blondy2061h

blondy2061h MSN, RN

Oncology

Member

All Content by blondy2061h

  1. Sharpie on Tegaderm

    Edit: will repost after pictures are
  2. ER pain treatment after accident without ID on the person?

    Yeah, even if they're intubated and paralyzed- no fentanyl drip for them. They're just going to have to enjoy being paralyzed and feel the foley placement, central line placement, art line placement,...
  3. New Nurse With Large Disposable Income

    Making $30 per hour, living with your mom, and no deductions. You're going to get killed with taxes. After taxes, parking, health insurance, retirement, a small payment to my flex spending account,...
  4. I Don't Get the Anxiety Part of Nursing

    I'm convinced I have a degree of PTSD from my NP school
  5. Sharpie on Tegaderm

    I have various forms of tegaderm at home and various forms of sharpie. I promise to experiment when I get
  6. My unit is closing!

    So what happens if your unit is closed for 4 months, and you go out for 3 months with your knee then are cleared to go back? You're going to have to learn a new unit for a few weeks when getting into...
  7. I Don't Get the Anxiety Part of Nursing

    Darn, this was supposed to be my week to focus on antibiotics and gain mastery of them. But my patient needs a blood transfusion. Now
  8. Major Med Error

    What was the rationale for intubating a stable patient with good ABG's? Was there a CRN student that needed practice? How long was she on the vent for? Ativan really probably wasn't a great med to...
  9. Major Med Error

    Narcotic is a legal term, not a medical term. Benzodiazepines are a sedating, potentially addictive, mind altering class of medications. Thus, they are a controlled substance, and considered a...
  10. IVs in the breast

    But you're not nearly as likely to lose your hand. An infiltration would be caught more quickly due to the site being readily visible. The vasculature is such that an infiltrate would be unlikely to...
  11. IVs in the breast

    Most people say IO is only as painful as an IV, any med that can be given IV can be given IO, and it's far easier to stick a vein for labs than it is for IV access. I would trust an IO site before I...
  12. IVs in the breast

    I would think there would be a lot of options before that- central access, u/s guided PIV, IO, trying to avoid need for IV access at all by utilizing IM and subq
  13. Major Med Error

    IV Ativan is frustrating. I give a ton of it. I usually give 0.25-1mg. I've never seen it packaged anyway except a 2mg/1ml
  14. Major Med Error

    Everyone makes mistakes. A good hospital will not view med errors punitively. For future reference, narcan won't reverse Ativan. Flumazenil is the reversal agent for benzodiazepines. 2mg of Ativan...
  15. I'm curious how long you've been a nurse. It sounds a bit like you expected the resident to totally take care of whatever was up with the patient. Often times with residents, you need to nudge them...
  16. ok nurse's trade school or communty college?????

    I think trade school nursing programs are as good as extinct. Trying to get a job as an RN with only an associates degree is also becoming darned near impossible...pretty much
  17. Nurses with asthma

    Adrenaline is a
  18. migraines and work

    Also curious why you don't qualify for FMLA. I've been plagued by frequent migraines, too. Thankfully, there are numerous treatment options available now. My best advice to you is to find a...
  19. Yes, they almost certainly have your information from last visit in the EMR. Once a diagnosis is entered in our computer system, there it forever stays. Even an inaccurate diagnosis or one that's...
  20. Glucose Competency: testing your own blood sugar?

    Years ago, when I was first hired, we had to do this on orientation. One of the other people in the group and I both had insulin pumps. We were told we could be exempt if we wanted to. I participated....
  21. 5-year-old chooses heaven over hospital

    Not necessarily here, but non-medical folks wise- I wonder if the people saying a 5 year old's opinion should hold no weight would feel the same way if the 5 year old was saying she wanted to keep...
  22. 5-year-old chooses heaven over hospital

    They may not understand dying. They do understand choosing not to go to the hospital again. The death is inevitable soon for this girl
  23. oxygen in dying hospice patients

    Go try and sleep with two liters nasal cannula on sometime. You can hardly feel the oxygen blowing. Certainly not enough to help air hunger. You are, however, very aware of the prongs in your nose and...
  24. oxygen in dying hospice patients

    Sometimes oxygen is more for the family than the patient. When they see if there, they figure the patient has something helping them, and we're not just watching them die. It's strictly a...
  25. Negativity Bias (This is Long)

    I've noticed it goes for patients, too. Especially long stay patients. They can be pleasant 90% of their stay and snap in one moment, be it due to pain, fatigue, bad news, or genuinely subpar care....