brillohead ADN, RN

Cardio-Pulmonary; Med-Surg; Private Duty

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All Content by brillohead

  1. brillohead

    High Insulin Dosages

    I had a guy once whose regular Lantus dose required TWO injections from the pen, because it didn't spin up that high. It was a while ago, but it seems like his regular dose was 140 units BID, and the...
  2. brillohead

    Need some advice please! New to this forum

    There are other options available to you. One would be to switch to part-time school so you could pick up additional hours at your job. This would lengthen the time until you could obtain your...
  3. brillohead

    how do you feel about group projects?

    All through school, instructors commented about how group projects are to teach us to be part of a team in the real world, blah blah blah, but I call BS on that. In the real world, it's MY license on...
  4. brillohead

    The Underestimated Benefit of Ancillary Staff

    I've been trying to pound into management's head that we need MORE aides to increase patient satisfaction and employee satisfaction and reduce turnover and burnout. I'd rather have six patients with...
  5. They may be required to do a background check as part of their agreement with their clinical site(s). In this case, a SSN is totally
  6. brillohead

    Cathing past an enlarged prostate... HELP!

    Are you using the clear silicone catheters? Those tend to be stiffer throughout the body of the catheter, instead of just at the Coude tip. I had a private duty client whose anatomy would actually...
  7. brillohead

    Refusing Antibiotics after gbs testing

    Ya know, because the 100% natural way has had such a wonderful survival rate for both mothers and babies through the
  8. brillohead

    Prewritten Photocopies of CII Forms

    I would file a complaint against the doctor, pharmacy, and facility! LARA - Contact the Bureau of Professional
  9. brillohead

    Just got REAMED at...

    My heart hurts for these kids whose parents don't want to pick them up or keep them home when sick. I was that kid... it really sucks knowing that not even your mommy gives a rat's patootie about...
  10. brillohead

    Paperless med-surg

    There's a huge difference between not having a paper chart, and not being able to utilize a personal "brain" sheet during the course of your shift. The way I interpreted the quoted sentence was that...
  11. brillohead

    scope of practice, the EKG/ECG?

    I've been a telemetry nurse for a year and a half, and I still go and talk to my monitor techs sometimes to ask them what the heck they think is going on with a particular patient. They stare at...
  12. brillohead

    Question

    Yeah, high school is WAY too late to be teaching sex ed... it needs to be at least TOUCHED on in junior high. I was talking with my nieces back in the day, and the fact that I'm adopted came up in...
  13. brillohead

    Question

    Telling a child to "be careful" is NOT sex education in any way, shape, or form, IMO, and you shouldn't have to worry about that coming back to bite you now or in the future. The phrase itself is...
  14. brillohead

    What is your Nursing Super Power?

    My superpowers are trach care/suctioning and Foley catheter insertion (male and female both). I'm also pretty dang good at giving subcutaneous heparin injections with nary a bruise, evidently. My...
  15. brillohead

    Self Administration

    If deemed capable and errors are being made, the prescribing physician who gave the order for self-administration needs to be made aware of each and every administration error that is discovered....
  16. brillohead

    Self Administration

    How was it discovered that the patient took too many pills? Was it a one-time occurrence, or were they supposed to take one a day and they were taking two a day for a whole month? Why did the...
  17. Agree with everything that has been said so far, including the use of paragraphs! One thing I would recommend, is telling this story to others. Your colleagues on the unit, and especially any new...
  18. brillohead

    Med error :(

    The DOSE should be on the MAR, not the number of tablets. That way, if the patient/resident is supposed to receive 250mg and the supplied tablets are 125mg, it's obvious that the patient should...
  19. brillohead

    Why do we do codes?

    I've actually been on both sides of this issue. I was the legal guardian for my FIL fifteen years ago. He was essentially quadriplegic after suffering a brain aneurysm back in the 1980s and...
  20. brillohead

    Overwhelmed by books

    Left to right, top to bottom. I listened to calm classical music (nothing boisterous, nothing with lyrics, just soft music). It seemed to calm the "SQUIRREL!!!!" part of my brain so I didn't get...
  21. brillohead

    How much are you guys paid hourly?

    Pay is going to vary widely based on geography and funding options. Some areas have a very low cost of living or an overabundance of nurses -- they will pay the least. Some areas have a high COL and...
  22. Oh, and we do the same on the rare occasion when we float to the mother-baby unit. Aide/tech duties
  23. As a floor nurse (more medical than surgical on my unit), when we have OB nurses float to our unit, they function as an aide/tech -- they do vitals, glucose checks, toileting / brief changes, Q2H...
  24. It's "lose" not "loose" your license. Did you read the other comments on this thread? You can't abandon patients that you haven't taken responsibility for. If you hand off report on your...
  25. brillohead

    Full Code required for surgery?

    My hospital has "levels" of code status: Full Code; Intubation OK but no CPR; No Intubation or CPR but Meds OK; and Comfort Care Only. In order to go to surgery, they have to at least be changed to...