maelstrom143

maelstrom143

PCU

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All Content by maelstrom143

  1. Number of patients you care for?

    In GA, I worked at an awesome hospital, used to be 1:5 in PCU, 1:6 in M/S, w/float to the ER 1:5 (I really loved that ER!). Now in FL, I cover PCU 1:5 (1:4 if acuity is higher and patients on drips),...
  2. Does your facility allow the floor/unit nurses write up other nurses?

    You have a valid point for not treating the FSBS of 212. It was not a critical high and could easily be corrected once on the floor. Furthermore, the K+ levels could have been adversely affected by...
  3. I should have become a teacher!!!!

    Get a professional resume, dress professionally, and go in person to the hospitals, talk to the charge nurses, directors, find out which hospitals have internships (some hospitals have internships for...
  4. bad feeling

    When I first started as a new nurse in a hospital, I hung an IV abt and forgot to open the secondary IV tubing. The patient got the abt over an hour after it was due. I felt absolutely horrible....
  5. I GOT THE JOB!!!

    Congratulations and best of luck in your new
  6. Doc have right to get upset with me?

    I would have called toward the end of the shift, as the patient was getting discharged and the temp could signal a serious problem. at our facility we get blood cultures for temps =/> 100.5F, so...
  7. Doc have right to get upset with me?

    Wow. I have learned a lot of important information regarding quads from this post. I will probably be eyeing them more closely from now on when getting low grades, as I was not aware a small spike...
  8. What are your favorite types of patients??

    60+, cardiac
  9. lantus dosages

    We had a pt recently that was receiving 135 units of Lantus qHS. Is there a maximum amount of Lantus that anyone knows of? The pt was obese (@ 300lb), was still running high BGs (200's) and stated...
  10. Being Questioned by Paramedics? Why?

    I am glad you did what was best for the patient, as evidenced by the fact that he is still in the hospital. I hope he will be ok. Keep trusting your gut and good luck! BTW, hope whoever that person...
  11. Bloodwork question

    In our facility it varies: in the ER, Nurse Techs & nurses can draw blood from venipunctures; only nurses draw from PICCs, portacaths, etc. In M/S, PCU, ICU, lab
  12. Being Questioned by Paramedics? Why?

    It is terrible you had to deal with this issue. Paramedics may be knowledgeable, but their opinion does not supercede the physician's; if you received orders to send the patient to the ER then that is...
  13. Sorry to hear you are having such a miserable time. Please remember that all things are hard at the beginning, but nursing will be much more so related to the fact that we are often expected to be...
  14. Did I handle this the right way with my coworker?

    I think you handled it very professionally and respectfully. Having an iv site is crucial, as you never know when you may need one. Having a clean comfortable patient is important; however, not having...
  15. I just cannot take care of her.

    My heart breaks for you. It is heartbreaking when you encounter those patients who get under your skin. I like all my patients, but there are those that are just that extra touch special, you know?...
  16. Between a rock and a hard place.

    I am having a very difficult time right now. I am looking at a decision I really do not want to make. Currently, I love my job. I love my colleagues. They are always there to support and assist me....
  17. RNs can't be CNAs?

    At our hospital in GA we have had nurses sometimes cover CNA shifts due to insufficient staffing and it works ok. However, when a nurse acting in CNA capacity comes across abnormal VS, he/she does not...
  18. Between a rock and a hard place.

    Sorry for the belated reply and thanks to all of you who have taken the time to give me your input and support. I have been really ill for the last 3 weeks or so and am now getting better. I have...
  19. Hostile and demanding patients. How do you handle them?

    Outstanding. I am so happy for you. Thanks for the
  20. Hostile and demanding patients. How do you handle them?

    Yes; I once had to take the mars to the pt to show them the veracity of my claims...lol. I thought she was the cutest little old lady, though, so I just had to laugh. I also make sure I let them know...
  21. Oh, thanks! lol. talk about lost. i did not even look at the date! I am glad all worked out, though. It is so horrible when work is hard to deal with. Have a wonderful
  22. I may be way off on this, but have you thought of possible addiction problems? May not be what is going on, but the trips to the bathroom, short outings off the floor...she is endangering patients and...
  23. Between a rock and a hard place.

    we were living w/hubby, but when we came home this summer we discovered [his] momma's advancing condition and we (w/me being the primary) decided the children and i needed to stay here. this way, the...
  24. Between a rock and a hard place.

    We were living w/hubby, but when we came home this summer we discovered [his] Momma's advancing condition and we (w/me being the primary) decided the children and I needed to stay here. This way, the...
  25. Between a rock and a hard place.

    Thanks Commuter. Yes, I am truly blessed. Hi, Katnip, I agree with you and have discussed this with my supervisor. I am currently considering doing prn one day per pay period at my current place of...