simboka

simboka

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All Content by simboka

  1. Renal question

    Sounds like a bladder scanner issue, +1 to checking on the male/female setting, or just general error. I've only ever witnessed bladder scanners, but have heard about their finickiness. And while I'm...
  2. I've not had a full blown reaction myself, but have assisted other nurses with their pts having reactions. But like you, I'm always very concerned and self-conscious about reactions. But what I've...
  3. How do you document telemetry in a paperless system?

    We still have paper strips posted in the chart, however on our computer system under assessment, they do have a section for tele description, e.g. sinus, tachy, a fib, pvc's,
  4. Chest tube help

    I've just plain sat down and watched these videos with orientees before, there're awesome. And don't forget that when to suction, the red bellows should expand
  5. That can also depend on the context of your exam. A school exam is not going to be done the same way as an inpatient. You've got time to develop your practice, and it'll take time before it's smooth....
  6. life outside of nursing? I don't
  7. RN/Paramedic on a Rig?

    Bump I like following these threads, as I'd like to get prehospital. From others I've read, +1 to what the previous posters have said, with the addition of being told that medics have a more medicine...
  8. Just a few quick questions

    Don't forget unit size, hospital size, and phase of the moon affects things too! Your future coworkers would be better equiped to answer these things. But since you're wanting specifics, I'm on a...
  9. Do you ALWAYS do the right thing?

    This has come up for me personally recently. So the question I pose is, how many times should you bring something up to them (the same issue), before you take it up the
  10. Do you ALWAYS do the right thing?

    Define "right." But probably the answer is still a big ol' "no". Of course everything's always clearer through the retrospectoscope. And even if you think you did everything right, somebody coming up...
  11. Cool PRN Job ideas

    But I think this would be a good general post, because while there is a market, nursing skill set's kind of a hard thing to free lance. Lawyers also use nurses to read through charts and
  12. med administration times

    large, university associated teaching hospital with computerized charting. we've got an +/- an hour. On my gen med floor, averages 5pts of varying acuity, getting everything in the hour that +/- 30min...
  13. This -> is different from this -> The first is the voltage difference between inside and outside the cell. That's what your thinking about with up being depolarizing, and down being...
  14. Taking BP on pt. with pacemaker

    +1 and a couple more characters to reach the minimum message
  15. Medication Shortages

    Oh yeah, I forgot about when our 4mg/mL morphine carpujects were out, and we had to use 10mg/mL vials...also think I noticed a general increase in doses while that was
  16. Medication Shortages

    Calcium chloride and epi syringes is what we've got posted, below which it says to use the crash cart if needed emergently. Also heard about etoposide IV being short too. And some time ago was hearing...
  17. Suggestions for an eager student!

    Not sure, post a picture and we'll let you know. Seriously though, you may or may not be doing anything wrong. Even if you are, they for sure are doing something wrong. Continue trying your best,...
  18. My line goes something like, "Somehow hospitals got a nasty reputation as a place of quiet and rest, not sure how. Trust me though, I won't wake you up anymore than needed, 'cause if you're asleep,...
  19. IV push question

    Back priming's not a concern for two reasons: the pressure from the fluids will push it in, especially if the bag's high and wide open; or when you finish the fluids will flush it. I've given colored...
  20. My patient takes ibuprofen for sinus congestion!

    Everybody has sinuses, +1 to those above who asked what the issue with her sinuses is. As for the interactions, micromedex says of NSAIDs and diuretics (Loop, k-sparing, and thiazide), that there may...
  21. cameras

    If it's a home care situation, it could just be part of a security system. If it's in a hospital or residential care, that would for sure be a different situation. I remember one hospital I was in in...
  22. scope of practice

    also have to look at employer's
  23. Blood pressure cuff sizes

    Quick search of allnurses didn't give me an answer, most of them were "art line vs manual" or general not able to hear manuals, etc. So I give you the question, then the scenario. However, not my...
  24. Too Sensitive?

    Nightmares the day of a very unexpected code? doesn't sound too sensitive to me. If things don't go back to your norm, talk it out with
  25. HIPAA

    This reminds me of the "o2 SAT not STAT"