Smoking on Campus

    compulsive need for and use of a habit-forming substance (as heroin, nicotine, or alcohol) characterized by tolerance and by well-defined physiological symptoms upon withdrawal; broadly : persistent...
  7. Smoking on Campus

    Fwiw- I think this brings up an interesting topic. At what point does somebody's personal choices affect their professional performance? Some people would say the two are completely seperate, but I...
  8. Smoking on Campus

    Fwiw-
  9. Hippa Gone Wild

    There is some logic to the above, but- I wanted it sent to me. While it's possible that somebody else could open my mail, that's a federal crime, and my signing a release has nothing to do with it....
  10. Another charting question

    Regarding a written note- In some sysems there is a place for "comments" which could be used to cover anything not covered elsewhere. As far as CYA with a written note, it may or may not. If the...
  11. Small ER Management

    The problem is that The way most of us waste drugs is a bit of a farce. When I come on in the morning, how do I know what is being wasted? all I know is that about 1cc of some clear liquid is going...
  12. CCRN discouragement?

    Studying for the test is a great learning experience. It will make you a better nurse. FWIW, I found the test hard, and passing it was very rewarding.
  13. Need advice and insight

    Do you feel that you (a nurse) are treated as a professional or do you feel like you are?? I am a professional, and am treated like one. People appreciate competent care. Do you feel that you...
  14. V lead placement

    I work with a 5 electrode monitoring systerm. I put the extremity electrodes on the 4 corners of the torso. I put the V lead electrode on any of the six V-lead positions, V1-V6. I almost always use...
  15. If you are heading for ED or ICU- Make sure they have a good training program. There are many that say you should stay out of these areas untill you have at least two years med surg. I disagree. If...
  16. Need advice and insight

    Hey- thought I might chime in. A long time before I went to nsg school, I considered law school. Did well enough on my LSAT's to get in, but changed my mind. It was not an either/or choice for me, I...
  17. Live on a sailboat?

    It's a great idea. While not working as a traveller, I am doinf something similar right now. I am working at a coastal hospital in maine that pays per diems well. I will be living aboard my small...
  18. However you do it, you should know what the volume of the line is. I have seen some practices that demonstrate that the nurse has nor taken this into account. For example: The closest port to the...
  19. Hi all- ER pt- slim 19 y/o female. She had seen her doc, and been given a halter monitor, recently removed. Her complaint was tachycardia. After the monitor was removed, she was told to go to the ER...
  20. dispensing medications

    Do you dispense meds, and if so, is it legal? Where I work, we do it regularly, and it is apparently illegal. A RN or LPN legally may NOT dispense drugs at any time. Dispensing means the pouring or...
  21. Transfer at change of shift?

    Where I work, a doc needs to come in to admit the pt. Frequently, they are tied up untill after normal office hours. They show up after 5:00, then sometimes don't give up the paperwork till they are...
  22. Log roll transfer from Spinal Board

    Whatever you come up with, the head should not be restrained if the body is not. If the backboard straps can come off, the head should be free.
  23. Do you let ambulances drop off in triage?

    I disagree. It is objective information. Documenting objective information should always be safe. Make no judgement or interpretation, just write what you saw, heard, or did. Documenting that the...
  24. A few practice questions

    I am relatively new (4 years) and have worked only in a couple of places. I have seen some things I question, and wonder if they are common practice. 1. Electrode placement on a 5 electrode system....
  25. A few practice questions

    i did a bit of reading on trendelenburg. http://ajcc.aacnjournals.org/cgi/content/full/14/5/364 use of the trendelenburg position has a history of widespread, ritualistic acceptance19 and is probably...