Nightcrawler

Nightcrawler BSN, RN

Cardiothoracic Transplant Telemetry

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All Content by Nightcrawler

  1. Things people say coming out of anaesthetic

    Nightcrawler replied to frellyou's topic in General Nursing

    What is interesting about this thread is that most of the stories are personal, rather than being relations of what patients have said. I have never understood why on earth a healthcare provider would...

  2. Sooo frustrated !!!!

    Nightcrawler posted a topic in General Nursing

    Not to give too many details, but our unit has gone through a lot of changes over the past few months. As there were some heavy holes in the schedules for some days and positions, I stepped up and...

  3. Sooo frustrated !!!!

    Nightcrawler replied to Nightcrawler's topic in General Nursing

    I wasn't working overtime. I was working shifts that were hard for them to fill at the time in exchange for a schedule pattern that I loved. Now that they have things covered, I have to go back...

  4. Sooo frustrated !!!!

    Nightcrawler replied to Nightcrawler's topic in General Nursing

    In this case I thought that I was doing something that would be to my advantage. They just withdrew their part of the bargain as soon as the bargain was no longer suited them. Unfortunately this is...

  5. Why still IV gtt rates on exams?

    Nightcrawler replied to FireStarterRN's topic in General Nursing

    AHHH, but I have had docs that for some reason or other would write some dosages in grains, leaving me (and pharmacy) to do the conversion. They either wrote it by habit, or were just testing

  6. MRSA/ VRE/ C Diff Policy

    Nightcrawler replied to CoffeeRTC's topic in Geriatric, LTC

    for c-diff and mrsa/vre, are you talking about contact precautions, or universal precautions? the 2 are different, and contact precautions are isolation, even if you are co-horting patients with the...

  7. Genetic Testing B/4 Taking Coumadin?

    Nightcrawler replied to pagandeva2000's topic in General Nursing

    if you read the srticle closely you will see that is a fda recommendation rather than a requirement. interesting though, and a $500 test would offset the cost of several admissions for...

  8. Psych history, decreasing drugs, who to tell?

    Nightcrawler replied to Pat_Pat RN's topic in General Nursing

    I would seriously consider getting back in touch with a psychiatrist prior to making any changes to an established medication regimen. Your FP doc is sufficient for refills when you are on a stable...

  9. Question about meds and PCI

    Nightcrawler replied to lenka SRN's topic in CCU, Coronary, Cardiac

    Give the ASA, give the Metoprolol, but hold the Metformin. Not only won't they need the Metformin, but there is a contraindication with Metformin and the dye. The risk for bleeding with the ASA is...

  10. What drives YOUR practice?

    Nightcrawler replied to CraigB-RN's topic in Emergency

    it sounds as though you have worked with some people that are very set in their ways, and who will fight tooth and nail to prevent change. that is too bad. i sense a very long and involved story...

  11. What drives YOUR practice?

    Nightcrawler replied to CraigB-RN's topic in Emergency

    great. all of your comments are duly noted. but in a career that is so fractured into neat little pockets created by specialized care, how do you propose to make all of these system changes? a lot...

  12. Whatever happened to rules likes these?

    Nightcrawler replied to cpkRN's topic in General Nursing

    We have one housekeeper that is deathly allergic to dogs- she has been a patient on our floor more than once, and has a history of intubation secondary to her severe asthma. It is very important for...

  13. Poll: Do you take vital signs at the beginning of your shift?

    Nightcrawler replied to uscstu4lfe's topic in General Nursing

    I agree with this, and have been known to get my own set of vitals on a patient that has arrived on the floor within the last hour. Remember if worst comes to worse, you will be asked about what YOU...

  14. What drives YOUR practice?

    Nightcrawler replied to CraigB-RN's topic in Emergency

    I think that I answered your question AND commented upon the example that you gave. If you want to go about making change for the better in using evidenced based practice, you must first find the...

  15. What drives YOUR practice?

    Nightcrawler replied to CraigB-RN's topic in Emergency

    I really wish that the example that you had given was based upon something that nursing has control over. When talking about lack of evidence based practice in nursing, you have to look at...

  16. Watch out - Its Death Angel!

    Nightcrawler replied to Pepper The Cat's topic in General Nursing

    We have one nurse on my shift that definitely has a reputation for always being on the floor when everything hits the fan. He doesn't even have to be the primary nurse, just in the building. He also...

  17. Everyone's laughing except me.

    Nightcrawler replied to RNcDreams's topic in General Nursing

    I think that what most of us are referring to as intralady partsl urethras are the cause of gravity causing everything to collapse and cave in over time. I don't think that these women started out...

  18. Everyone's laughing except me.

    Nightcrawler replied to RNcDreams's topic in General Nursing

    One trick that I always use is to point the tip of the catheter UP when making the attempt. most times it will then catch the edge of the opening and slide in, even in those cases where you are...

  19. Family initiated MET/rapid response?

    Nightcrawler replied to mama_d's topic in General Nursing

    The administration in your hospital has no choice in the matter. It is a new mandate by JCAHO. I have known that this was coming down the pike since April, when it was announced during our yearly...

  20. Primacor drip

    Nightcrawler replied to Genista's topic in CCU, Coronary, Cardiac

    We routinely start Milrinone on our stepdown unit, monitoring closely for lytes, creat, pressure and for ventricular arrhythmias. From my experience, the patient needs to be closely monitored for...

  21. Recognized by coworkers on AllNurses.com?

    Nightcrawler replied to medsurgrnco's topic in General Nursing

    A co-worker of mine posts regularly, we are friends and I let him know that I knew after a while. We both understand that nothing that is said here needs to go any farther, and as we see eye to eye...

  22. breast milk

    Nightcrawler replied to spiceyqueen's topic in Ob/Gyn

    My nephew is almost 5 years old, and she still produces milk. It never lets down when she is around babies, but it is just always

  23. Ethical Issue: Nurse with MRSA

    Nightcrawler replied to Penguin67's topic in General Nursing

    Actually, they are finding that the majority of MRSA infections now ARE coming from a community source. You very well can pick it up on the street or the subway, and many do everyday. Look at all...

  24. Hospital staff questioned over drug dilution

    Nightcrawler replied to student456's topic in General Nursing

    What I feel is interesting is the theory that meds are being substituted for NS, or that only a partial dose is being given. While we know that this does take place- those drugs would not be missing,...

  25. How much waste do you see?

    Nightcrawler replied to PiPhi2004's topic in General Nursing

    Wow In one short post you talk about all of the "VERY DUMB" people that passed the NCLEX and how you are going to leave and go get an MBA, then in the very next sentence you state that you have failed...