back2bRN

back2bRN

ER, L&D, RR, Rural nursing

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All Content by back2bRN

  1. "Suspected Child Abuse Team"?

    Don't have one where I currently work, however at another facility we had brightly colored papers to insert in the permanent record for "suspicious" injuries. The neat thing was anyone could fill one...
  2. Look up PANDAS. Very interesting dx and s&s. (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections) Actually had a pt present with it, sent to tertiary...
  3. Worst doctors orders ever received

    mwboswell, Thanks, your posts are generally right on, so I wondered.... You are absolutely correct, a balancing act it was. Apology accepted, enough
  4. Worst doctors orders ever received

    mwboswell Thanks for the info, just to clarify a few things. 1."fluid" there was none in the lungs, no rales auscultated, only wheezes.( Yes I did the listening and can tell the difference) No CXR...
  5. No More Demerol IV Push???

    Where I work now, don't even have it in the building!!! Let alone give it IV. I can understand the IM, but I really hated giving it IVP, Morphine and Fentanyl are our analgesics of choice for
  6. LPNs in the ED

    In the provinces of Canada things are changing and there are very few IV meds an LPN can't give. Anything IVP, being one of them.That being said, there is a place for them, it just has to be figured...
  7. Worst doctors orders ever received

    Pt info: Inferior MI, CP ,Hypotensive, allergic rx to morphine (yeah found that one out the hard way, I gave it), trying to leave the bed, oh yeah brady-28, altering LOC Orders: Gravol for the...
  8. Would you have called rapid response?

    Protocols are great, however they are no substitute for critical thinking. That said, you still look at the pt,document check the baseline TPR,BP document recheck with a manual cuff, document look at...
  9. Your least favorite patient.

    Least favorite pts: -LOL who are nice to your face but really demanding (I really hate to bother you, but... {insert multiple complaints/requests}) -Anyone who comes in starting at triage with "Well...
  10. Strangest thing taken from ER

    One crutch, not one pair, a single crutch!!! How they got it past the nurses desk, triage desk, security I will never know. Also the venous doppler attachment, not the whole doppler, just the...
  11. Male Nurse and Sexual Comments

    Not appropriate, unprofessional to say the least. Ask him to stop, talk to your friend and help her see the inappropriateness of his statements report if needed. Verbally to your supervisor followed...
  12. Report peeves

    Keep it short, sweet and to the
  13. Do YOU answer call lights in a hospital?

    Yes I do, I don't always go to the room, sometimes I need to delegate, but the call light gets answered and the patient is helped. It doesn't matter to me if they are "mine" or
  14. new nurses considering quiting?

    Taking a big breath is really the best place to start. I also find that going to someone whose opinion is of value to you(your orientation buddy, or someone else you have really gelled with) and ask...
  15. thoughts on only Paralytic while intubated....

    I am reminded of a story a colleague told me while I was working in the OR. She had a procedure in the facility where she worked as an OR RN. She was paralysed first, tubed and then sedated. She told...
  16. INR for Hemophilia A patient.

    Have you asked the lab? I have found all sorts of interesting facts from the lab. Also is this an anomaly? Maybe the test was false normal. I would want to have access to his other INR results as well...
  17. Blood Exposure

    Any time you are exposed to blood it is quite scary. You should absolutely tell your manager/charge nurse right away. They can then refer you to the appropriate employee assistance program. I was one...
  18. 18 gauge insertion

    Where I work our 18 and 20's are the same length. So you get used to dealing with the extra length. What I find to be most helpful is preparing the pt. By that I mean I typically wrap their arms in...
  19. OR for New Grad?

    Check out Calgary Health region. Lots of postings for OR nurses, some are offering training, relocation