brillohead ADN, RN

Cardio-Pulmonary; Med-Surg; Private Duty

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All Content by brillohead

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  6. brillohead

    D50 amps

    Our official protocol is 15mL of D50 on NPO/non-responsive patients, then recheck in 15 minutes, lather/rinse/repeat as needed. I had a really brittle diabetic the other day who just looked "off" to...
  7. brillohead

    Completing RN-BSN program

    Also, since you already have your RN license, it doesn't matter what the BON accepts... you're an RN already and don't have to take the NCLEX again or get a "new" license. This is simply a college...
  8. brillohead

    Feelings after first loss

    We had one a while back that shocked EVERYONE -- patient was alert and oriented and talking just fine in the emergency department, then just keeled over dead after being transferred to the bed on...
  9. brillohead

    Non opioid pain options

    I had outpatient knee surgery a few months ago. In the recovery room, I had an almost absent respiratory drive. I'd hear the pulse-ox alarm and have to consciously tell myself to breathe... at one...
  10. brillohead

    Living Will Tattoo

    In less than a week, I have personally had two different patients who were signed up with hospice care and in both cases, their facility sent them to the hospital via ambulance. One came from an AFC,...
  11. brillohead

    Unethical nursing behaviour (OR)

    I call BS on this whole story. Why would ANYONE not on an absolutely insane amount of IV fluids and/or diuretics need to be straight-cathed three times in four hours??? And why would rhinoplasty...
  12. Forward the email to the Wage and Hour Division of your state's Labor Board. The state will take it from
  13. brillohead

    Coworker wanted to trade shifts

    I always offer to work holidays for two reasons. 1) EXTRA MONEY!!!! Holiday pay, baby!!!! 2) My family is limited to my son who is 17yo, and he doesn't care what day we celebrate together. People...
  14. brillohead

    PTO use

    The hospital I work at requires you to work every other weekend, plus you can use PTO for up to five additional weekends. However, the PTO has to be for the whole weekend -- it can't be split up into...
  15. brillohead

    What's your best 'Nurse Hack'?

    You may not actually need a new pump. If it's an Upstream Occlusion, lower the pump so there isn't a loop in the tubing between the bag and the pump -- make sure the tubing is a mostly straight shot...
  16. brillohead

    What do you think of 12 hour shifts

    I work 12-hour nights and every other weekend (Fri and Sat nights counts as the weekend) with self-scheduling. Most of the time I work the last three nights of one week and the first three nights of...
  17. brillohead

    Starting an In-Home Care Agency Questions

    How is this "not to be confused with a Home Health agency"? Are you confusing "private duty nursing" with "visiting nurse nursing"? Both types of nursing are provided by a home health agency. I...
  18. brillohead

    What should I do first

    If you're underemployed and your fiance is unemployed, why is starting a family even a consideration at this point? Please, tell me this is a troll post... nobody REALLY thinks this is a good idea,...
  19. brillohead

    Straight Cath over 1000ml

    Once I've inserted the catheter, I don't worry about the "sterile zone" anymore -- the invasive/sterile part of the procedure has already been completed once urine is flowing. I always keep a urinal...
  20. brillohead

    What's your best 'Nurse Hack'?

    I think the problem was that it wasn't spelled out in the original post to mean "how much fluid is used to mix and flush each medication individually" -- people were thinking that all of the meds were...
  21. brillohead

    What's your best 'Nurse Hack'?

    As soon as you open a package of primary or secondary IV tubing, CLOSE THE ROLLER CLAMP before you do anything else. Make it automatic -- rip open the package, roll the clamp, then continue with the...
  22. This is NOT accurate, and a simple Google search will confirm it. You would still need to be able to perform your expected nursing duties -- it's simply not "reasonable" to expect that a bedside nurse...
  23. brillohead

    Looking for Wellness In All The Wrong Places

    I'm sorry, but I have a HUGE issue with this sentence. Nurse practitioners are NURSES first, practitioners second. To say they are beholden to the medical model is, quite frankly, a slap in the...
  24. brillohead

    Admin probation (Not probation on license)

    Definitely disclose at the interview, tell your side of the story, explain what you learned from the situation, etc. You know they're going to see it anyway when they do the background check, so get...
  25. brillohead

    This is a new one

    And people wonder why I walk around all the time muttering, "I hate