CarVsTree

CarVsTree

Trauma ICU, MICU/SICU

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All Content by CarVsTree

  1. Safe Pt Ratios for Med Surg

    CarVsTree replied to MedSurgeMess's topic in Medical-Surgical

    I work on a Trauma Med/Surg floor. We have 28 beds, 4 of which are 4:1 observation room. We have 6:1 and no charge on night shift. We shoot for 3 techs, but often have 2 and rarely have only 1. If...

  2. Continuous Insulin drip

    CarVsTree replied to jocolorado's topic in General Nursing

    Our insulin drips are based on a protocol. As long as the patient is stable on the drip (big if) the accuchecks are q2h. q1h if their sugar is too high/too low. q15m if they require dextrose bolus....

  3. OMG ! The price of gas! No reimbursement...

    CarVsTree replied to DutchgirlRN's topic in Home Health

    Why do we nurses do this to ourselves? When I worked in sales, I had a company car and the company paid the gas. I never knew that HH nurses were not reimbursed for gas. I'm we're not talking about...

  4. skills help

    CarVsTree replied to Spider Cat's topic in First Year After Licensure

    Foleys that won't drain: sometimes when foleys won't drain, you just need to "vent" them. On the bottom of the urimeter, there is a dial (for obtaining samples, I presume). Hold the urimeter up (so...

  5. Would nurses support MA licensure?

    CarVsTree replied to LorraineCNA's topic in General Nursing

    The bottom line is that MA's are entry level. I don't see where that would change down the line. As for licensure, if you want to be licensed than go to school to become a nurse. If you want better...

  6. What is "KVO" on your unit?

    CarVsTree replied to KellNY's topic in General Nursing

    At our hospital the policy is if KVO is ordered to HL and flush q8h. As a matter of fact, the docs must be trained well, because the majority order HL when tolerating

  7. Med-surg for all?

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

    I'm not going to get involved in the debate, but rather would love to share my experience in making my decision and how I feel about my decision. I graduated in Dec. 2005. I accepted a position in...

  8. I'm pregnant and starting a new job, do I tell my employer???

    CarVsTree replied to RNTX2002's topic in Ob/Gyn

    No advice on whether to tell them now or later (don't think its all that important to be honest). However, you may not be eligible for any leave at the new employer. Many maternity leave policies...

  9. "Pre" code team

    CarVsTree replied to ERERER's topic in General Nursing

    Our hospital started one about 2 months ago. We love it in our area, because we are a Trauma floor and there have been times when a pt. is going bad at the same time they are calling Trauma alerts...

  10. Near miss, should I be blamed?

    CarVsTree replied to Tony35NYC's topic in General Nursing

    Holy Cow! I would copy what you wrote in this post and submit it to the Director of Nursing. This obviously was not your fault. How in the world could you have assessed your patient while running a...

  11. Barcode Meds/Patient

    CarVsTree posted a topic in General Nursing

    Anyone out there have barcoding for administering meds to patients? We barcode at our hospital and as a new nurse I really like it. We scan all the meds and then scan the patient when we administer...

  12. Barcode Meds/Patient

    CarVsTree replied to CarVsTree's topic in General Nursing

    Yikes! Sounds like your hospital chose the wrong system. Ours is a Cow as well but the scanner is wireless so you can just bring that in. I usually leave the COW at the door in case I have a...

  13. Barcode Meds/Patient

    CarVsTree replied to CarVsTree's topic in General Nursing

    Our ER doesn't use the barcode system and I don't know if they have plans to. ER is soooo different from the floors. I've never worked ER, but from what I've heard/seen with all of the protocols and...

  14. Barcode Meds/Patient

    CarVsTree replied to CarVsTree's topic in General Nursing

    When we have a med that won't scan, we can enter it manually. It's not a big deal at all. But our system has been in place for quite

  15. (Very Long)Might have to drop out of school DAYCARE

    CarVsTree replied to LoveMyBugs's topic in General Nursing

    ...

  16. Dreading my second day

    CarVsTree replied to froggg123's topic in First Year After Licensure

    I'm sorry you had that experience. Are you sure this is the place you want to learn to be a new nurse? I just got off orientation in the Transitional Trauma Unit (it's med/surg) but we get tons of...

  17. Help! Can any one help with ABG'S?

    CarVsTree replied to ILUVMYCUBS's topic in General Nursing

    I was taught that using any kind of opposite/same directions method is BAAAAD. Understand ABG's and what the numbers mean and you'll always get them right. If you try to go with directions, it's too...

  18. Help! Can any one help with ABG'S?

    CarVsTree replied to ILUVMYCUBS's topic in General Nursing

    I've broken it down twice in this thread https://allnurses.com/forums/f121/acid-base-disorders-133110.html

  19. survey at end of NCLEX..for those who took the exam more than one time...

    CarVsTree replied to majoty's topic in NCLEX Exam, Programs

    I took the test in Feb. and had to agree to those questions. Must be something new for 2006. Hopin' you

  20. Diluting IV push

    CarVsTree replied to RN2B07's topic in General Nursing

    I work on a trauma floor and we give out morphine like its candy. Never dilute, but always push slowly. It comes in carpoject form anyway so to dilute we would need to draw it out of its prefilled...

  21. Care plan

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

    Try using a nursing diagnosis book such as Nursing Diagnosis Handbook: A Guide to Planning Care (Paperback) by Betty J. Ackley (Editor), Gail B. Ladwig (Editor)...

  22. How did you feel when you came off orientation?

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

    I also just came off orientation and am happy to be on my own. It's not that different really because I still ask lots of questions. I am definitely finding my own way with time management and I...

  23. HSV and working.. need some help

    CarVsTree replied to tmp1936's topic in First Year After Licensure

    We had a nurse on staff at our hospital on my floor as a trauma/head injury. She did not want anyone to know so she was admitted under an alias. Find out if you can be admitted with a different...

  24. Not sure I an do this

    CarVsTree replied to megamoo1979's topic in First Year After Licensure

    Night shift can be very difficult to adjust to. It is much more difficult to stay organized and think on your feet when you're exhausted. I worked for a year on nights as a tech and then oriented...

  25. Difference between ADN and BSN

    CarVsTree replied to hotshot12345's topic in General Nursing

    The school I'm planning to attend has an RN-MSN program. It really is RN-BSN-MSN because you cannot pursue a master's until you have a Bachelor's. However in your case, you may be able to pursue a...