nursingpower

Girl it's not worth it. This conversation has gotten personal. We don't need to use our personal experience to prove the research is correct. It's embedded in our countries history and current events. Some people will never understand which is why th...

This is not bashing. She specifically spoke on maternal childbirth mortality rates. In general studies show that the profession of medicine and nursing have not effectively closed the gap, especially compared to white women. Our country doesn't do ...

I will keep this short as possible. I am in my last semester for my AGNP program. I am with a physician who is 65-75 yrs old. During my rotations the doctor enjoys talking about so many off topic nonclinical subjects its draining to me. His staff, ...

It seems to be dependent on your facility, level of nursing training, availability of staff physicians and policies. I am at a large hospital and the only ones are 1-1 are patients on devices (ECMO, VAD, IABP) and high acuity d/t instability. Someti...

I don't know. I feel like ICU nurses can pretty much work anywhere if they are oriented to the unit. It just can't happen the other way around though.

a lot of people forget the whole glucose metabolism piece. Great point!

Exactly. In this case, some continue to support disregarding physician orders despite knowing that the next BG level was worse. It seems very clear that the patient should have gotten the 2 units.

I think it's more important to treat hyperglycemia as the physician orders state to prevent worsening hyperglycemia. The patient's blood sugar went from and untreated 159 to 228. Don't seem that beneficial to the patient.

Yep, your rationales explain why the patient's next BG level was 228. Go figure. I hardly think getting D5 1/4NS constitutes as as diet. Again...the patient's BG nearly doubled because the patient wasn't treated the first time.

I just seen this after I typed my reply. So this could have been prevented had they treated the first hyperglycemic event. SMH. Poor patient was hyperglycemic all day. Wonder how many days of this is going on.

159?? Fasting glucose? That is high for a fasting glucose. 1. What does the orders say? If the physician orders state to give 2 units for 159 you should give it. YOU ARE CORRECT! Sliding scales are designed to treat hypoglycemia despite die...

I've come to the conclusion that I may not know how to adequately deal with what I call difficult patients. Setting: ICU with 2 patient load. I had a 71 y/o woman who was A+Ox3 that complained she could not lie on her back due to arthritis. So the ...

Just what I was thinking. Also InspiredbyNavy, as a nurse you will have to tune in not ignore. Pay attention to detail and gather all the information you can get before you make a decision. In my opinion had you truly felt that "it wasn't your bus...

After careful consideration I've decided to reply to the OP. I can careless what anyone else think of MY OPINIONS. I work at a very large Magnet/teaching Hospital. Upon my hiring over 4 years ago and in orientation I read the personal appearance/pro...

I thought the same thing. Then I started liking comments for some reason.

SMH.. Lol. I'd have probably Googled this before asking.

In our ICU we pull mediastinal and pleural chest tubes. They teach us while orienting in the unit. Only difference is that if we have mediastinal and pleurals, we are to pull the mediastinal chest tubes 1st.

place: cardiac icu scenario: bob is working an 8 hr shift and has two patients. one pt is expected to transfer to stepdown unit. the charge nurse tameka just learned that an patient must be placed in their unit from the or. a bed is needed. ther...

I make sure I take my 1 hour lunch break every workday. In 3 yrs this happened less than 10 times I know for sure. When I take lunch I LEAVE THE UNIT. Play games on my phone, call friends, browse the internet. When I leave work if I had a stressfu...

SMH & LOL

LOl. I typed the "off" next to the colon Mon: off and it made smileys

I don't even like working 3 days in a row...lol. I know a Nurse Practitioner who will work 6-7 days in a row just to have more consecutive days off in which she does in conjunction with her vacation requests. So assuming its a 40hr work week. Five ...

I looked a little side eye at this too. The correct spelling of the President's name is Obama. Also the correct term for it is The Patient Protection and Affordable Care Act. "Obama care" was originally a slur made by Republicans who opposed the Pr...