HyperRNRachel

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 Procedures and also help start PIV's and ultrasound guide...

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 INR 2.0-3.5 for coumadin WBC 5-10 RBC 5 HCT 40 Hgb 15...

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 remove to line and start another. Anyone willing ...

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 BARD training in August- over the top excited abo...

Do you dilute it with 10mls of NS before pushing it?

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 position is awesome! The hospital is awesome! It'...

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

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 IM.

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

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 weight- she looks anorexic. And, although, she com...

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. Right shoulder sling applied and iced. Patient keeps ...

$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 money!!!

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

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 PASS GO DO NOT COLLECT $200.00!

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 perfecting that skill. But I do not recall his right l...

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 dyspnea and needing a chest tube. Since a chest xr...

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 blowing an IV. If she was to be an admission I would ha...

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

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 wait times, and set clear expectations regarding th...

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 with her daughter. Patient was too weak to get into t...

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. One particularly funny thing was as punishment fo...

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 an hour ago so I took some antibiotics that I had ...

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 w.his PCP or we could tx his "jock itch" for 150.00. ...

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 great qualities of your co-workers, ask them if they n...

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 i use hair gel, the dryer my hair gets the bigger ...