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Generic name for vitals machine?
We call it "nurse on a stick".
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What type of shoes do you buy?
I LOVE my Mizzuno "Wave Prophecy" running shoes for work. They are spendy $199 but have saved me from having to have surgery on the neuroma on the ball of my foot. I bought another pair to wear at home. I figured 2 pair of these is cheaper than surgery. The are very comfortable and even though they come in "medium" width, they have a nice wide toe box and my wide feet aren't pinched a bit. I bought them on Zappos.com :-)
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what did you get for Christmas from your employer?
NOTHING! :-(
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If you have rec' d the H1N1 vaccine - please report
Had my H1N1 injection and did not experience any side effects or soreness at all. My ex-hubby got the nasal and had no side effects.
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PACU charting, please help!!!
I am new to PACU also and have been working in ambulatory surgery for the past 2 months. I am returning to nursing after being away for 9 years (did a refresher course first) but am learning a lot of new stuff each day. We have all electronic medical records, so all of our charting is on the computer (I still have to have a cheat sheet on my clipboard for each patient though because we don't have computers at the bedside yet). It will depend on what system of charting your facility uses but the focus is usually on the following types of assessments: Respiratory and airway status (O2 sats, lung sounds, deep breathing), blood pressure and cardiac rhythm on monitor, rating of pain on 0-10 pain scale and interventions/meds as needed, control of nausea/vomiting and interventions as needed, operative site dressing appearance, temp and if they need bairhugger blanket on, fluid status IV/PO, any DVT prevention like SCDs, level of consciousness, discharge teaching, etc... It would be good to be familiar with the Aldrete scoring system, you can pull it up online or find it in most nursing textbooks in the surgery chapter. Our charting is a lot of checking boxes and there are also spots for narrative notes if you want to address something that needs more explanation. Hope this is helpful. Good luck in your new department!
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Prayer/positive thought request for a fellow nurse
Praying for God to put his healing touch on her and give her care givers wisdom and skill to know what will help.:heartbeat Also praying for her family!
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Learning Thread: Med/Surg
I just learned a neat trick for removing tape easily from skin. I was trying to remove a saline lock from an elderly gentleman with VERY hairy arms. It was such a struggle to get all the tape off and it was very painful for him to have so much hair get pulled off (though I was as careful as possible), it caused him almost more pain that starting the IV in the first place. The Tegaderm was easier to get off, but all the "reinforcing" tape was a nightmare. Anyway another nurse told me his trick. Smear the tape with petroleum jelly and let sit for a minute or so. It sinks right through (this was the plastic micro pore type tape but would probably also work on others if they were somewhat porous). The tape came right off, leaving the hair intact and the patient pain free. The petroleum dissolves the adhesive completely. Wow, what an easy solution, but I had never heard that before!