blondy2061h

blondy2061h MSN, RN

Oncology

Member

All Content by blondy2061h

  1. For AAA patients

    There would be no way to confirm an AAA in LTC unless it was already diagnosed. Hopefully if it was diagnosed they have either made themselves a DNR or scheduled surgery
  2. Foley placement

    They had 1500ml of urine? Or they got 1500ml worth of fluids? I've found bladder scanners to be quite
  3. They did one of these when I was shadowing in OB years ago in nursing school. I didn't realize it was do unusual. Everyone was so calm and the procedure was
  4. Please help, decision time - Job choice

    5 eight hour days with over a 40 mile drive each way quickly becomes 5 10-11 hour days. Might as well work 3 12's if you're going to do that. The dialysis job is miles better
  5. Nonsedated Pt's equal self extubations

    I hope you're including your nurse manager in these discussions, along with a nursing executive counsel of you have anything like that. Not having an intensivist is a shame. I can't imagine our...
  6. Nonsedated Pt's equal self extubations

    Precisely. I'm speaking of NMB's. Without sedation, we would never DREAM of giving a paralytic (at least I would hope not). But people are okay with leaving someone tied to a bed and awake with a tube...
  7. Nurse monitored Tele only, no tech?

    My hospital has step down units and ICU with bedside cardiac monitoring. I work on one of them. The nurse caring for those patients is responsible for monitoring those. Obviously, every nurse is...
  8. Omg, that's horrible. Do you know how she eventually
  9. Following certain phase 1 trial protocols where you're timing the drug infuion just so, getting pharmacokinetic levels, documenting side effects religiously, getting EKG's set times after the drug...
  10. Gel Nails

    Once mine start to lift I peal them off. Oddly satisfying. Even more satisfying when I hear people talking about paying to have them
  11. Wow. Just wow

    Sudden, severe pain three days post op not controlled by the pain medication he was using prior should definitely be an ER visit. No way would I advise them to just cover the pain up with more meds,...
  12. Nonsedated Pt's equal self extubations

    How is leaving a patient wide awake and restrained on a ventilator that much different from having them on a paralytic without
  13. Nurse who survived Ebola is suing the hospital

    It doesn't surprise me she's suing. I absolutely support her. They were not provided the resources or education they needed to provide care while protecting themselves. That being said, I do have a...
  14. Code Lavender?!

    I'm surprised to hear they bring scented lotions, since we're strictly forbidden from any lotion use outside of the healthcare grade lotion the hospital provides for infection control
  15. Why do you want a U.S. nursing license if you're living in
  16. Giving Lovenox to emaciated patients

    We don't need an order for them, but use them rarely. The Lovenox causes so much bruising all in one area. We prefer to save them for other subq shots. If the patient really has fear, we'll use it. I...
  17. Code Lavender?!

    We supposedly have some similar. It's not called that. And no one I know has ever done it. I wouldn't even know how to call
  18. Most annoying reason for admission?

    Fall at home (without injury). Great, bring them in here so we can give them meds that increase their fall risk, deprive them of sleep, and place them in an unfamiliar environment so they can fall...
  19. Any hospital units that DON'T use telemetry?

    All of my hospital's oncology units have telemetry or cardiac monitoring, so don't go to oncology thinking you'll avoid telemetry. What do you hate about
  20. A VERY frustrated nurse

    This could be a huge no-no in some places. Our Lovenox is given later in the day so if the physician/PA/NP comes in at 0900 and decides they need a CVL placement/bronch/egd/colonoscopy/Bone marrow...
  21. A VERY frustrated nurse

    Is this a second career for you? You are wise beyond your
  22. A VERY frustrated nurse

    Also, charting off the clock is a HIPAA violation, because it's illegal to access electronic charts of people you're not actively assigned to care
  23. FLAME ON!

    Maybe Pearson Vue should just stop trying to scheme an extra $8 out of people, then, or whatever the early result fee is now. It's an electronic test. The results should be available within 24 hours,...
  24. FLAME ON!

    Good news! California is easiest. Tied with 49 other
  25. FLAME ON!

    "When you took microbiology, how did your professors grade your assignments. What textbook did you use? Did you have to write essays? Yadayadayada" I don't remember. This is the NURSES forum. I'm...