CarVsTree

CarVsTree

Trauma ICU, MICU/SICU

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All Content by CarVsTree

  1. frustrated with myself & IV's

    CarVsTree replied to spejsa's topic in First Year After Licensure

    When you don't get an IV ask if you can watch the nurse/supervisor that is getting it for you. You will learn a lot that way. Also, don't be too hard on yourself... It will

  2. Lantus part II, oh how I want to scream!

    CarVsTree replied to evans_c1's topic in General Nursing

    Thanks!

  3. Lantus part II, oh how I want to scream!

    CarVsTree replied to evans_c1's topic in General Nursing

    Absolutely right Tweety! I agree that after or when contemplating hold on insulin a call to the MD is required. About a week or so ago, I got the Lantus dose cut in half for my pt. Hewent from TPN...

  4. Lantus part II, oh how I want to scream!

    CarVsTree replied to evans_c1's topic in General Nursing

    Actually as Siri said, nursing judgement does hold up in court. We are allowed to hold medications that we see fit in our nursing judgement. Just this morning I held a muscle relaxer on a patient...

  5. Lantus part II, oh how I want to scream!

    CarVsTree replied to evans_c1's topic in General Nursing

    Yes, Lantus is a basal insulin, but it is also a 24h insulin. If the pt's BG was 87-105 NPO than why would he need the Lantus? You were very fortunate that the Lantus didn't lower your pt's BG to...

  6. Discharging a patient AMA

    CarVsTree replied to Tweety's topic in General Nursing

    I've been a nurse for 8 months now and we have patients leave AMA. Lots ETOH, Drug abusers... I personally have not had a pt. go AMA Are there any legal implications related to giving discharge...

  7. Every IV in the AC?

    CarVsTree replied to General E. Speaking, RN's topic in Medical-Surgical

    Put a pillow under pt's arm. This is usually enough to remind most pts to keep there arm straight. Arm boards are

  8. Platelets

    CarVsTree replied to RN2B07's topic in First Year After Licensure

    I'm sorry, I don't know what you question is? Was the order correct was it 10 x 2 or should it have been 1 x 2? What ended up

  9. IV fluid Hang time

    CarVsTree replied to Kidsfelt's topic in General Nursing

    I think the point is that the fluid is only good for 24 hours. The tubing doesn't contain the same fluid for 24hours - the fluid is moving through. The fluid in the bag though would be more than 24...

  10. New Grad-What should I do?

    CarVsTree replied to exairex's topic in First Year After Licensure

    Yes teaching hospitals are very busy. But most have learned how to effectively orient nurses. Don't be afraid to apply. Ask how long orientation is and get it in writing. Your contract should say...

  11. New Grad-What should I do?

    CarVsTree replied to exairex's topic in First Year After Licensure

    Where do you get she won't admit to a mistake? She admitted to all of her mistakes. She just feels that they are rushing her into independent practice too quickly and she is absolutely correct? 4...

  12. New Grad-What should I do?

    CarVsTree replied to exairex's topic in First Year After Licensure

    Ex - a blood culture is a test for bacteria in the blood. A high blood sugar that is high on the glucometer is often verified with a blood draw and then sent to the lab for analysis. Ex - I can see...

  13. New Grad-What should I do?

    CarVsTree replied to exairex's topic in First Year After Licensure

    I think OP is taking responsibility. She is saying that she is overwhelmed and needs more time, before taking a full pt. load. In addition, everyone makes mistakes. One day you may miss a blood...

  14. Lantus insulin question

    CarVsTree replied to evans_c1's topic in Diabetes, Endocrine Nursing

    The BG's you are siting are critically low and I would definitely call the MD before giving. But, I also agree that you need to see where the trends are. Is the patient eating? If the patient is not...

  15. Journals for Pediatric Critical Care

    CarVsTree posted a topic in PICU, Pediatric

    What are the best journals for PICU nurses?

  16. Threat of needle sticks!!

    CarVsTree replied to Epona's topic in General Nursing

    You will be hard pressed to find a cardiologist that will hire an RN right out of school with no hospital experience. The only way to reach your goals is to conquer your fears of getting ill. An RN...

  17. Who's going on to a BSN? or MSN?

    CarVsTree replied to FNPhopeful's topic in First Year After Licensure

    I graduated in Dec. and I am starting my RN-BSN program this fall. I plan on pursuing my MSN as well. Not sure what I will pursue

  18. Floated to another unit

    CarVsTree replied to RN2B07's topic in First Year After Licensure

    I got floated 3 weeks off orientatation. Of course the computers were going down that night as well The floor I work on is extremely challenging. The floor I floated to seemed like a piece of cake...

  19. Your protocol/standard for head injury?

    CarVsTree replied to Lurksalot's topic in Emergency

    I work at a Level 1 Trauma Center. In addition to a CT of the head, this pt. would have received plain films of his cervical, thoracic, lumbar spines, CXR, CT Chest, Abd, Pelvis. The mechanism of...

  20. Can somebody please explain what happened in my clinicals yesterday? (Long)

    CarVsTree replied to debrasDD99's topic in Ob/Gyn

    Yes! You go right over their heads. You call the 2nd call, chief resident, attending, charge nurse, nursing supervisor. Heck, if there's a rapid response team at your institution, this would be a...

  21. Philly area new grad pay

    CarVsTree replied to ER1010's topic in Pennsylvania Nursing

    What

  22. How long is your orientations?? HELP

    CarVsTree replied to Fairlythere's topic in First Year After Licensure

    I'm sorry you're going through this. It sounds ridiculous! I got 3 months in Trauma Step-down (w/tele). I felt this was too long, but I worked on the same floor as a tech for over a year prior. I...

  23. Critique of Study: More BSNs equal better pt outcomes

    CarVsTree replied to ZASHAGALKA's topic in General Nursing

    Thanks Timothy! You worked very hard on this post and very good rebuttal of the flawed study. BTW, according to my own "study" as a new nurse. I don't kill (a slightly exaggerated claim) people...

  24. Post 4-mo. Orientation, On My Own Now.

    CarVsTree replied to SkateBetty's topic in First Year After Licensure

    Congrats! I also work Trauma Step-Down and I LOVE

  25. How much is enough orientation...?

    CarVsTree replied to New2ER's topic in First Year After Licensure

    What does your contract say regarding orientation? Does it say 8 weeks? If so, they violated the contract and it should be null and void. However, I'm no lawyer, perhaps you should get one. I'm...