laurakc

laurakc

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All Content by laurakc

  1. Unfortunately, the first job for me was not easy either. Every day I was surrounded by people who felt overwhelmed. I think that a lot of new grads feel this. Most of the time, this is normal. I...
  2. Things Patients Have Taught Me NOT To Do

    never go to the ER of a not for profit hospital sign and think that means you will not recieve a bill...just because the sign says so..and then come back and argue with the nurse at triage because you...
  3. woman 16 weeks pregnant had unprotected sex last night with someone who smoked pot and wanted to know if the baby would get any of it and if so could we "clean her out
  4. Pt's C/O in the ER (funny)

    I have one from last night...either it was funny or I am/was tired.. A homeless guy comes in, has been living under a tree... drinks too much, lights a cigarette, falls asleep and burns his tree...
  5. Total knee and drain question......

    The blood should just reabsorb..It should not really cause any problems after the first few days...Chances are, if he pulled the drain the next morning anyway, it would have swollen anyway.. I worked...
  6. Pt's C/O in the ER (funny)

    I have a few... I accidentally drank peroxide that was on my nightstand instead of water. How much? Why the whole bottle of course. I thought it was water until I turned on the lights. and.. My heart...
  7. How do you get patients to give you a "very good?"

    Ok, this is what we were told. We were told to reheorifice. Look at the questions. It does not say, "did the nurse abuse or hurt you"? It's like..was the nurse concerned with your privacy...so you...
  8. Abg Help

    thanks for all of your help guys.. will take a look at the website and look for
  9. Abg Help

    Ok, I got the arrows..can tell resp or metabolic acidosis or alkalosis...now is where I need a little help... does anyone have information on treatment.. when to vent, when to give o2, when not...
  10. For foleys, I found that--find the privy parts-there is an upside down v just below it, and urethra is just under that---occassionally this does not work--I think twice in about hundreds, possibly...
  11. theory for new pain scale

    Maybe I am opening a can of worms, but here goes: I have been reading many of the postings on pain control and management. I am pretty new to all of this, but have a theory that would be a little less...
  12. theory for new pain scale

    I guess what I am trying to say is that there should be a more objective way to document the pain instead of only what the patient is saying... Quickily, I know, this is how they percieve it, so this...
  13. Drug seeking or real pain? How do you tell?

    and, by the way, we are nicer to animals than to humans. If an animal is suffering as much as some of the patients I have had, the vet would have to put them to sleep. So, why are we so hesitant to...
  14. Drug seeking or real pain? How do you tell?

    I agee. Now here is my two cents worth. I think that "drug seeking" is a bad term, judgemental, and no one should have the authority to use it. However, we do get many patients that try to manipulate...
  15. Critical thinking exercise

    by saying she is sleeping, i hope that as I observe that I also notice how she is breathing..listen to the heart/lung sounds..which would be far more important than urine...what is her rhythm, other...
  16. The ER has become a restaurant.....

    I have also been asked if I would be the "server" by a little old lady from Sweden. I smiled and said "of course" She was 103 years old with a broken hip. A&O x3. Cute as a button. She asked my...
  17. Hear Ye! Hear Ye!

    marchman acts are when the cops come in with these poor people from the streets that were just sleeping and their alcohol level is "too high" to stay at jail >300. Baker acts are the patients that...
  18. patient lingo...

    for my kids it was chicken
  19. 10/10 pain..venting!

    I really know what you mean. They come in with their bag packed, crying, screaming, carrying on. Give them the narcs and they are sleeping...appears to be gone..Go in to arouse them to discharge them...
  20. Hear Ye! Hear Ye!

    He was probably having a GI bleed from all the alcohol he drinks..only kidding...I always eliminate psych first, there is always some degree of psych problems..i mean chief complaint, lasting more...
  21. Another vent!

    I used to do ortho...ok, this manager even called me into the office because I made a pot of coffee for someone to tell me that he said it was too strong and kept him up all night...he asked for it...
  22. patient lingo...

    Had a pt with "The piles"----piles of what--hemorrhoids-your guess is as good as mine Then one that took care of that--he had a hysterectomy=hemorrhoidectomy Then the one I banged my head on--critical...
  23. The ER has become a restaurant.....

    So funny...and so true.. You nailed it
  24. Do you sedate your pts to make them sleep?

    My preceptor told me "go with your gut" and "always listen to your patient" It sounds like you did just that. A sleeping pill certainly should not hurt him, but it sounds like he has irritation in...
  25. Nurses pay

    I think that you can make the money you want in nursing... You won't get rich, but you certainly should not starve. You can work pretty much what you want to work. They certainly can use you...