bjaeram

bjaeram

OB, ER

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All Content by bjaeram

  1. "if you weren't so obese, you probably wouldn't have 1/2 the illnesses you do"

    bjaeram replied to SNB1014's topic in General Nursing

    I think asking instead of telling is a great approach to avoid judging, understand what the patient knows already, and it gets the patient more involved in the teaching. They learn more if they are...

  2. Why aren't pt phones & TV free?

    bjaeram replied to Florence NightinFAIL's topic in General Nursing

    We have free phones, tv, wifi, ect. I think tv's are actually very important. They are a huge distraction for sick people. That means less time on call lights, less time thinking about pain, less...

  3. As a nurse, how do you tell your PCP you want anti-anxiety meds?

    bjaeram replied to squatmunkie_RN's topic in Health, Stress Management

    I don't think drugs are your answer. You are inexperienced, overworked, and don't have a good support system. Drugs won't help that. They may make you not care so much but I don't think that...

  4. Large bore IV

    bjaeram replied to remf3's topic in Emergency

    Bigger is not always better or necessary. I work in a level 2 ER so we see critical patients every day. It is rare that you actually NEED bigger then a 20 guage. We aim for two lines and you can...

  5. Advice needed...how to survive the night shift commute...literally.

    bjaeram replied to NeoPediRN's topic in General Nursing

    Getting out and walking, streching my legs really helps me. Are you getting enough sleep in general? I would talk to your doctor and see if anything else can be done. As far as losing your license I...

  6. Do I need Insurance?

    bjaeram replied to Sl1011's topic in General Nursing

    I am involved in a case currently where the hospital I work for is being sued and I was the primary nurse. I'm not personally named in the suit. Anyway I asked the lawyer about this while I was...

  7. more than nursing professionals wearing scrubs

    bjaeram replied to wearingmanyhats's topic in General Nursing

    I don't care who wears scrubs really. I think your patient will know you are the nurse becasue when you walk in the room you should say "Good morning, my name is ......, I'll be your nurse today."...

  8. Coding visitors?

    bjaeram replied to blondy2061h's topic in General Nursing

    At our facility staff would start CPR, throw them on a cart, and run like hell to the ER, dump them off and go back to there organized world. The ER is used to coding and treating people they know...

  9. Coding visitors?

    bjaeram replied to blondy2061h's topic in General Nursing

    So you would just stand there and do nothing??? What difference does it make if it's a child or adult. You need to do at least

  10. Oh dear.

    bjaeram replied to Lunah's topic in Emergency

    exactly what i was going to say! if you are sick enough to need an er you won't

  11. Is leaving the premises and coming back considered job/ patient abandonment?

    bjaeram replied to lashuna1028's topic in General Nursing

    You can't just leave those patients without a nurse for 30 min. What happens if one codes, falls, ect. Do they just wait for lunch break to be done? Someone could die! Send a CNA or someone out...

  12. Do you include co-workers' names when charting? How do you chart?

    bjaeram replied to rn4ever?'s topic in General Nursing

    We were told to chart report given to....the reason it is it signifies the end of the writers responsibility for a pt. Say I gave report at 2 pm.....the next nurse didn't chart anything...the patient...

  13. personal tragedy

    bjaeram posted a topic in General Nursing

    My SIL was admited to the ICU about 6 week ago with staph sepsis. She almost didn't survive the first night. Since the infection is long gone but she is stuck withe severe damage to her lungs,...

  14. personal tragedy

    bjaeram replied to bjaeram's topic in General Nursing

    Thank you so much for the prayers!! Staci, my brother and all of us could use them. It seems mindless when they are old or braindead or obviously not going to have any quality of life. She is young...

  15. ACLS

    bjaeram posted a topic in General Nursing

    I'm taking ACLS on Thursday and didn't get around to buying the book. Do you know of any good online resources to look over the alogarithms. I've taken the class several times so I just need a quick...

  16. ACLS

    bjaeram replied to bjaeram's topic in General Nursing

    Thank you for the helpful

  17. ACLS

    bjaeram replied to bjaeram's topic in General Nursing

    The pretest is available to us through our hospital intranet. I have printed that off and will have it with me when I go. That is all that is required of me. From my experience most of the renewal...

  18. weaning

    bjaeram posted a topic in MICU, SICU

    I work in the ER an generally put people on vents instead of weaning them. My SIL is on a vent due to sepsis from a staph infection. She has been on 2 1/2 weeks. Her blood cultures are now negative...

  19. weaning

    bjaeram replied to bjaeram's topic in MICU, SICU

    Thanks! You might be right about the liver failure. She is very jaundiced the last couple of days. Is there anything you can do for that other then wait for the oxygenation to get better? I also...

  20. weaning

    bjaeram replied to bjaeram's topic in MICU, SICU

    What do you think about ecmo for her? No one has mentioned it but I'm wondering if it would be helpful at

  21. weaning

    bjaeram replied to bjaeram's topic in MICU, SICU

    Thanks for you thoughts! I spent the day yesterday with her and have a bit more information. She is having continued problems with metabolic acidosis. She had a rough morning with her bp dropping to...

  22. Central lines and TPN vs PPN

    bjaeram replied to emsillystudent's topic in General Nursing

    Is it a problem when you push amps of dextrose in hypoglycemia pts or codes? Is it okay because it's a quidk thing instead of a long term infusion? We do vanco all the time in peripheral...

  23. removing dialysis increases temp

    bjaeram posted a topic in CCU, Coronary, Cardiac

    A pt is intubated and on continuous dialysis following sepsis from a staph infection. Blood cultures are now clear, WBC wnl. Lungs still fluid filled and pt remains on vent. Pt is getting better...

  24. PPD ERROR???

    bjaeram replied to ShanNurse87's topic in General Nursing

    Anything you see in the first few hours means nothing. It is only positive if it is positive in the window to get it read. They often appear positive at first and it goes away. Don't worry about...

  25. I don't feel like i did the right thing...

    bjaeram replied to Da_Milk_of_Amnesia's topic in General Nursing

    I think it's smart to try the less invasive measures first as long as the pt is tolerating it okay. I obviously can't see the patient but if she looked decent I think you did the right