trvlngrn22

I just responded to a poster that submitted "how I stopped worrying and learned to love the monitor". It somewhat references alarm fatigue and I posted the words below. While I personally dislike joint commission on this one they did hit the mark bu...

I like the topic. I try to get my coworkers to love the monitor as much as I do. Alarm fatigue is a huge issue. So make the monitor work for you. Adjust alarms so they are appropriate. This might include limits or the alarm value. For example narr...

As far as I know, you will not be able to get on with a company without some experience. A new grad does not have the skill set to walk into a new hospital and be able to pick up and go. Orientation, if any, is usually directed at more of the adminis...

Dorimar, like you, I found myself becoming more negative and disappointed in my peers. Labelled as having a bad attitude by those that did not understand my frustration. Then a friend gave me this quote saying that she thought of me when she read i...

michiganRN, too long ago to remember the specifics of optirest. The skin issues stood out in my memory because we talked so extensively with the rep and then had him do a 180 in regards to pressure ulcers. I believe the optirest was just a comfort...

When we started using these beds, we were initially told that they would prevent pressure ulcers if we used the rotation mode. However, we still experienced problems and went back to the rep. Then we were told they do not prevent the ulcers, and t...

janfrn, yep, i''ve seen that too. gotta wonder what some people are thinking. one of my favorites was a nurse who had an IABP pt in reverse trendelenburg. the femoral transducer was on the pump, a good 6-12 inches too low, the radial one was han...

I worked with 2 MDs of which one would have us wedge and the other would not.. Same RNs caring for their patients. Funny how you would not for one doctor's patients, but if the other was on call you ended up wedging on the patient anyway as the sec...

I worked where they taped it to the forearm. Good enough for when the patient is supine, but they would never change (relevel) it when they turned the patient. So, on the left side, pressures were low and on the right pressures high. Not a very go...

not you 8flood8, just in general with the "no one is left behind" policy that has changed acls as well as compenticies. Really, my last class, and several before that, i felt that no one knew the material (actually many said they did not know what t...

So, you have to call someone to come relieve you if you need to use the restroom or get a drink or eat. and like the others said, patient care goes out the window. When I have 2 ICU patients and am in one room, my other patient frequently needs so...

Londaj is correct as far as needing an MD order. JACHO is changing how we nurse. We do not 'have the right' to hold medications...it is considered practicing medicine..unless we have parameters. But alas, JACHO wants it both ways. We also must ...

an old fashioned carpenters level works just as well. alternatively, you may look in hardware for a laser level used to hang pictures. probably less expensive than looking for one in the medical field.

Wow, I have been a nurse for 17 years, primarily in CVICU, and I still learn every day. I am a travel nurse and am surprised by the places I go where staff feels like they know it all... but can't read a Swan waveform properly, or adjust the timing...

I did confront a teacher for ridiculing our class in general. As it turned out she went to the level coordinator and accused me of disrespect, insubordination etc. And while I was an honor roll student and graduated with honors, it was not witho...

Just a thought, could someone have possibly used this line as an IV? I just saw a post where someone asked what the difference was between a-lines and central venous lines and have heard of an a-line being used in error for an IV push....scary thoug...

please check your state laws. Illinois has passed a law making mandatory overtime illegal unless there is a disaster. And short staffing does not constitute a disaster. Even then, the maximum is I believe 4 hours past a predetermined shift length...

In a similar situation, I went to our manager regarding an incompetent employee. He wanted proof, so I gave him copies of errors (yes the nurse had actually charted many of her mistakes.) Continued protests on my part led to disciplinary action on m...

I think I need to apologize. When I went to bed last nite the lightbulb went on. I am at home and can't remember for sure but I bet the max is 100 and that is what prompted your question. If you are receiving a electrical signal of capture but no...

The proper setting for ma is actually about 10% higher than the number that allows you 100% capture. Only in cardiac arrest do you start at the maximum and work down. But even then you leave the ma at more than what provides 100% capture. For ...

are you sure this in not a TIPS (Transjugular Intrahepatic Portosystemic Shunt ) procedure for portal hypertension. just clarifying as this is the only jugular shunt i can think of)

www.aacn.org has free unlimited CEU's if you are a member. The above post from sjt is correct, make sure your credits are from approved providers or of the correct category. one magazine article is usually 1 credit, sometimes 2, so you are readin...

www.marcusuniforms.com consistently have cheaper cherokee workwear,which is the brand I like. Also, $6.99 section and net special section (limited selection but hey for 7 bucks some extra tops.)