EymieICURN

BONES! bones that stick out of the skin, broken bones that crunch together when you touch them, joints out of alignments, I paid someone $5 to take an IO out of one of my patients. I am thinking of getting some therapy!

Assuming ATB stands for antibiotics...antibiotics are used to kill bacteria not viruses for those you need antivirals.

Have the nurse and anyone that witnessed the incident fill out an incident report. Where I work the risk management department sends the report to the responsible party/department and they have to address it....fill out enough of these reports and hopefully his provileges will be revoked.

My good friend used to say C=RN!

8 mcg X 130 lb X 1kg/2.2 lb X 250 ml/400mg X 1mg/1000mcg X 60min/1hr ______ kg/min =17.7 ml/hr

I had this problem...A nurse actually manually stretched my cervix...that was more painful that anything else during labor. I went from being 1 cm for over 12 hours to 3 cms after she "streched" my cervix to delivering 4 hours later.

IN the heart failure patient; Nocturia develops as edema fluid from dependent tissue is reabsorbed while the patient is supine. A healthy person may have nocturia if the lower extremity valves are incompetent, or in my case, if you work on your feet all day and drink tons of water...The legs can store a lot of fluids (think about raising the legs on a hypotensive patient) and as you lay down that "stored" blood moves through the circulation and the kidneys making more urine. When I used to work the floor I tried to drink a lot of water...I would have to go to the bathroom a few more times a night after those days that on my days off.

In the Heart Failure patient:

In my experience the Filter size does matter! So, it depends what your hospital buys. I have worked in hopitals where we run lipids and TPN throught the same filters and some that you have to run the lipids in after the filter (so you do not clogg the filter up). Another reason can be the type of tubing. Some tubing needs to be changed every 12 hours when running lipids, and TPN can run for 24 hours before the tubing needs to be changed. I have worked in places that mix the TPN and lipids in the same bag, I have not seen that in the last few hospitals..I think a lot of what we do is dictated by what the hospital has in stock. I agree with one of the previous posters, call the pharmacy and ask the pharmacist... they can tell you why they do it that way in that facility.

I had a confused patient that spend half the night saying " Oh Lord, Lordy, Lord". I had a male co-worker call him on the intercom and say "MR...., this is the Lord, please get some sleep" and he did! I also had a confused patient that pulled his foley out. He was bleeding a lot so I said (can't believe I said this-it just came out), "I think you broke it" and he responded "Honey, it didn't work anyway!"

Even though the BP looked "fine" the fact that the HR was so elevated means that the heart is working really hard to keep the BP at that level. Once the heart poops out that BP will drop fast. Like the previous post notes...it is hard to make an educated guess without knowing the surrounding issues.

I worked as a NUrsing Instructor for 3 years and now I am the Critical Care Educator at a hospital in Tampa. I LOVE IT! I always loved education, so this was the right job for me. I did my MSN in a year...that was taking 10 credits per semester. I did a lot of it online. It was hard to work full time and go to school full time but doable. I figure I will work hard for a year and then I will be OK, before I knew it I was done. The Professors for the MAsters Program were great...I had to have emergency surgery my first Semester and I got married my last semester and they were very understanding. Good Luck

I am a graduate of FAU...I did my BSN and MSN (in nursing Education) with them. I love the school and their philosophy (Caring). Since I did my BSN with them and had a good GPA I did not have to take the GRE and they waived the application fee. The price is good too, specially if compare to Barry. Good Luck

Thanks for the correction GOMER...the CEN does not required 2 years experience but two yeas of experience is recommended. http://admin.ena.org/bcen/brochures/CEN-Brochure.pdf

You can do an ECG course, highly recommended before you take ACLS you can take PALS and NRP You can sign up for a critical care course (those can be a bit expensive) or and ED course. Certifications like the CCRN and CEN require a couple of years experience in the specific area. Good Luck