Nightcrawler

Nightcrawler BSN, RN

Cardiothoracic Transplant Telemetry

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All Content by Nightcrawler

  1. We're giving her what??

    Nightcrawler replied to preemieRNkate's topic in NICU, Neonatal

    I am not sure about how long its been used in infants and kids, but it has been used in the adult population with PPH for quite some time. Medicare was having a fit about paying for it, and there...

  2. ANother one bites the dust

    Nightcrawler replied to TazziRN's topic in General Nursing

    Im so sorry Tazzi :icon_hug: Don't change your screen name just

  3. Does EVERY LIFE really count??

    Nightcrawler replied to deeDawntee's topic in General Nursing

    You know, we always talk about this issue, but I have thankfully never run across it in person. If anything I have seen heroic measures and every possible resource used to save people, uninsured,...

  4. Patient or Client??? Which do you say?

    Nightcrawler replied to Olive Oyl's topic in General Nursing

    the term client has grown out of the striving of hospital administrations competing for healthcare dollars and shoving business language down all of our throats. yes the patient is paying for their...

  5. took the pccn today...

    Nightcrawler replied to Cardiac-RN's topic in Cardiac

    It really is a kick a** test, isn't it! Congratulations! You are now a certified progressive care

  6. IV Piggybacks

    Nightcrawler replied to poppy07's topic in General Nursing

    i agree that it is convenientto hang a 250ml "flush" bag with your antibiotic, and i will do just that it i have a patient that is receiving multiple antibiotics through a peripheral line. however,...

  7. Pushing drugs for the Man bother anyone?

    Nightcrawler replied to somebody's topic in General Nursing

    Is it better for a patient to prevent HTN, hyperlipidemia, and diabetes through diet and exercise? You bet it is. Unfortunately, in the hospital we generally only see patients that already have...

  8. MRSA scare !

    Nightcrawler replied to Keepstanding's topic in General Nursing

    I agree, the media is jumping on this whole MRSA thing as if it is new, and they have not reported on it many times before. I had to roll my eyes at one shot I saw on the news of a man in a mask,...

  9. Some of our residents scare me. . . . .

    Nightcrawler replied to kcalohagirl's topic in General Nursing

    I have had the same argument with our current overnight residents twice in the last week. The patient presents to the ER in afib with RVR, isn't really responding to the diliazem gtt, and they want...

  10. It's long, dangerous, but worth typing, to me!

    Nightcrawler replied to missrose's topic in General Nursing

    I understand your frustration, but I would ask if you notice the unreasonable demands of the obese and addicts because they are more demanding as a group, or because the cause of their illness bothers...

  11. Had a rough shift...need some input please!

    Nightcrawler replied to al7139's topic in Cardiac

    As someone who has experienced SVT with rates of 180, I can tell you that it is truly frightening, and that you do not need a underlying panic disorder to freak out and think that you are dying....

  12. Night shift giving breakfast insulins w/o tray

    Nightcrawler replied to findingmywayRN's topic in General Nursing

    This is a big deal on my floor as well. Currently our floor policy is that fs are done at 0630 and nocs gives all insulin prior to leaving. That means that insulin is given between 0700-0730. We...

  13. Getting report

    Nightcrawler replied to Alibaba's topic in General Nursing

    This wasn't my patient, but yesterday the interns wanted to rule someone out for TB, but didn't really want to go to all of the "trouble", so he wrote for an order that read "respiratory precautions,...

  14. How is this okay?

    Nightcrawler replied to amanda1229's topic in Geriatric, LTC

    If this man truly was suffering from shingles and it was covering this much of his body, then he needed a lot more than contact precautions!! I shingles cover more than one dermatome and cross the...

  15. asthma sufferers

    Nightcrawler replied to tahnz0's topic in General Nursing

    Some physicians will prescribe that both will be used on a daily basis. In this case, what the physician intends is that the fast acting inhaler be used first so that the airways are fully open...

  16. Cardiac Gtt Titration

    Nightcrawler replied to ottoma4's topic in Cardiac

    On our floor we can have stable gtts, but are only supposed to titrate Nitro to bp and chest pain. We also titrate Cardizem sometimes with very specific parameters. Several months ago I had a...

  17. WORK: Name tags

    Nightcrawler replied to bklynborn's topic in General Nursing

    I understand that there have been some problems with nurses getting stalked outside of the workplace, but I have never minded having my last name on a nametag and always thought that it looked tacky...

  18. help, i didn't know i did something wrong

    Nightcrawler replied to strive4mores's topic in General Nursing

    it comes down to this for me; if you thought that it was acceptable to double dip on the education reimbursement, there is an element of poor judgement on your part. the fact that you got so upset...

  19. titrating cardizem

    Nightcrawler replied to ark-two's topic in Cardiac

    We manage all of the drips that you describe, but our ratio is 4-5:1, and we do not titrate anything other than nitro and cardizem. Both have to have parameters set by the MD, and we won't go above...

  20. Florence Nightengale Pledge.

    Nightcrawler replied to Diary/Dairy's topic in General Nursing

    There are other nursing pledges out there, and our class chose to read one of those at pinning. The Florence pledge is old fashioned because it was written by Florence!! The practice of nursing was...

  21. Pccn

    Nightcrawler replied to Princess Pam's topic in Cardiac

    If you follow the links on the AACN site there is a blueprint of the subjects that are covered on the test. When I studied for the test I studied from the blueprint, and did fine. There are review...

  22. Fibromyalgia

    Nightcrawler replied to veetach's topic in Emergency

    I have found that there is such a stygma behind fibromyalgia that I stopped telling anyone that I had it. None of my current docs know that I have this old diagnosis. I self treat by trying to limit...

  23. atrial fibrillation versus atrial flutter in comparison

    Nightcrawler replied to RVMI73's topic in Cardiac

    I am not trying to be contrary either, but I respectfully disagree. I have seen a-flutter with a ventricular rate of 30 in a patient who was post inferior MI, so a-flutter is not necessarily a tachy...

  24. Good nurse vs. bad nurse

    Nightcrawler replied to Sassybottom's topic in General Nursing

    I am sure that there are nurses on the other shift of all of our units that we dread taking report from. The rooms are a mess, the meds aren't signed off, and the condition that the patient is in...

  25. Explaining: WHY nightshift, to family and friends

    Nightcrawler replied to skislalom's topic in General Nursing

    I always do the math on shift diff for them. If you work it out I make close to 10k a year more for working nights The second reason that I always tell people is that I was always a night owl, find...