SixFive

SixFive

Physical Rehabilitation, med-surg

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All Content by SixFive

  1. falls traffic light system

    We use a red/yellow/green system. On admission, the admitting nurse completes the FAST = Fall Assessment Screenint Tool. The result of that puts the patient at either a high (red), moderate (yellow), or low (green). Any patient who is a red 'tag' ha...
  2. Flu shoots

    we've never had anything but multi-dose vials, so I can't relate. The prefilled syringe with safety needle does sound nice though!
  3. 98 hours this pay and $1000 taken off in taxes/pension

    be thankful you have a pension. Lots of us nurses have nothing but what we put into an unmatched 401K now. To answer your question, I can work 1 extra shift per 2 week pay period and see the biggest difference. More than that, you do make more mone...
  4. IM question.

    They won't ever be phased out. I have worked with a few surgeons who refuse to even prescribe IV pain medication; they always go with an IM injection.
  5. help

    she has no acute pain? Why did she seek medical attention? That's where you get your ND. Also sounds like a poor patient for a case study; I mean how long is she really going to be in the hospital with gastritis? The PP talked about walking arou...
  6. need help with vocab terms

    How about Bacteriostatic for this one. I think it fits a little better since your question only asks about bacteria and antiseptics cover all microorganisms
  7. DNR question

    I've been in that situation before, and it's my understanding that the DNR can be revoked at any time if that's what the patient or the person making decisions for them decides.
  8. Urinating around catheter

    It was either clogged with sediment or blood (not likely since it was new) or he was having bladder spasms. I guess it's also possible that the catheter wasn't all the way in the bladder.
  9. Didn't think I was going to find another Bowling Green person! I'm from Bowling Green and a graduate of Western Kentucky University. Go Tops!
  10. Disillusioned about KY

    like you said, the cost of living is a lot less in Kentucky. Whatever apprehension you have about your salary will be outweighed by how friendly the people are. I think you'll also find that agencies are not used in Kentucky like they are in other ...
  11. Need some opinions

    sounds ridiculous to push your flush that slow, but other than that, I have no suggestion. If every nurse on the floor took 20 minutes with every IV push, not much work would get done!
  12. put what is applicable in the ( ) below. Your list doesn't mention the old dressing, but I think that's important. Also chart if the wound is 'hot' or warm. Also describe the wound bed. I would also chart if there is an odor or lack of odor. For appr...
  13. Initial assessment

    sounds like a good system, and I like the orientation check at the beginning. I would add in skin assessment and of course any other tubes or lines they may have besides an IV. I also want to know when they last had a BM. The mistake I see nurses m...
  14. Working backwards on Dosage Problem

    well, if you aren't solving for ml, then you have that as part of your problem information, right? When you're solving for ml, your time is known hr=1 hour or 60 minutes. ml/hr is the same as saying milliliters per hour. so, if you have an IV antibio...
  15. Do nurses use calculators?

    I don't have to use a calculator too often, but there are times that I do. For most basic conversions, I can write and calculate on paper just as fast. If it's not basic, I double-check my math. A handheld calculator will probably be a thing of the...
  16. probably not a good choice from what you posted. Too, around here it's not that easy to even get into nursing school. I know lots of people who can't get accepted.
  17. PEG tube residual

    with a continuous feeding, check the residuals every 4 hours and before any flush or medication administration. With bolus feedings, check the residual before the bolus.
  18. Oh no she didn't!

    I can't stand nurses who belittle CNAs. It's repugnant to me and shows a total disrespect. I'm glad you stood up for yourself, and I'm glad you did it in a productive way (you the nurse, and the nurse manager) instead of in the patient's room or i...
  19. I've had a revelation...

    I don't remember implying that. Last time I checked, I was in the vast minority in a female dominated profession also.
  20. Fall precautions

    on admission, we use the FAST (tool) which stand for Fall Assessment Screening Tool. That gives you a number, and if it is over 60, then that patient is a high risk for falling. That means bed and wheelchair alarms. Other patients who might not s...
  21. I don't experience it every day, sadly, but I do get it enough to remind me what I do and why I do it. Just this week, I had a rancho IV TBI have a breakthrough period where he was lucid and at least a rancho VI. He reverted back to his confusion an...
  22. # of patients

    My experience is in inpatient rehab (freestanding hospital), andI think it's too many. We run 12 hour shifts, and the night techs have 7-10 (sometimes more if terrific problems with call-ins). 15 isn't doable for a rehab tech unless you are getting...
  23. Nursing in the Mission Field

    this is an older thread, but I'll answer since this is a passion of mine as well! I've been to Haiti 3 times on 2 week surgical/medical mission trips. The group I go with is very established so you don't have to worry about where to sleep, clean foo...
  24. go with an established group. Heading to Haiti on your own is not what you want (trust me on that).
  25. NCLEX: How many times is enough?

    I've known plenty of chitty nurses in my career who passed their boards on the first try. I've also known several who had a terrible time passing but ended up being great nurses. The NCLEX is what we have, but imho it isn't the greatest. I recently ...