geekgolightly

geekgolightly BSN, RN

MICU, neuro, orthotrauma

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All Content by geekgolightly

  1. Med-Surg Topic of the Week .... Nurse to Patient Ratios

    geekgolightly replied to RNPATL's topic in Medical-Surgical

    i work on a neuro/stroke floor and our max is 1:6 but usually we have 1:4 or 1:5. we have many total care patients, and our population also has a tendency to do very strange things (like crouch and...

  2. Anyone hate their first job?

    geekgolightly replied to Jayla's topic in General Nursing

    my first nursing job was a nightmare. the precepting nurse i was assigned to literally screamed at me. in front of patients in front of other staff, she belittled me to the doctors and when i reported...

  3. Potassium piggybacks

    geekgolightly replied to starcandy's topic in General Nursing

    just today i gave 40mEq in 200mL x2 into a subclavian. why is this considered to be a bad idea for those who say that one should never give that much K+ in that little fluid? we ran it in 100mL bags...

  4. Potassium piggybacks

    geekgolightly replied to starcandy's topic in General Nursing

    I think it's fine to restart first in a larger periph vein, but if the patient is entirely uncomfortable and is refusing to allow you to continue with the infusion, the lidocain is an avenue, that...

  5. What other careers did you consider before nursing?

    geekgolightly replied to SNURSEG_2B's topic in General Nursing

    oh Haunted! im dying of curiosity. i think that life as a PI must have been kinda

  6. IV Site Prep

    geekgolightly replied to NeuroNP's topic in General Nursing

    alcohol is bacteriostatic chlorhexidine is

  7. fasting before surgery - unneccessary?

    geekgolightly replied to trent's topic in General Nursing

    Thank you for the thoughful

  8. Potassium piggybacks

    geekgolightly replied to starcandy's topic in General Nursing

    found this.

  9. Potassium piggybacks

    geekgolightly replied to starcandy's topic in General Nursing

    this is why i love to read this board. thank you so

  10. What other careers did you consider before nursing?

    geekgolightly replied to SNURSEG_2B's topic in General Nursing

    welll!!?!??!!!! *waits with baited

  11. I don't like what my job has become...

    geekgolightly replied to StephMSeattle's topic in General Nursing

    this should be a wake up call for any nurse in the LTC field. get out. get out. get out. if enough nurses refuse to work in these dangerous conditions, the climate will

  12. What other careers did you consider before nursing?

    geekgolightly replied to SNURSEG_2B's topic in General Nursing

    after i got over wanting to be a poet (was really quite good, if unpolished), i really wanted to be a criminal psychologist. figured that i wouldn't pass the background check bc of my really bizarre...

  13. Strokes and Positioning

    geekgolightly replied to Aneroo's topic in Neuro Intensive Care, ICU

    DECORTICATE REFLEX - Spontaneous flexion of the elbows with the legs extended. Accompanies severe damage to the contralateral cerebral hemisphere above the midbrain (e.g. stroke). The destruction of...

  14. "Reading EKGs II - a scary situation and a big save", is up on the MICU faqs site...

    geekgolightly replied to MarkHammerschmidt's topic in MICU, SICU

    your website is one of my main sources of information concerning clinical skills. thank you so much for making it

  15. Strokes and Positioning

    geekgolightly replied to Aneroo's topic in Neuro Intensive Care, ICU

    decerebrate is midbrain... so if the ischemic stroke affected the midbrain, decerebrate posturing would be seen, and it would most likely affect both sides of the body. decorticate can be seen when...

  16. General concensus of floor nursing

    geekgolightly replied to chad75's topic in General Nursing

    St. Luke's Hospital in Kansas City, MO is the greener grass. I've only worked here and Hermann in Houston, but the difference is night and day. The CEO supports nursing, reprimands physicians for poor...

  17. Phasing out LPN's.

    geekgolightly replied to BJ, LPN's topic in Patient Safety Issues

    The only way to change the business is to hit them where it hurts. Stop allowing yourself to get into situations wherein you are responsible for unliscensed personelle passing

  18. fasting before surgery - unneccessary?

    geekgolightly replied to trent's topic in General Nursing

    How do you feel about the clear liquids 2 hours before

  19. Stethoscope of choice

    geekgolightly replied to DEH's topic in General Nursing

    same

  20. What does your spouse do?

    geekgolightly replied to vaughanmk's topic in General Nursing

    finishing his degree in genetics with plans to do nuc med tech until we can get enough saved to put him through a Medical Physics

  21. General medicine or neurological/ neurosurgical nursing

    geekgolightly replied to NCLEX_CareBear's topic in First Year After Licensure

    i started out working on a neuro floor as a student nurse and as a graduate nurse and no work in another state as a neuro nurse, and have been told that my neuro experience will take me a little...

  22. Alabama Medicaid terminating care for 13 year old trached girl

    geekgolightly posted a topic in General Nursing

    AL Woman At Risk Over Medicaid Bureaucracy by Dave Reynolds, Inclusion Daily Express MOBILE, AL, Nov. 16, 2004 --The state's Medicaid Medical Director recently decided, based on medical records and...

  23. patient care tech/CNA

    geekgolightly replied to Budgirl's topic in General Nursing

    in our hospital the patient care tech is trained for six weeks by the hospital to do blood draws, foley cath insertions and d/c's, baths, linens, UA's, transfers, feeds etc. etc. CNA's are certified...

  24. I made two med errors in one day.

    geekgolightly posted a topic in General Nursing

    I was a nurse for two months before I took a year off to care for my new baby. I am back at work now in a new facility, in a new state, and have been on the floor orienting for two weeks. The last...

  25. Families and the "ICU culture"

    geekgolightly replied to djmicu's topic in NICU, Neonatal

    fergus, I know the nurse can't let me break rules, I was venting baout the state of NICU's today and the attitude of this NICU, which was not parent friendly, despite the 22 hour/day visiting allowed....