CharmedJ7

Latest Activity

1. Steps of a wet to dry dressing

   CharmedJ7 replied to oxyjen's topic in Wound, Ostomy, Continence

   It's frustrating. Wet-to-dry dressings at best will do little real harm to otherwise clean and normal post-op wound. It's totally inappropriate for more complicated high-risk wounds. Non-healing...

2. Am I the only one annoyed by these PCA orders?

   CharmedJ7 replied to IheartICUnursing's topic in General Nursing

   That's strange. Most of the patients on my floor are on PCA and the docs don't write a 4-hr lockout at all. We calculate it as a back-up to what we put in, ie, Dilaudid 0.2/0.2/10, 4-hr lockout is...

3. bariatric nursing a good job?

   CharmedJ7 replied to allthesmallthings's topic in Nursing Career

   We get a fair amount of bariatric patients on my floor. Generally I find them to be reasonably pleasant - a little wary maybe, I see a lot more super positive family members then patients themselves....

4. Chemo exposure...when to worry

   CharmedJ7 replied to cyb3rRN's topic in General Nursing

   It really depends on the chemo agent in question. I work in oncology and the general rule is that for 48 hrs after someone received chemo they are considered to be on "chemo precautions." Exactly...

5. Standard Hospital Scrubs National Standard?

   CharmedJ7 replied to HeartsOpenWide's topic in General Nursing

   We just moved over to uniforms. We tried the ID band thing, but they still flip around a lot which is maybe why they decided they weren't working (I suppose this is a solvable problem though if they...

6. How do I know what BID, Daily Meds to hold before OR?

   CharmedJ7 replied to mandaaRN's topic in General Nursing

   This definitely seems like a policy and/or order thing. Pre-OR, the order set has a space for docs to specify which meds, if any, they want given prior to OR. All other PO meds are held, IV usually...

7. Question re: patient handoff/shift change

   CharmedJ7 replied to Nurse SMS's topic in General Nursing

   As others have said, it really depends. I received report on a pt, didn't like the sound of it, went it with the off-going night nurse and we ended up having to rapid response here and send to ICU....

8. Nurse-Resident Communications

   CharmedJ7 replied to TWStudentNurse's topic in General Nursing

   I find in general new nurses have a far easier time talking to residents than attendings on my floor, partly because they're who we have the most contact with. And for the most part, the residents...

9. Heparin SubQ administration?

   CharmedJ7 replied to Hellostudentnurssee's topic in Patient Medications

   I don't know what the purpose of going slow is. Most of my patients prefer it as fast as possible. I've never had any

10. Patient Positioning Frustrations

    CharmedJ7 replied to CharmedJ7's topic in General Nursing

    Thanks for all the responses, I appreciate it! Getting the bed lower for pulling is an interesting thought, I usually bring it up high so I'm not bending down, but potentially it is better lower. As...

11. Patient Positioning Frustrations

    CharmedJ7 replied to CharmedJ7's topic in General Nursing

    Not the pt, one of the residents (docs) I'm friends with. I love the PTs and they're great when they're there, but they can't be there all the time and they often put the pt in the chair and then we...

12. Patient Positioning Frustrations

    CharmedJ7 posted a topic in General Nursing

    I'm going to try to avoid this being a rant, but my apologies if I fail. I find patient positioning and mobilization to be the worst part of my job. We have lift equipment, and I will say it is...

13. diluting IV push meds

    CharmedJ7 replied to peaceful nurse's topic in Patient Medications

    I dilute narcotics because it's pretty hard/impossible to push 0.5ml slowly. I dilute benadryl because it's irritating to the vein. I dilute ativan sometimes for the same reason as narcotics, plus...

14. Percocet PRN

    CharmedJ7 replied to ChristineWV's topic in Patient Medications

    Pharmacologically it is safe to give 1 then the second at 3 hrs vs 2 together. The only risk I see potentially is if at 6 hrs from the first you give another 2 more than the patient has 3 in their...

15. improving staff responsiveness

    CharmedJ7 replied to idonthaveaphd's topic in General Nursing

    I actually think this is a great idea. When one of our techs is injured they are designated to "light duty" that means only VS and BS but they did it for all the patients. I actually thought it was...