Cinquefoil

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 is that you are allowed to say herbs "support cardi...

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 Staying Alive or Another One Bites the Dust! New so...

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 practice? I read on one of the licensure threads that Can...

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 theory, JUST water. I take this with a grain of salt ...

"I hope a polar bear eats you." Lol

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 have multiple issues, including: 1) Ignorance on the...

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 to make NG tube securing devices stick to the nose....

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 one. Food drastically decreases that med's effectiven...

The Texas Cath Crew: Here to Bag Holes! http://en.m.wikipedia.org/wiki/External_urine_collection_devices

The Successful Insertions?

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 irregularities/MI. In the ICU, maybe this would tr...

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 reserve the right to say ouch. I'm 1.5 years into ...

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 more free to do what they do naturally.

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 above, then congratulations! You're not Nurse Ratche...

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 processed. Then, whatever they decide goes into t...

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 video suggested. QUOTE=ArtClassRN;7921455]Proper, com...

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 labelled "sterile barrel" or such. Sterile flushes c...

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 stronger and smarter And I know cause Ive been there be...

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 Washington? Now we're talkin'!

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 most of all KEEP NETWORKING! Call those HR reps to...

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 good to also notify MD and look at past trends. And...

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 to patient so it was able to follow me from room ...

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 unit looked like someone's empty guest bunkroom, ...

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 you want. The vascular access team at my hospital ...

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