EJSRN BSN, RN

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 morphine....

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

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

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 administer?

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

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. sorry

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 completely different than any other hospital that I'v...

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. Its soo screwed up.

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 traveler.

i live in western ny and made $22.39 at my last hospital when i left. The nursing home i worked in before that I made $17.61. It depends whether or not the hospital is union. If so they usually make quite a bit more. There are other hospitals in my a...

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. Another thing is this hospital has no MAR's( med. admi...

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

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

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 pretty sure that they're an addict.

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.. Good Luck! If it turns out to be positive it's not...

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 the doc because it sounds like an absorption issue.

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 worked nights... Any suggestions?? Any easier way to ...

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 unrelated they are placed on precautions for Hist...

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 show up in my paycheck. I just love it when some ppl ...

please see below

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

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 location in relation to the wound vac. This wouldn...

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 comfortable (without an order) I can understand i...

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 much more experience than me, and I learn from th...

Thats pretty sad...