Cuddleswithpuddles

Cuddleswithpuddles

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All Content by Cuddleswithpuddles

  1. Terrified! Advice.

    Hello, I have had the newly minted employee jitters many times over as a LVN and now RN. Your fear and uncertainty are normal. :) Here is a few things I have done to help me get through them... -...
  2. The Mockery of Nursing

    I already have a pitch for Fomite adult products, ahem. Hey baby. After a long, hard day at work, you deserve a little loving. I want what you have, baby, trasmit My love fire you have lit Your...
  3. SMELL

    Hello everyone, I tell myself that whatever suffering I am going through as a caretaker pales in comparison to the patient's. If I am disgusted by a smell, that is nothing compared to the wound,...
  4. hours worked

    I used to work weekends exclusively. I would sometimes complain about my situation until I got a few weekends off. I went about my usual off-day activities and was amazed at how crowded everything is...
  5. hours worked

    No, I can honestly say I have not gotten any snide remarks about my work hours. Mostly I get curiosity. Once in a while, a person reacts in envy because I am able to work 3-4 days/week. And, yes, I do...
  6. capstone in CCU

    Hello, I did my preceptorship in a CCU (which, I believe, is the same idea as a capstone). Loved it! That's how I fell in love with critical care. Three things I found it important to study up on......
  7. CCU vs. CVICU

    Not a dumb question! In my experience, each hospital will define the exact title and patient population of each unit. I have seen lots of overlap between the term CCU and CVICU. CCU may mean coronary...
  8. My Guidlines for Success for New Incoming SN's

    My tip... Take on the hardest patient during your clinical rotations. You know that patient. The one nurses do not want to get assigned to, spits, bites, has pressure ulcers everywhere, in isolation,...
  9. Fixing occluded peripheral IVs

    I don't think so. I think you did everything you should and could do. The redness, firmness and pain were definitely indications that a new IV should be started. When I started this thread, I was only...
  10. Fixing occluded peripheral IVs

    Hello everyone, I would like to know if it is OK to fix an occluded peripheral IV by using a 3 cc syringe instead of a larger syringe. I know that smaller syringes exert more pressure into the lumen...
  11. Your method for analyzing lab values

    CCs = cubic centimeter. It is the same as milliliter. A milliliter of water occupies 1 cubic centimeter. 1 cc = 1
  12. Is it worth it for me to start an LPN course?

    I was a LVN and now I am a RN. I worked full-time as a LVN through my RN program. I really do love the path I took. The time and real life experience in between my programs strengthened my foundation....
  13. Pre reqs for RN program

    How are you tested in the lab section vs. lecture? Sometimes it's not a matter of knowledge but a matter of testing
  14. How to adjust to night shift?

    Right at this very second, I am trying to stay up in preparation for my first night shift at my new job. I am already frustrated. Allnurses, do your thang and keep me
  15. Chest tube, flush and aspirate?

    Now that's a meal that sticks to your
  16. positioning after angiography and angioplasty...

    Pt should lay flat as possible. If not completely flat then definitely under 30 degrees HOB. Do your books go into detail about how the catheters for angiography and angioplasty are inserted? If so,...
  17. Fixing occluded peripheral IVs

    This was my thought as well. PIVs are much shorter and will theoretically "relieve" itself of pressure through its end much more readily than a long PICC. With PICCs, the excessive pressure can build...
  18. Fixing occluded peripheral IVs

    Think of blowing into a straw coffee stirrer vs. a garden hose. Lots more pressure in the teeny tiny hole of the
  19. Fixing occluded peripheral IVs

    We recently switched to Clearlink tubing systems. I am not sure what brand IV catheters we have now but they are just the standard over-the-needle ones. Clearlink requires the lock to be clamped when...
  20. Your method for analyzing lab values

    One thing I have noticed is that people do not always take the time to ask why a patient is on isolation. Sometimes people cannot even say what organism(s) are of concern and, if they do know,...
  21. Your method for analyzing lab values

    I am sure there is a large degree of "It's just what we do" if that's the usual response you got hehe. My few stabs in the dark: - One of the immediate things I thought of were nephrotoxic...
  22. Your method for analyzing lab values

    Hi everyone, Thank you so much for the wonderful information! Over the past few days on the floor, I have made a concerted effort to analyze labs and have gotten a firmer idea of my patients' lab...
  23. ACLS

    The AHA does have an online ACLS study program BUT will require you to see an AHA-certified instructor for hands-on training and testing. I have done it and the program is quite unwieldy. Classes are...
  24. ACLS

    A related story... Some of my classmates were very weirdly gung ho about getting their ACLS. They got their ACLS card even before we studied normal EKGs and arrhythmias in class. They were quite proud...
  25. Counting Respirations

    Ah, yes. That magical 20 respirations a minute. All the cool dudes are doing it. Why aren't you? Another common trap that people make is to look at the set breath rate on ventilators. Not every...