stephynic21

stephynic21

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All Content by stephynic21

  1. NG tube in an intubated patient

    Just wanted some advice....recently had a resp arrest come thru the doors....we did all the stuff (intubation, ekg, ivs, meds, blood work, foley, NG)....it was early that morning and there were two of...
  2. What's in your pocket - ER Style

    --at least five black pens (and I'll be lucky if i end the day with two. I am notorious for leaving them laying around) --Stethoscope around my neck --Badge with 3m tape ran thru my badge clip and...
  3. NG tube in an intubated patient

    She had unsuccessful intubation attempts prior to arrival in the ER via EMS but successful the first time in the ER by the doc...so i guess stomach contents are possible if there was aspiration. there...
  4. Recieving a patient from ER

    We are not required to fill any orders other than STAT orders. I usually get the antibiotic going if there is one since we have a pharmacy in the ER and will give any meds that are needed IF i have...
  5. Heres a few-- 1. Ambulance ride for a toothache x2 hours. No ride home and hungry/wanted meal tray because they couldn't eat lunch related to the pain. 2. Scratch to left ear. Didn't bleed at the time...
  6. Rough orientation

    I feel everything you are saying! I've been a nurse for about 11 months now...i started working with my preceptor in August and was still working with her after thanksgiving. i'd ask questions and...
  7. calling ALL newly licensed NURSES.......[3yrs<]

    Graduated May 15, 2010 with my BSN, passed boards on June 19, interviewed 10+ times at different hospitals and then interviewed August 18 at the hospital where i currently work. I had to relocate in...
  8. I relocated as well. I graduated in May and each week of unemployment i expanded my search another 20 miles away from home. I got hired in August at a hospital 2 hours and 15 minutes away. I got an...
  9. Tetanus and a Tdap?

    Just need to get some nurses opinion on this. We have a new dean at my University and she is bonkers for real. My school is now requiring that we get a Tdap shot within the next two weeks or we will...
  10. OB careplan help

    I'm having some trouble coming up with a nursing dx for my patient. Really quick about her...38 year old female had baby girl on 9/15/09. has two other children, six and four. Vag delivery, no...
  11. Critical thinking

    I have a question about a critical thinking assignment that i'm working on. It gives the following information: Three women, a 21year old african american student, a 35 year old hispanic prostitute...
  12. low self esteem and clinical instructor

    Congrats to you for making it away from her! i had the same situation with my first semester clinical instructor. She hated me...i'm taking rolling her eyes when i spoke during pre/post conference,...
  13. Respiratory arrest

    i just have a quick question about why my patient had respiratory arrest. It said in her chart that she presented in the ER at one hospital with complications of COPD/pneumonia. She had SOB, weakness,...
  14. Respiratory arrest

    Thanks =) i still hadn't resolved why she had respiratory failure, but when i got to clinical today my instructor told me basically the same thing that you just did. I just couldn't wrap my head...
  15. While i don't have kids, something that my friends, family and boyfriend have had to get used to is the fact that i dont' always have time to do "the little things" anymore. Me and my best friend...
  16. Coronary angioplasty....

    Hello all! I'm trying to get some information to help me figure out what is going on with my patient. We have clinical tomorrow and i was at the hospital getting her info from her chart when she was...
  17. Coronary angioplasty....

    oh well. just thought i'd ask. I googled it and had no luck and my instructor didn't even know what it meant. Got too busy on the floor and forgot to ask. thanks
  18. Coronary angioplasty....

    one more quick question if anyone is still around. what is atherosclerosis without mcc
  19. Coronary angioplasty....

    Ahhhhh you are the best! Thank you all for helping
  20. I'm having a bit of trouble getting the wording right on my diagnosis. I know what i WANT to say, but i'm not sure how to say it. Mine are: Acute pain related to inflammation and painful...
  21. help with a diagnosis

    My pt is a 48 year old morbidly obese pt with type II diabetes, CHF, PVD, hypertension who just had surgery for a left occulded distal femoral artery below knee popliteal bypass with reverse...
  22. help with a diagnosis

    okay, took your advice on the second and it sounds alot better (thank you!), but i'm still not sure how to word this first one. i do see what you are saying tho....she isn't at risk if i'm saying...
  23. so i'm writing my first care plan by myself and i'm having a bit of trouble coming up with a nursing diagnosis. We gather all the information on the patient but we don't actually get to assess them...
  24. so i'm writing my first care plan by myself and i'm having a bit of trouble coming up with a nursing diagnosis. We gather all the information on the patient but we don't actually get to assess them...
  25. Care plan help with nursing DX questions!! =)

    sounds lots better than mine! =) Another one that i came up with was risk for imbalanced fluid volume related to intake in excess of output. Does that one work? I thought about it since his I&O...