HyperRNRachel

HyperRNRachel

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All Content by HyperRNRachel

  1. changing a IJ central line for a PICC

    HyperRNRachel posted a topic in Infusion, Intravenous

    First a little background information. I work for a small hospital in the cath lab, we currently have two nurses who cover PICC placements not done by the interventional radiologist in Special...

  2. A cute way to remember some lab values.

    HyperRNRachel posted a topic in General Students

    K+ 3.5 â€" 5 Ca+ 4.5.- 5 Mg 1.5-2.5 Phos 1.8-2.6 Na+ 135-145 Cl 95-105 Crt .5-1.2 BUN 10-20 PTT 60-70 or 1 ½ times higher if on Heparin PT 11.0 - 12.5 or 2.o -3.5 times higher if on coumadin...

  3. policy to suture picc lines in place

    HyperRNRachel posted a topic in Infusion, Intravenous

    I am needing a policy, procedure and competency to be able to suture picc lines in place. Currently we use a stat lock but all chemo lines going to MD Anderson have to be sutured in place or they will...

  4. site rite vison with sapiens

    HyperRNRachel posted a topic in Infusion, Intravenous

    Anyone using Bard site rite vision with Sapiens? Hospital recieved the vision ultrasound machine today- super exicted but wanting some feedback. The good , the bad :uhoh3:and the ugly . We get formal...

  5. iv push benadryl

    HyperRNRachel posted a topic in General Nursing

    Do you dilute it with 10mls of NS before pushing

  6. Using a site rite ultrasound. HELP

    HyperRNRachel posted a topic in Infusion, Intravenous

    I've won the nursing lottery! After being burned to a crisp as a 7p-7a ER nurse for the last 4 years, I was offered an incredible day position in the cath lab working 8 hour shifts 5 days a week. The...

  7. Shoes for the ER??

    HyperRNRachel replied to TJG618's topic in Emergency

    Danskos-love them. I can also wear my Muzuno running shoes but only every once in a

  8. Joke..You know you are truly an ER nurse if...

    HyperRNRachel replied to HanaRN's topic in Emergency

    You know you are truly an ER nurse if: You have ever told a patient that Geodon is a pain med that can only be given

  9. How to cope with a drug error - destroyed confidence

    HyperRNRachel replied to cloverfield's topic in Emergency

    How do you cope with a med error? Learn from it and move on to being a better

  10. DKA- how often do you see the same ones

    HyperRNRachel posted a topic in Emergency

    We have one girl who comes in every 2 months in DKA. NO viens anymore, so now we are restricted to central lines! I honsestly think she does not given herself insulin in order to maintain a VERY low...

  11. Can you guess what the doc I missed.

    HyperRNRachel posted a topic in Emergency

    Patient ambulates in s/p motorcycle crash with no loc complaining of right shoulder pain and mult. lacerations and abrasions to right hands and bilateral knees. Right shoulder and chest xray done....

  12. Strange things found on (or in) a pt.

    HyperRNRachel replied to squeakykitty's topic in Emergency

    $972.00 on an overdose patient who came in due to ETOH and taking his mothers klonipin. He was not even sober when he started asking for his pants and low and behold he had a bunch of

  13. I'm guilty!

    HyperRNRachel replied to FireStarterRN's topic in General Nursing

    guilty too. one pink pad. it was the patient's birthday and she

  14. I was slapped by a doctor!

    HyperRNRachel replied to cluelessRN81's topic in General Nursing

    Can you say restraining order and battery charges???? The man needs to be out of the hospital setting if he cannot handle people or stress. OUT of a job, out of a license and off the streets. DO NOT...

  15. Can you guess what the doc I missed.

    HyperRNRachel replied to HyperRNRachel's topic in Emergency

    I have a crazy obsession w. lung sounds so I listen to everyones. You come in with a possible broken baby toe and I will listen to your lungs. I have only been a nurse for 2.5 years so I am still...

  16. Can you guess what the doc I missed.

    HyperRNRachel replied to HyperRNRachel's topic in Emergency

    You are smart! A large pneumo!!!!!!!!!! Not small or medium but LARGE. It was picked up by the radiologist who read the xray in the am, but by that time the patient was back in the er complaining of...

  17. Question/Concern about pt and Dilaudid IVP

    HyperRNRachel replied to Christy1019's topic in Emergency

    I was wondering about the iv K as well. If she was alert and talking why not give PO KCL. Potassium in a thumb- no way, especially since she was such a hard stick needing pain meds. I never risk...

  18. add your funny TRIAGE complaints from pts

    HyperRNRachel replied to er nursing's topic in Emergency

    Parents of a 3 month old infant "he goes cross-eyed sometimes" Parents of a breast fed infant " mustard colored

  19. Press Gainey in the ER

    HyperRNRachel replied to MrsWampthang's topic in Emergency

    My husband and i are both nurses and I think he has an excellent response on raising patient satisfation scores in the ER. First, during the triage process explain what the ER is for, give realistic...

  20. This Was Truely Unexpected Event

    HyperRNRachel replied to angelique777's topic in General Nursing

    I know this goes without saying but always document your *ss off when patients are unwilling to follow instructions or are noncompliant with written orders. I had an elderly lady come into the ER...

  21. Has anyone seen the movie "Night Nurse"

    HyperRNRachel posted a topic in Emergency

    I saw this movie the other day, made in 1931, with Clark Gable and Barbara Stanwyck. Besides being a pretty good oldie, it was enjoyable seeng the big screen portrayal of nursing as it was back then....

  22. MRSA scare !

    HyperRNRachel replied to Keepstanding's topic in General Nursing

    YES! I work in the ER and we get many, many, many people who come in wanting antibiotics for EVERYTHING! I cannot tell you how many times I have had a patient tell me " well I started running a fever...

  23. Stupidest reason to go to ER

    HyperRNRachel replied to DachRN's topic in Emergency

    0400, male patient- "itching to groin area x1 week" and was leaving to go out of the country and did not "have time" to go to his PCP. Patient told it was not a medical emergency and to follow up...

  24. Oh what they've done now!

    HyperRNRachel replied to littleRNthatcould's topic in Emergency

    This is all a bunch of crap! We are basically suppose to follow a script in or ER which consist of selling yourself to the patient, tellling them how long you have been a nurse, tell them all the...

  25. How do you wear your hair???

    HyperRNRachel posted a topic in General Students

    I just finished my first clinical which brings me to my topic. Hair. I have crazy hair. Kinky, curly, almost spiral curls, all natural. I cannot wear it down due to the fact it is thick. NO matter if...