oldiebutgoodie

oldiebutgoodie RN

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All Content by oldiebutgoodie

  1. Good Advice for nubs.

    I beg to disagree. It's "newb". As in "newbie".
  2. Cardizem question

    Why does a cardizem drip need to be on its own line, as opposed to piggybacked into a bag of 0.9ns? Especially if the drip is going at 5 or 10cc/hour, I was taught (somewhere) that you need to...
  3. Feeling jaded...

    So two years is a critical point, hmmm? Kind of like the 7 year itch? Interesting....
  4. Pain Scores Effective or not

    A good scale should be reliable (get the same score again and again) and valid (is measuring what it is supposed to be measuring). I question the validity--perhaps we are just testing the patient's...
  5. The C.R.A.P. Score

    Thought this was hilarious, and quite applicable, and I'm not even an ER nurse! I guess my moral fiber is softening... Recently had a guy getting 2 mg Dilaudid q 2hours on the dot for abdominal pain...
  6. Pain Scores Effective or not

    Thank you for this thread! I HATE THE PAIN SCALE, and I think it is a load of c***. It is obviously the product of the bad old days when pain was not medicated appropriately, but we have swung totally...
  7. I think this is an example of hearsay in nursing. Everybody has an opinion,, but where's the data behind it (other than anecdotal)? I tried to find some studies on this issue, and did find this one:...
  8. PICC removal

    Could anyone explain how to properly remove a PICC line? I have found lots of info on inserting a PICC, but not on removing. One of our PICC nurses had patient lie flat, she removed the sutures, had...
  9. Cardizem question

    Ohhhhh.... I think I get it. There was one pump, not 2. SO, if I had 2 pumps, it would be okay, and actually preferable, because if the drip is low volume (5 cc/hr) I need more fluid to keep it open,...
  10. Cardizem question

    No, didn't ask the pharmacist. I posted the question because the CCU nurses got all frowny-faced with me when I brought the patient to the CCU, muttering under their breaths "NEVER piggyback...
  11. Feeling jaded...

    Yesterday I had a patient in uncontrolled a-fib, who had also just had a seizure, His wife was beside herself because he had diarrhea and she demanded Immodium, and because his butt looked red, and...
  12. Considering Air Force New Nurse

    Check out this web site: http://usmilitary.about.com/od/joiningthemilitary/Joining_the_United_States_Military.htm My son is a medic in the Air Force (enlisted). Since you have a college degree, you...
  13. Several years ago in my BSN program I had a clinical instructor in the PICU who had walking grand rounds with us (the students). Each student had to present her patient to the group, and the group +...
  14. Anyone Lost A Baby?

    I'm so sorry for your loss. I have also lost a baby, and felt like a truck hit me for many months. That is probably a good idea to go in to check the schedule, to ease your way back in. Don't feel...
  15. Please help me with my new Customer-er...I mean Pt

    I gotta say, I admire all of you who do L&D and Mother-baby. In my rotation in nursing school, I had the most obnoxious, demanding families to deal with, I swore I would never, ever do it. My...
  16. I have done hospital nursing now almost 2 years, and every time I think it is working out, the hospital changes schedule, hours, or staffing. Gave my notice today, and I am going to work PRN for a...
  17. Report time

    And you can always say, "I'm a new nurse, and still refining my report. Thanks for the feedback. How do you keep track of .... (enter here)." Hopefully, the other nurse will either quit being a PITA,...
  18. Unfinished tasks from previous shift?

    One of my favorite questions from a doc is, "Why is this patient still here??!!" (usually indignantly, with the assumption that SOMEBODY should have discharged him/her eons ago). Well, gee, Dr., I...
  19. My morale is shot...

    I hear all of you. I have been a nurse almost 2 years now, and am also going to work a float pool so I don't have to get called in by the nurse manager to b***h about various minor issues, mostly...
  20. Well, here are some links, but not sure if they are an exact matchto the study you recall. http://www.medicalnewstoday.com/medicalnews.php?newsid=28069 http://www.ahrq.gov/news/press/rnstudy.htm...
  21. Pros and Cons of Travel Nursing

    I have a condo that I have rented to travel nurses in the past. One nurse had been put up in an Extended Stay America or something like that, with only a bed and a lounge chair in the room (per her...
  22. Dx: Brain Death S/P work

    I have a recurrent dream where I have forgotten a patient all day long, and at the end of the day, I look at the assignment board and realize I never knew I had that patient! Similar to the dreams...
  23. **nurses Who Eat Their Young Should Be Kicked To The Curb***

    I think that the issue here should not be who's right and who's wrong, who eats who, etc. The issue is obviously that there is a LOT of emotion here, and it seems to stem from newbies (not just young...
  24. **nurses Who Eat Their Young Should Be Kicked To The Curb***

    Unfortunately, I have to agree with the OP about "nurses eating their young". The fact that this topic seems to come up so frequently indicates a real problem to me. I think the issue is the treatment...
  25. Med surg RN needs help with the taboo subject

    I googled "ostomy" and "sex", and found a few sites with info that is semi-helpful: http://www.uoaa.org/ostomy_info/ http://www.bigeye.com/sexeducation/ostomy.html...