maelstrom143

maelstrom143

PCU

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All Content by maelstrom143

  1. H20 post op

    W/our post ops they are usually NPO w/IVF infusing until fully alert and able to protect their airway. We start them w/clear liquids, progress to full liquids, soft diet, then regular/cardiac/ada. The...
  2. Torn to pieces - Pls help?

    OP...it sounds like a very unhealthy work environment. Nursing is stressful enough without your having to deal with these stressors in your day to day work week. Use the time you have to find another...
  3. Working with stipulations

    Best of luck taking care of your mom. Thank God for supportive
  4. Upfront payment for non emergent conditions

    I personally think the OP's hospital policy might actually work, if they are diligent in weeding out the FFs and hang nails that come through the ER door. As to this new protocol leading to missed...
  5. meeting with manager

    OMG...mistakes happen. You know what went wrong and how to avoid it in the future, so I won't beat a dead horse. I just want to say, good luck and God bless. I hope it will work out ok for
  6. Alzheimer's: The Art Of Giving Up

    Words cannot express the sorrow I feel for your pain right now. This is precisely why I did not stay long in LTC. You see the people who had active lives, love, a life...slowly losing all they hold...
  7. is this a safety issue?

    Med error unless doctor called and new/clarification is obtained for dosage that is
  8. Standard Hospital Scrubs National Standard?

    Nope. Our facility allows any scrubs that are clean and professional. I order my scrubs online cause could not find any other brands that were ever comfortable, so someone dictating what brand to wear...
  9. Advocated for PT against the on-calls orders

    You did precisely what you had to do for this patient. Too bad you had to go against NP wishes, but so be it. Had it been the NP who had the injury I am sure he would have been singing a different...
  10. how do you night nurses do your assessments?

    Working PCU in another state I worked 1900h-0700h. Always tried to have assessments done by 2000h. If that meant waking people up, so be it. Wake them up, turn them, look at bottoms, skin, listen to...
  11. Clinical etiquette: card for nurse on the floor??

    :pcongratulations! I am so glad you had such an awesome experience. Definitely agree...handwritten thank you note is the way to go. We also took donuts for the nurses, but then kind of felt guilty for...
  12. giving iv argumentin

    I have never heard of Augmentin IV, but maybe outside the US? Glaxosmithkline apparently makes an IV form, but it is not allowed to be shipped to the US (...
  13. My patient aspirated during surgery!

    Also may be due to undiagnosed delayed gastric emptying? Just a thought. I have gastroparesis and that makes it necessary to intubate me for procedures, as food I may have eaten yesterday may still be...
  14. Taking pain medications while working?

    Nope. Best would have been to allow a few days off post-recup time. However, be safe, stay at home, and go back when no longer on the pain meds. :uhoh3:Worst thing you could do to yourself and others...
  15. CPR

    My facility requires that BLS & ACLS be current. If either lapses, the RN/LPN is pulled off the schedule until it has been
  16. If I Said on Here What I Wanted to Say.

    More often that I can count...lol. I too often have the tongue-in-cheek response that is so not appropriate, arrgghh... I did post a stupid thread/question a wee bit back, mostly cause feeling...
  17. Stress related near breakdown

    I am so sorry for what you are suffering and that no relief is in sight for you. Prayers and hugs going your way :redbeathe It is heartbreaking when one loses the reason for waking up in the mornings...
  18. New grad took unwanted position, now what?

    I would say continue w/your LTC job until after you have interviewed AND have been offered the position. I would just let them (the hospital) know that you would require enough time to give notice at...
  19. How honest are you?

    aint that the truth :) she was feeling so bad about coming to the room when she knew we had an emergency going on that i had our director go talk to her and reassure her that her response was, in...
  20. Anyone work on a Cardiac Progressive unit?

    It is wonderful. You get to work with cardiac patients, but may also get the usual DTs, DKA, HTN crisis. Usual patient load is 1:4-5. We had monitors in each room so you can get VS and strips at the...
  21. As a nurse, do you ever......

    Without the adorable scrubs, but yes to the pockets full of goodies I never know if I am going to walk in on an infiltrated IV site w/IVF running or a PB that is beeping like mad, so make sure I have...
  22. something need to be changed

    Definitely patient care/education vs customer service. We are not BK and no you cannot have it your way all the time. We are here to fix a problem it took you years to acquire; letting you have it...
  23. Lost my first patient today.

    It never gets easier losing a patient, but you did what you could and it seems as if your facility worked in concert for the good of the patient and family involved. As to sending a card, I would...
  24. Learn To Say It Correctly!!

    I believe you meant to say enunciation. Annunciation means a proclamation, as in the Annunciation to the Blessed Virgin
  25. Needy, needy, needy... vent please.

    Happy birthday and so sorry it was so rough for you I absolutely love when we have prn MOM on board. Mix it with 120ml warm prune juice and two pats of melted butter. My little old people seem to...