jlmb214rn

jlmb214rn BSN, RN

Medical/Surgical

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All Content by jlmb214rn

  1. I Need A Tubex!!!

    When I first started nursing (3years ago) the pharmacy at my hospital stocked Tubex injectors. Not the old metal kind, but a new light blue plastic one with a twist grip on it... for use with needleless tubex med syringes. If you use one, you know wh...
  2. Every now and then, though, we get to care of someone who shows us exactly why we do what we do. Those cases, those patients, provide us with the inspiration we need to do our jobs despite how taxing they can be. I had the pleasure of taking care of ...
  3. Pseudo-seizures

    I feel ya! This is actually a common occurance on my post-surgical floor. RIDICULOUS!!!:grn:
  4. Pseudo-seizures

  5. Report interruption

    I'm glad to hear that other nurses are bothered by interruptions in report. Now, I am not so particular that someone can't pipe in when something is unclear. But like other people in the post have said, if I'm going to get to it, then don't interrupt...
  6. My First Patient

    Wow. What a touching story. I'm sorry about your father, but rest assured that he is very proud of you for all you have accomplished. Thanks for sharing!
  7. You Know You're a Nurse When...

    You know you're a nurse when you get funny looks from the other shoppers at Wal-Mart when an old patient of yours says "I didn't recognize you with your clothes on!!!":imbar
  8. What would you do?

    First of all, I wouldn't report it. (To answer the original question) But only because the patient in question didn't overhear anyone else's information, and I'm assuming that she didn't feel like someone else overheard hers. However, I do believe re...
  9. Learn To Say It Correctly!!

    An addendum to my previous entry... I can totally understand how a person who had never heard of a drug or seen it spelled out could spell it incorrectly. However, when you administer that drug on almost a daily basis, and look at it in your MAR spel...
  10. I recently had an amazing experience with a palliative care patient... I am orienting a new nurse to the floor who at this point is ready to be on her own. It was her second to last day so she was doing her thing and I was there for support. She took...
  11. Things Patients Have Taught Me NOT To Do

    I have never laughed so hard in my life!!! Some of these people.... I'll share a few good lessons that my patients have taught me. Never, never, never masterbate with a raw hot dog. It will most certainly break if you try to "pinch" it to take it bac...
  12. OB/GYN answering machine...Funny

    I'm gonna use SUIT as a diagnosis in my next report off!!!! HAHAHAHA!!! The patient was admitted with SUIT. This can be good for sooooooo many situations. My next "rectal foriegn body" patient.... my next one with the clap.... the list can go on and...
  13. Charting Bloopers

    Patient satting 95% on 50% "vinny" mask. Patient with history of "cabbage" in '07.
  14. Terms we will not admit to using

    We use the GOMER too!! Awwww, here comes Gomer!!! And I had a tech tell me once that our new patient had a serious case of " ****doo " (Fill in stars with the nickname for Richard) Translated to mean "his belly sticks out farther than his (ins...
  15. Overheard...

    I once overheard a nurse who was in her patients room starting an IV say "CRAP!! Missed again!!! I'm sorry, honey, I'm not a very good nurse." I couldn't believe it!
  16. Piggyback IV question

    No. Not all antibiotics are compatible. Infact, most manufacturers recommend that you hang EVERYTHING (all antibiotics) completely seperately. Zosyn (piperacillin) and Vanc are compatible. You are safe there. But don't just assume. Your Pocket guide ...
  17. Piggyback IV question

    :yeahthat:
  18. Learn To Say It Correctly!!

    I am essentially the only person on my floor who cares about how people spell and pronounce medical terms and medications. I am so glad to see that I have fellow nurses who can't stand when other nurses mispronounce things. There is one nurse on my f...
  19. Hourly Rounding / Walking Reports

    In my facility, we use both hourly rounding and bedside report. The term "bedside report" can be confusing, so make sure what your facility expects of you. On my floor, we give a complete verbal report and then go around to each room. In the room we ...
  20. OK. I totally disagree with this entire response. I know opinions are like buttholes, but I gotta share my on this one. First of all, a low grade temp is common in the first 24 hours post-op. It is your body's natural response to invasive procedure...
  21. Bizarre Admitting Diagnosises

    How about "Advanced Age". No kidding. Had it more than once too. It's kind of like a cover term for "family can't take it anymore, needs NH placement" These people have no acute medical problems, just getting old. Our registration clerks type in di...
  22. The reason why u cant get blood from a peripheral IV??

    It is totally possible (depending on the gauge, the vien, and the site) to obtain blood from a peripheral IV site. Infact, in our ER, the initial labs are usually obtained as the IV is started. Once a site has been established, you need to take sever...
  23. This is an issue that every nurse runs into. We all want to be able to spend time with our patients and provide them with the company and conversation that they need. It's part of caring for them wholistically. In a long term care setting, there are ...
  24. MDs you love?

    Dr. B, who direct admitted a patient to us and (because we were slammed) offered to bring the patient to the floor herself! Got off the elevator grinning, wheeling the patient to her room. Dr. W, gyn surgeon who calls twice in my shift to check on he...
  25. Night Shifters: Do you sleep?

    I've worked nights for a little over 2 1/2 years as a charge nurse and I can honestly say that I have never caught a nap on my shift. And no one on my floor sleeps either. Unless it's on their break. If they are clocked out, they can do whatever they...