maelstrom143

maelstrom143

PCU

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All Content by maelstrom143

  1. Hostile and demanding patients. How do you handle them?

    maelstrom143 replied to Virgo_RN's topic in General Nursing

    Kill them with kindness. I ensure a complete and accurate picture of the pain and document it at the beginning. I let the pt know, before he asks, about his pain med, how often it is allowed, and that...

  2. Drug seeking or real pain? How do you tell?

    maelstrom143 replied to JudyPRN's topic in Pain Management

    ~~~~~~~~~~~~~ [mouse] In my limited experience, some patients tend to ask for less pain meds when their pain is validated and met with belief, with the nurse offering not just pharmaceuticals, but...

  3. MALE Nurse, Female Police Officer, Female Dr.

    maelstrom143 replied to likemike's topic in Male Nursing Students

    I am a female nurse, I was a female soldier, and neither term ever offended me. It is just what I am. As for the Male Forum, I love having an area dedicated to the men in our profession. As the mother...

  4. JCAHO Alert: Tubing misconnections-a persistent and potentially deadly occurrence

    maelstrom143 replied to NRSKarenRN's topic in Patient Medications

    ~~~~~~~~~ Wow. I had never stopped to think about it. We give our Histussin in syringes and usually my people either like to squirt it into their mouths themselves or have me do it if they are elderly...

  5. Lazy Charge Nurse in ED

    maelstrom143 replied to BriBriRN's topic in Emergency

    Most of our staff is fit to be tied when told they will be charge for the day...lol...being a Charge Nurse can be very time-consuming. Give yourself some time, become more familiar with your new...

  6. CNA to patient ratio

    maelstrom143 replied to southwest's topic in Medical Assistant, CNA/MA

    unfortunately, not all cnas want to just “bite the bullet and get to it,” as you so glibly put it. many of the cnas i work with actually care about their residents as human beings who deserve and...

  7. CNA to patient ratio

    maelstrom143 replied to southwest's topic in Medical Assistant, CNA/MA

    as an rn that does not have an issue with helping my cnas i can say this: even with our help, the residents are not getting the proper care r/t improper staffing ratios. a realistic number of cnas to...

  8. Help!!! I am supposed to make a report for a doctor...

    maelstrom143 posted a topic in MICU, SICU

    Help me, please! I am supposed to write a report for a doctor on a patient in ICU. Pt has AMI, DKA, metabolic acidosis. She is on several critical drips, her VS are not the greatest, you get the...

  9. Help!!! I am supposed to make a report for a doctor...

    maelstrom143 replied to maelstrom143's topic in MICU, SICU

    Hi, faithmd! Cool. Thank you for the extra input and the URL is most appreciated. I will add it to my resources. It also completes my

  10. Help!!! I am supposed to make a report for a doctor...

    maelstrom143 replied to maelstrom143's topic in MICU, SICU

    Yes, it does. Thanks, guys. All the information given is much appreciated and will ensure that the reports contain the pertinent data. Also, thank you for the input on the TOF monitoring and...

  11. Help!!! I am supposed to make a report for a doctor...

    maelstrom143 replied to maelstrom143's topic in MICU, SICU

    Yes. I was hurrying and messed up. I am so glad you guys caught it. It would have been painfully embarrassing to miss a mistake such as that. As to the information pertaining to the report. Thank you....

  12. Help!!! I am supposed to make a report for a doctor...

    maelstrom143 replied to maelstrom143's topic in MICU, SICU

    hi, faithmd, you: you say she's paralyzed? with what agent and how often? if she *is* paralyzed, she should not be responding to painful stimlui. me: the client was receiving vecuronium via iv for...

  13. Help!!! I am supposed to make a report for a doctor...

    maelstrom143 replied to maelstrom143's topic in MICU, SICU

    Oh, good! Thank you. I was worried about giving too much or too little information. Thank

  14. Help!!! I am supposed to make a report for a doctor...

    maelstrom143 replied to maelstrom143's topic in MICU, SICU

    Yes. I am a student preparing an assignment and have absolutely no clue exactly what the physician would want to know. I have not had enough interaction with one and my term in ICU was all too brief...

  15. Help!!! I am supposed to make a report for a doctor...

    maelstrom143 replied to maelstrom143's topic in MICU, SICU

    Yikes. thank you for catching that. It was a typo. The K+ was actually administered via IV. The SC injection was a vitamin K shot we gave while trying to lower the INR. I will correct that ASAP!...

  16. CVL, sepsis, and infection

    maelstrom143 posted a topic in MICU, SICU

    Hi, I am a nursing student caring for a patient in Med Surg. She is in her 70's, admitted with DX of fever r/t sepsis and CVL infection. She is on gentamicin, vancomycin, coumadin, nystatin cream,...

  17. What does everyone think about this situation?

    maelstrom143 replied to TonyafutureRN's topic in General Nursing

    i think the others have given valuable data. what concerns me is the issue of hospice care and the daughter's perception of what it is and entails. it sounds as if both your patient (if she is...