blondy2061h

blondy2061h MSN, RN

Oncology

Member

All Content by blondy2061h

  1. Was I right, wrong, or am I going crazy

    blondy2061h replied to nursingaround1's topic in General Nursing

    Sometimes the elephant in the room can be easy to miss. Or people can underestimate the effect of these meds. I had a patient be unresponsive and unrousable for 6 hours from 0.5mg of

  2. Was I right, wrong, or am I going crazy

    blondy2061h replied to nursingaround1's topic in General Nursing

    One can be unconscious from a drug side effect- heroin overdose, anesthesia, ICU sedation while ventilated, hypoglycemia from insulin, etc, etc,

  3. Was I right, wrong, or am I going crazy

    blondy2061h replied to nursingaround1's topic in General Nursing

    Did she get ANY sedating medications? I've seen patients that are extremely sensitive to even very low doses of opiates or anxiolytics. Coupled with exhaustion already this could easily account for...

  4. Was I right, wrong, or am I going crazy

    blondy2061h replied to nursingaround1's topic in General Nursing

    So no EKG's for syncope, no cardiac monitoring for chest pain, but intubation for an unconscious patient for a few hours who was apparently protecting her airway just

  5. Is This Behavior Inappropriate?

    blondy2061h replied to Arizona#1RN's topic in General Nursing

    If she was not in charge that day you could have always tried saying, "I am leaving at 7:15 today as discussed with *supervisor who approved it name.* If you're not ready for report now, I'll give it...

  6. Is This Behavior Inappropriate?

    blondy2061h replied to Arizona#1RN's topic in General Nursing

    Normally when I hear new grads calling bullying, I think they're being whiny. Not you. You're legitimately being targeted in a toxic environment. Look for an exit strategy. And you've learned an...

  7. Am I the only one that's done this?

    blondy2061h replied to Trama_junky's topic in General Nursing

    I cleaned out our med room once and found 7 IV kits that were expired by several months. No guilt in taking those. I'm a notoriously difficult stick, so I highly doubt I'd be able to start an IV on...

  8. Your worst nightmare

    blondy2061h replied to nursingaround1's topic in General Nursing

    Again, what country was this in? The 16 year old getting pulled

  9. Lucky he was constipated, or he'd be dead

    blondy2061h replied to adventure_rn's topic in General Nursing

    I had another patient who went to campus health with blurry vision. She had a retinal bleed. Got diagnosed with ALL that afternoon. I guess that's not the same since that actually was a symptom of the...

  10. Lucky he was constipated, or he'd be dead

    blondy2061h replied to adventure_rn's topic in General Nursing

    I had a patient we did a BMT on who was diagnosed with leukemia during labor. She had a normal CBC a few weeks prior. Had to have a cesarean. She died after 6 months of horrid

  11. Your worst nightmare

    blondy2061h replied to nursingaround1's topic in General Nursing

    What country was that in? No EKG for syncope? No follow up for AF? It's beginning to sound like another

  12. Your worst nightmare

    blondy2061h replied to nursingaround1's topic in General Nursing

    Here in the U.S. our government just gives unfunded mandates for things like that and expects the healthcare system to eat the cost of implementing it, then gets surprised when nurse patient ratios...

  13. Craziest vitals on a person who lived?

    blondy2061h replied to guest64485's topic in General Nursing

    Please tell me her hgb was 6, not

  14. Lucky he was constipated, or he'd be dead

    blondy2061h replied to adventure_rn's topic in General Nursing

    I had a patient we coded awhile ago who was an overnight obs after a routine surgery. He had a widow maker and the surgery was enough to make that the night it came to head. We got him back. He got...

  15. Cell Phone Withdrawals

    blondy2061h replied to Joe V's topic in General Nursing

    Is this really still a thing? I don't think nurses should be having phones ringing in patient rooms or texting at the desk when call lights are going off or their coworkers are drowning in work, but...

  16. Your worst nightmare

    blondy2061h replied to nursingaround1's topic in General Nursing

    This. I truly do enjoy reading your stories in a Gomer Blog type

  17. Your worst nightmare

    blondy2061h replied to nursingaround1's topic in General Nursing

    The problem is the sheer volume of unlikely, fairly dramatic stories across a wide range of spectrums. They're presented as true and the more we read the less likely they seem to be true. No one likes...

  18. Your worst nightmare

    blondy2061h replied to nursingaround1's topic in General Nursing

    He left AMA without having a complete work up or seeing a physician or other prescribing provider. No one in his family would have had any reason to believe he had been given an "all clear." I really...

  19. Your worst nightmare

    blondy2061h replied to nursingaround1's topic in General Nursing

    Back when I first started nursing we still did paper charting. We still had to chart at regular intervals and sign it. And multiple people would add notes to the progress note pages in a progressive,...

  20. Your worst nightmare

    blondy2061h replied to nursingaround1's topic in General Nursing

    Our EKG's never see paper. They are preformed on the machine and transmit directly to the patient's chart in the computer where anyone can view it on screen or print it if they really

  21. Why would a hospital do this?

    blondy2061h replied to hopeless romantic's topic in General Nursing

    Anyone of us would just be guessing and speculating because none of us have magical knowledge into the inner HR workings at an annonymous

  22. Curious-why do people put ADN, RN? It's ASN...

    blondy2061h replied to RN_SummerSeas's topic in General Nursing

    I've never seen ASN before here. The associates degree nursing programs in this area give AAS degrees in

  23. Craziest vitals on a person who lived?

    blondy2061h replied to guest64485's topic in General Nursing

    I had a comfort care patient who was breathing about 3 bpm. I told the family I felt certain he would die that night on my shift. He lived for nearly a week. Man did I feel like a jerk when they were...

  24. Nursing and the supernatural

    blondy2061h replied to nursingaround1's topic in General Nursing

    We had a patient in a room on our unit who was doing fairy well. He he kept saying, "Bob Jones is asking me to take a walk with him." Bob Jones was a patient who had been in that room for a long time...

  25. Nursing and the supernatural

    blondy2061h replied to nursingaround1's topic in General Nursing

    Does it still count as an ADL to clean them up if the L part