CarVsTree

CarVsTree

Trauma ICU, MICU/SICU

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All Content by CarVsTree

  1. "The Jesus Factor"

    CarVsTree replied to FireStarterRN's topic in General Nursing

    I am a Christian also, but would never try to "convert" one of my patients. "The big deal" is the patient is a captive audience, can't walk away if this woman is bugging them. In addition, if the...

  2. Checking Placement of PEG

    CarVsTree replied to BluntForceTrauma's topic in General Nursing

    Perhaps a dumb question, but how do you check

  3. please help! :)

    CarVsTree replied to sweetieann's topic in General Nursing

    We no longer use heparin flushes for peripheral IV's, PICC's, or TLC's and have not for some time. The overuse of heparin can cause problems for some patients and has been phased out. Our PICC's are...

  4. Med Error

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

    Perhaps your advice to not use all caps would be better received if you had added something constructive to OP's original post. This was OP's very first post on allnurses and her very first reply was...

  5. Med Error

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

    I agree with PP's. Slow down, use the 5 rights and triple check. Also, do you tell your patient what meds you are giving them? I always do and this is a great way to avoid giving the med to the...

  6. Wacko RN - Write Up vs. Direct Report

    CarVsTree replied to antidote's topic in General Nursing

    WOW! Almost sounds like she wanted to be the hero. Like a serial killer RN that does something to a pt. to 'cause a code and then saves them. Pull out the ET tube and re-intubate pt. so now she's a...

  7. What to tell the kids?

    CarVsTree replied to blue morpho's topic in General Nursing

    I disagree. If the child lived with Mom than she KNEW mom was an alcoholic. Sugar coating the situation is not helpful for the child. However, I also wonder how OP is still involved with the...

  8. New RN struggling with new job: any advice?

    CarVsTree replied to Sarahe23's topic in First Year After Licensure

    I agree with PP. Run, do not walk from this place. Not enough money to replace a worker on disability (which is paid with disability insurance) is unacceptable. In addition, in most areas LTC pays...

  9. Telemetry VS PACU GN

    CarVsTree replied to nyspecialist's topic in General Nursing

    PACU is a very tough area to start out in. A friend I grad'd with really struggled in PACU as a new grad (and yeah, she's smart). Did fine with the cases w/o complications, but when given a...

  10. Graduate Nurse, but treated as an Aide

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

    It doesn't matter what state you're in. You are working under a temporary until you take your boards. If you pass, you're obviously an RN, if your temporary practice permit is null and void. Here's...

  11. drawing up small amounts of meds?

    CarVsTree replied to LanaBanana's topic in General Nursing

    When I have to draw a very small volume of med, I also draw some saline in the same syringe and give that. This way the patients don't think their only getting a tiny amount. I also agree, check to...

  12. Person online faking being a nurse - what would you do?

    CarVsTree replied to pebbles's topic in General Nursing

    I'm sorry you were deceived, but I just don't see why you are so concerned with what she is doing. There are many ppl who are not who they portray on the net. The BON knows about it. So, I would...

  13. Singled out because I gave too many narcotic analgesics??(long)

    CarVsTree replied to JessicRN's topic in General Nursing

    I'm so sorry for your difficult experience. There system for auditing is extremely flawed. So now, if one wants to divert narcatocs, they just need to make sure they're stingy with the narcotics for...

  14. Venipuncture in LPN school?

    CarVsTree replied to fifi2323's topic in General Nursing

    Depends a lot on your state. I went to RN school and we did no phlebotomy at all, no IV starts. Others in other states do all of the above. We did learn how to collect various other non-invasive...

  15. 7:30am to 4PM, and back to work mid to 8s

    CarVsTree replied to miche18's topic in General Nursing

    I believe OP means off @ 1600 back @ 2400. Now ASSUMEing she gets off at exactly 1600, this would give her the legally required (at least in my state) 8 hours off between shifts. But really, it is...

  16. MRSA & IVAB - Vancomycin

    CarVsTree replied to AussieKylie's topic in General Nursing

    Where is the evidence for this practice? The CDC recommends NOT treating MRSA colonization, only infection. Treating colonization will only increase resistance to drugs that are currently effective...

  17. Reader's Digest article on nursing

    CarVsTree replied to TigerGalLE's topic in General Nursing

    Here's the response I submitted to Reader's Digest. Hope I sound somewhat intelligent, the whole thing makes me spitting mad! I am commenting on your article in the June 2007 edition titled,...

  18. Reader's Digest article on nursing

    CarVsTree replied to TigerGalLE's topic in General Nursing

    I also read the article. The article slams night shift. Yet this poor boy was tachy by shift change in a.m. and everyone still did NOTHING until they were unable to obtain a BP @ 1200. Are you...

  19. Yelled at by a doctor for the first time....

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

    Thanks! Just be yourself and advocate for your patients and the rest will come

  20. Yelled at by a doctor for the first time....

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

    I agree that yelling is inexcusable. Don't know if this doc was yelling or if she was using strong words and her anger was just coming through in her tone of voice. Can't blame her if she was angry....

  21. Yelled at by a doctor for the first time....

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

    Let me share the following with you. I was proud of the way I handled this doc. I'm not perfect, but you may be able to use it in the future. I work trauma where PE's are a common occurrence. We...

  22. Foley Catheter Insertion

    CarVsTree replied to sports2245's topic in General Students

    A little off topic, but a new practice where I work. We have been working on reducing UTI's following foley insertion/use. The new initiative is no testing of the balloon. I guess the theory behind...

  23. Do yuo review the intra-operative notes?

    CarVsTree replied to CIRQL8's topic in General Nursing

    I work in trauma, so many times the IO notes are the only way to know exactly what they did. I agree with above poster though, PACU notes/report are indispensable for care of my patients. What I Look...

  24. NPs in EM?

    CarVsTree replied to jls485's topic in Nurse Practitioners, NP

    The NP has been a nice adition, BTW. Lots of flight exp. Lehigh Valley Hospital - Cedar Crest,

  25. NPs in EM?

    CarVsTree replied to jls485's topic in Nurse Practitioners, NP

    I work in Trauma stepdown in a Level 1 Trauma Center in PA. For years they've only hired PA's (they take trauma alerts at times) but mostly follow patients through their inpatient stay with us. They...