EastCoast

EastCoast

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All Content by EastCoast

  1. Medication question

    I'm still sticking with checking EKG but i can see more reasoning than i did previously into checking ability to void. However, again, i a kid can't mechanically void then that is a whole other can...
  2. asbestos exposure, nodule on lung question??

    Unable to find out too much with out a biopsy. Asbestosis can often take the form of COPD and is a liveable type of process. Given your granddads hx. and what not of course one has to think of a...
  3. 14 Nurses Fired and 9 disciplined in Kentucky

    Brownie, I am sure that the manager knew of this practice and either was not equipped in discipline or had perhaps been guilty of this her/himself in the past. As someone said perhaps union talk and...
  4. But I have little kids!

    If you are a nurse and expect major holidays and weekends off go to work in a doc's office or a clinic., or school nursing. Wake up call: If you are a new nurse and are somewhat surprised that your...
  5. Medication question

    As ToddSPN points out why would you hydrate and then replete electrolytes afterwards?? Do both at the same time. Hydrating agressively without repleting other electrolytes puts you in the position...
  6. new nurses and shifts

  7. 14 Nurses Fired and 9 disciplined in Kentucky

    could not state this more clearly. this sums it up
  8. new nurses and shifts

    It might be a buyers market for shift work right now. Be careful b/c many hospitals have 'day rotators' where you rotate a certain percentage of time to an off shift. I will tell you though that...
  9. 14 Nurses Fired and 9 disciplined in Kentucky

    Good idea pretzlgl, When push comes to shove you will never be backed up if there if something unfavorable happens. Wake them up. Save your own butt!! No need sitting in a courtroom hearing...
  10. But I have little kids!

    Holidays bring out the worst in everyone. I am faced with a PA in our group who has been off christmas and thanksgiving for 3 years and the other 3 of us have covered some part of this. We are...
  11. Medication question

    I wouldn't go with ability to void as my first guess. My thinking is a sound nurse will notice if he in fact is not voiding and scan him and cath him if needed. As well a child with gastro without...
  12. Medication question

    B. would be best for the obvious reasons of contactility and cardiac issues. a: they are already having independent bowel movements (whatever that means) c: Ability to void is important in the...
  13. Mercury Exposure

    Oh my god. This is awful. I remember a very talented professor/scientist at Dartmouth(??) college died a slow miserable death from minimal exposure to mercury. I remember thinking how much fun it...
  14. I'm begging for advise

    Hi there. obviously you are a strong person or you wouldn't be in the place you are. that being said i would say first and foremost take a breath. compared to the rest of your life getting through...
  15. ADN NP's...?

    thanks. good info and pretty clear
  16. Diuresing Question

    Wow 7 liter diuresis 2 day post op is a lot. How much fluid did he get in the OR. If it was a long case and he got a lot it takes a bit of time for the body to
  17. Hot Pepper Anaphylaxis

    speaking of police. how about the cop that sprayed a combative patient in our ED and it needed to be evacuated. the guy was handcuffed ot a stretcher
  18. Why do I feel so sad: f.u. to my post!

    ditto to all of the above. i left a job and during my resignation period was overjoyed and apprehensive and sad too. I did not 'transition' well. Similar to you i was going from a very clinical...
  19. Hi bob, check out http://www.theairwaysite.com they may have a link to email an expert. i attended a workshop with this well known, reputable group and i never heard that technique come up. The...
  20. Protecting patients from themselves...

    No kidding. I worked at a clinic where if they had repetitive drug seeking we put a sticker of an airplane on their chart and they were sent a letter saying they had 30 dayss to find another...
  21. ADN NP's...?

    I agree. I feel the same about an experienced nurse in general. I tend to think that often times now I feel that I like what I see in the ADN nurses coming out of school in general. Not sure if...
  22. resigning

    Ditto what babs said. If you are due any unused vacation or sick time due not do anything to annoy folks unless you don't need to the $$. Some places will not give you accrued funds if you call in...
  23. Diuresing Question

    High diuresis usually seen in diabetes insipidous which is related to a variety of underlying disorders...brain injury, lung CA, dilantin therapy...the list goes on. Would also look at their sodium...
  24. ADN NP's...?

    craig, don't misunderstand me. i would never react negatively to any qualified NP hanging a shingle. in my state it's legal and hopefully will see more indendent practices. i didn't mean to give...
  25. Protecting patients from themselves...

    Honest to God...this just happened at our facility: we have a pt. with sickle cell. he is extremely dependent on pain med (the doses are deadly to the average human ...65 of demerol q 1hour with...