EJSRN

EJSRN BSN, RN

Med Surg, ICU, Tele

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All Content by EJSRN

  1. morphine,dilaudid,demerol

    EJSRN posted a topic in Patient Medications

    why is dilaudid the most common IV pain control method. Just wondering why i dont see more morphine. Why isnt demerol used very often? In my experience patients do not respond very well to...

  2. Nurse/Patient Ratios

    EJSRN posted a topic in General Nursing

    Just wondering what your opinion is about nurse/patient ratios. How much is too much? Please share!!

  3. Serous / Sanguinous

    EJSRN posted a topic in General Nursing

    Talking about wound drainage... Serous; serosanguinous; sanguinous. Thought I knew but now not so sure. I know this is stupid...

  4. What is the difference between monophasic and biphasic defibrillators?

    EJSRN posted a topic in General Nursing

    What is the difference between monophasic and biphasic defibrillators?? And how many joules do you charge each one? How do you determine the amount of joules to

  5. I m in big trouble! I think I failed my drug screen

    EJSRN replied to alex68's topic in General Nursing

    They cant tax it because anyone can grow it in their back yard. Only reason its not

  6. First Travel Assignment :(

    EJSRN replied to EJSRN's topic in General Nursing

    I hate that! OMG. It just makes everything more difficult. They should have a simple medication book. Not these stupid care plans for each pt. Just needed to vent.

  7. First Travel Assignment :(

    EJSRN posted a topic in General Nursing

    I have just started my first travel nurse assignment, and am having a really tough time. Im working nights which im not really used to and it seems that everyone hates me there:( Everything is ran...

  8. First Travel Assignment :(

    EJSRN replied to EJSRN's topic in General Nursing

    IDK maybe!! But they think it's completely normal to have NO mars. You are supposed to get on this confusing computer system and print out 0100 med list and it has all the meds for the entire floor....

  9. First Travel Assignment :(

    EJSRN replied to EJSRN's topic in General Nursing

    NO MAR! Its crazy. I just got a short 8 hour inservice on the comp. system. No inservice to the way things are done on the floor at all. But i guess thats because Im a

  10. First Travel Assignment :(

    EJSRN replied to EJSRN's topic in General Nursing

    Yea it is odd because the place I am working has many travelers, and they only hired one staff GN out of the last class. I don't understand it. It isnt my fault though. I just go were I'm needed....

  11. Nurse/Patient Ratios

    EJSRN replied to EJSRN's topic in General Nursing

    The new job that I am working at we have 9:1 at night. Its a med-surg

  12. What's the craziest order you've ever seen?

    EJSRN replied to ozoneranger's topic in General Nursing

    I've seen this many times to prevent withdrawl. Apparently its easier than prescribing

  13. IV Dilaudid problem patients!!!!!!!!!!!

    EJSRN replied to mina123's topic in General Nursing

    Although I am aware of these addictions, we must remember that pain is subjective. For all we know these people ARE in excrutiating pain. I'm not willing to make someone suffer because I think or even...

  14. TB test positive... but may be neg?? Please advise...

    EJSRN replied to bronzemint23's topic in General Nursing

    I had what looked like a positive and turns out it was just a local reaction to the PPD. Wonder why the CXR would take that long. Call them, explain your situation and maybe they can read it sooner.....

  15. NGT residual

    EJSRN replied to gtmoore's topic in General Nursing

    I would follow policy unless the abd. is distended or pt is complaining. 100cc is not much. I've pulled residual that is much greater. I would check later and if residual is greater I would notify...

  16. ~~NIGHT SHIFT~~

    EJSRN posted a topic in General Nursing

    hello! I have just accepted a traveling nurse position, and I will be starting next week working nights!!! Little nervous because one--this is my first assignment as a traveler and two--I've never...

  17. MRSA in the family

    EJSRN replied to Mistyz's topic in General Nursing

    Hello, seems like you know your stuff. MRSA is soo confusing to me. If a pt has an open wound with MRSA they are placed on isolation. If that very same pt comes in a yr later with something completely...

  18. NO LUNCH? NO BREAKS? Is that common in nursing?

    EJSRN replied to CleveRN2008's topic in General Nursing

    I think that is ridiculous. It definately happens but shouldn't everyday. I definately have days that I cannot even go the the BR. It's terrible. And usually if I swipe missed meal it doesn't even...

  19. NO LUNCH? NO BREAKS? Is that common in nursing?

    EJSRN replied to CleveRN2008's topic in General Nursing

    please see

  20. Ever pull the wrong med from the right cubie in the Pyxis?

    EJSRN replied to UM Review RN's topic in General Nursing

    yep and discovered that this incorrect med had already been administered to the patient a couple

  21. ileostomies and fistulas

    EJSRN replied to clever915's topic in General Nursing

    I've had this happen before, its such a pain. Have you tried like placing an extra drsg on the area that leaks? Like some gauze and an ABD pad and tape. Sounds like it may be difficult because of the...

  22. Back Rubs

    EJSRN replied to Saifudin's topic in General Nursing

    elaboration: It shouldn't matter who the patient is. It makes people feel good, and it is still one of the best nursing measures. It's one of the few things that we can do to make a patient a lot more...

  23. Blurred Boundaries: Should we eliminate the distinction between RNs and LPNs?

    EJSRN replied to ilovechadkrause's topic in LPN to RN

    Please Do Not put words in my mouth. I never said you dont deserve to be employed. I feel that there should be less or no LPN schools and all RN schools. There are LPN's that are much smarter and have...

  24. Back Rubs

    EJSRN replied to Saifudin's topic in General Nursing

    Thats pretty

  25. Back Rubs

    EJSRN replied to Saifudin's topic in General Nursing

    If the night is slow I will give back rubs. The patients just love it. The aids give back rubs with PM care