EastCoast

EastCoast

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  1. I Hate You, Heart Attack.....

    Oh my goodness. That was so sad and i am so happy that all is well. Last week a nurse who i adore...her son had a big MI and din't do well. I know that i saw so much pain in that nurse and his wife...
  2. NP Maybe? Maybe Not?

    I know that you will hear this countless times...you can pass science. It is chemistry, bio, anatomy, physiology, microbio. Think of yourself as being on a treadmill. You just keep going and...
  3. employee assistance pro/cons?

    If you are forced to go to EAP to keep your job (somewhat contractual in a lot of cases) because your behaviour or actions have warranted that you have been advised to do this then I would go to EAP....
  4. Stroke???

    Most responders will tell you not enough info. My guess ranges from a cerebral event (not necessarily a stroke as you are thinking of it) to an acute MI. Without knowing anything else if is really...
  5. Nurse hours per patient day

    Hours per patient day is based on a formula with input from average daily census, staffing complement, acuity of patients. HPPD is used when determining staffing mix and open positions, I believe. I...
  6. smoking students

    please...as a student i would have rather jumped off a bridge than have asked an instructor for a break to smoke or otherwise. my instructors would have told me to get my butt back to the chart or...
  7. Heart Problem---Help

    Do not know what to tell you but I now that there has been a huge class action suit against the makers of Redux. (? spelling). It might be helpful to check out that info. I am not sure if that is...
  8. etomidate

    Succs is not so hot in the face of hyperkalemia or recent neuro event which you may not be likely to know in an emergency. Versed we use too. But I will use it as afterthought. I am more likely to...
  9. etomidate

    Etomidate is a wonderful induction agent especially if you are not anxious about paralyzing a patient for intubation. One of the major benefits is that is not as likely to cause hypotension so it is...
  10. Another Poem to be submitted..Please honestly critique!

    GO red sox. honestly, i love your poem . it reminds me of those turbulent times from years ago when it was so easy to write when you were feeling so sad. still it is not easy to articulate feeling...
  11. Can nurses report MD;s and to who

    I can't support this idea enough. I would even go so far as to say if you have already had enough of this bull go to the medical director now and formally complain about past instances. Then when a...
  12. Wow, what a raw deal. I hope you like your new job. I always kept my index cards when i was a staff nurse. I think i probably still have a pile of them somewhere. Presently I keep a small notebook...
  13. Medication question

    I think it was a good post as well. If I feel strongly enough about an answer when I hear a different view I will look to try to find out what the right answer is. It's engaging dialogue and came...
  14. Pickle Jar

    Makes you want to hug your parents. It's easy to forget all the sacrafices our parents made. Thanks so
  15. 14 Nurses Fired and 9 disciplined in Kentucky

    Oh my word. That's awful. I've seen long term patients and wondered sometimes what happened when they finally got home. Guess i found out. I do hope she makes out okay. She must be a tenacious...
  16. Medication question

    mea culpa.... just called our peds unit and they too also check to make sure kids pee before first before giving KCL. no, they don't always do an EKG (it depends) Sometimes they monitor...
  17. 14 Nurses Fired and 9 disciplined in Kentucky

    Lucianne, Probably right about your mom needing to move. Lucky she didn't end up with a trach or a nasty noscomial infection. Re: the nurses is kentucky. I still think that someone must have known...
  18. 14 Nurses Fired and 9 disciplined in Kentucky

    I hate it when I see a patient on the vent who is combative. There is no reason to be awake and that agitated. It is extremely bad for you physiologically and emotionally. Not to mention the risk...
  19. Medication question

    from http://www.emedicine.com/ped/topic1121.htm The ECG in hypokalemia may appear normal or may have only subtle findings immediately before clinically significant dysrhytmias. Ventricular dysrhythmia...
  20. Medication question

    The ability to void independently is not a solitary indication that the kidneys are working. If the child pees 8 cc by himself of brown sludgey urine I would be worried. If he has a bladder full of...
  21. Hot Pepper Anaphylaxis

    As an FYI and a point of interest... We recently had a 34 y.o male who presented to our ED with swollen lips and feeling like he had airway closure. He quickly progressed to full anaphylaxis which...
  22. Medication question

    http://www.emedicine.com/ped/topic1121.htm this has a fairly good article on repletion of Potassium in children. While it does reference overall that one should not give Potassium in the face of...
  23. Does this order make sense to you?

    What was her 'admitting diagnosis'? Just curious. Did she havve a cxr or lab work done on
  24. Does this order make sense to you?

    If you gave him all of this info then i think he must have been still sleeping. How could he reasonably not acknowledge the rales, HTN, and heart sounds?? The only thing is if the patient had lung CA...
  25. But I have little kids!

    I have kids too and what i''m reading in this post is that it's not that these single people are 'against ' nurses with kids as a poster implied rather they are tired of the sense of entitlement, as...