Cinquefoil

Cinquefoil

Med Surg, Home Health

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All Content by Cinquefoil

  1. Integrative Private Practice

    Cinquefoil replied to milesel's topic in Holistic

    I think it all depends on what kind of herbalism you practice. In my state you are only allowed to prescribe and dispense commercial herbal supplements. Also, my understanding with herbal medicine...

  2. New CPR Song for New CPR Rate?

    Cinquefoil posted a topic in General Nursing

    So today I became aware that the new ideal CPR rate is "at least" 100 (and up to 120) compressions per minute with the ideal being more like 110 compressions per minute... Help! I can no longer use...

  3. Differences between Canadian and USA nursing?

    Cinquefoil posted a topic in General Nursing

    Considering working in both the USA *and* Canada. Plenty of threads out there about the requirements for licensing etc in each place. But how about the differences and similarities in scope of...

  4. Sterile Water for Enteral Feeding Tubes?

    Cinquefoil replied to med_geek's topic in Critical Care

    The reasoning I've heard is that the interactions between the water additives in community water sources, and medications, are not well studied. Safest therefore to use sterile water which is, in...

  5. What's the meanest thing a patient has said to you?

    Cinquefoil replied to fangirl's topic in Patient, Colleague Relations

    "I hope a polar bear eats you."

  6. How to best use Home Health CNAs

    Cinquefoil posted a topic in Home Health

    Hi, working with a home health agency now. We have CNAs, but they are currently waaay underutilized. I know there are ways to keep CNAs busy & cost-effective in home health, but I suspect we...

  7. best way for a nurse to manage cuts on her fingers?

    Cinquefoil replied to RNexplorer's topic in General Nursing

    I've had hand burns, small but open during work shifts. I found that a single Tegaderm stuck ok until I needed to, oh, say, sanitize or wash my hands. Solution? Goopy skin adhesive, the kind we use...

  8. It's Wrong! (A night shift perspective)

    Cinquefoil replied to Sixtyseven's topic in Geriatric, LTC

    Side note: as a person with low thyroid hormone which Synthroid replaces, I wake myself up one hour early to take that med even after working a 14 hour day the day before and heading in to another...

  9. Golf Team Names? Need Ideas!

    Cinquefoil replied to joegolfer's topic in General Nursing

    The Texas Cath Crew: Here to Bag Holes!

  10. Golf Team Names? Need Ideas!

    Cinquefoil replied to joegolfer's topic in General Nursing

    The Successful

  11. Slamming in IVP meds and Running Incompatible Meds Together: Is it as bad as they say

    Cinquefoil replied to RNdynamic's topic in Patient Medications

    A very experienced ED nurse told me that if IV metoprolol is pushed too fast, it can "bottom out" a patient's pressures, making them ineligible to get other meds they might really need for heart rate...

  12. Help! Critical lab: morale -2.5

    Cinquefoil posted a topic in Medical-Surgical

    Help, please (on this AM after my third night shift). I don't know what to do. Need any of the following: encouragement, empathy, inspiration, similar stories, suggestions. Even tough love though I...

  13. Almost lost my cool at work

    Cinquefoil replied to 0.adamantite's topic in General Nursing

    If your behavior was out of character, then bravo. And if you can laugh at and forgive yourself for those few less than ideal moments, the basic drives that keep you compassionate and present will be...

  14. Almost lost my cool at work

    Cinquefoil replied to 0.adamantite's topic in General Nursing

    Are you a) secretly made of machinery? b) dedicated to patient-shaming? c) allergic to HIPAA and addicted to restraints, and/or d) a fiend of emotional compartmentalization ? If you're none of the...

  15. Vanco Trough Advice

    Cinquefoil replied to amhtmh's topic in Patient Medications

    This question is exactly why my hospital has a clear policy stating that when vancomycin is given, the pharmacist will decide if the vancomycin should be given or held while the trough value is being...

  16. New CPR Song for New CPR Rate?

    Cinquefoil replied to Cinquefoil's topic in General Nursing

    Agree, of course. No one should concentrate on CPR quantity without also quality. But why not focus on both?Music is a very good way to keep tempo accurate without that metronome the ACLS recert...

  17. How do you draw up meds for IVP?

    Cinquefoil replied to FineAgain's topic in Medical-Surgical

    According to my understanding which I owe to your post: There are sterile flushes and non-sterile flushes. Sterile flushes will be labeled as sterile instead of the regular ones which will just be...

  18. Theme song to your Nursing career?

    Cinquefoil replied to sMoLsNurse's topic in Nursing Humor

    Jem- It's Amazing "Patience, now frustrations in the air And people who don't care Well, it's gonna get you down And you'll fall, yes you will hit a wall But get back on your feet And you'll be...

  19. need advice/opinions on where to relocate!

    Cinquefoil replied to hellosun's topic in General Nursing

    Seattle? Maybe if you just look at the number of new grad positions, but if you compare that to the number of new grads the area produces every year the numbers may or may not look so hot. But rural...

  20. need advice/opinions on where to relocate!

    Cinquefoil replied to hellosun's topic in General Nursing

    Adventure-friendly places I've heard new grads having luck getting jobs: 1) Idaho 2) Montana 3) Alaska 4) Texas 5) Colorado 6) rural New England. It was almost never easy, even so. Keep applying but...

  21. Would you hold Lantus?

    Cinquefoil replied to nikki74's topic in Patient Medications

    A friend did a presentation on evidence-based approaches to this question. The general answer was it is generally OK to give Lantus after giving OJ or otherwise correcting blood sugar, but it sounds...

  22. Nursing Nightmares

    Cinquefoil replied to 0.adamantite's topic in General Nursing

    2) My elderly male patient turned into a vampire, which was bad enough since I was still obligated to take care of them and they wanted to eat me. But then the vampire started switching from patient...

  23. Nursing Nightmares

    Cinquefoil replied to 0.adamantite's topic in General Nursing

    1) I dreamed I'd just begun to take care of a full patient assignment when I was urgently assigned another patient (on another unit) who had just had a serious blood transfusion reaction. The other...

  24. PICC line blood draw

    Cinquefoil replied to greyL's topic in General Nursing

    I've heard that studies have shown most nurses tend to exert a certain average amount of pressure when flushing that makes a 10cc syringe safest to use. I can try to chase down that research later if...

  25. Nurse or ninja?

    Cinquefoil replied to NickiLaughs's topic in General Nursing

    Ninja skill: transforming an unhappy patient or family member into a happier