llltapp

llltapp

ER, ARNP, MSN, FNP-BC

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All Content by llltapp

  1. Signed State DNR form no good????

    AAAAAAAAAAARRRRRRRGGGGGGGGGGHHHHHHHHHH I just got home from work and I am furious. I had a guy who was AAOX3 and doing great up until he stroked out this morning. I got report that he stroked out at...
  2. Vent: MD visitors who are NOT intensivists

    but, lets not forget that there are some real quacks out there and some nurses we wouldn't want to touch our dog. Those of us who are "in the field" get paranoid sometimes when it comes to our loved...
  3. New Nurse OUCH!

    when I was a lot heavier than I am now, thank GOD lol, I bent over at work and split my pants from orifice to elbow LOL. thank God the ER has scrubs
  4. new grad getting married..i need advice!

    I have gotten married twice before starting a new job LOL. As long as you let them know in the interview, it shouldn't be a problem. Usually it sparks a great conversation and you bond with the...
  5. needing some advice, what would you do?

    do what you are passionate about. money isn't everything
  6. wearing makeup to work?

    I never wear makeup. My husband hates it :). You know, the old "you look beautiful natural baby"
  7. Nurse Manager Write-Up

    Their beef should be with the ordering physician, not you. TYPICAL . Make the nurse the fall
  8. having a boyfriend vs. nursing studies

    bottom line: only YOU can define what will make YOU happy. If you have fundamental traditional needs for the roles in your relationship, then by all means, find someone that feels the same way....
  9. I give up! How long did it take you to find a job?

    Nursing is what we DO, not who we ARE
  10. Going before the board

    if you have done everything they asked , then take a deep breathe and be honest.
  11. Would you marry a Doctor?

    Now this is a funny thread . What about men who want to marry female doctors.... boy we are ASSUMING aren't we ? lol If anyone goes into nursing to marry a doc, man are you going to be...
  12. I'm biased, I love the ER. Things I love: great teamwork, variety, fast pace, HUMOR, playing detective, seeing the babies and kids (ones that are so cute, but not really sick :), great doctor-nurse...
  13. when you are in high anxiety, you don't retain information. While being nervous is normal, take some deep breaths and TRY to relax. They are not going to let you kill someone :) as long as you keep...
  14. New grads, once of orientation....

    yep. the most important thing to know is what you don't
  15. Vent: MD visitors who are NOT intensivists

    I'm sitting here laughing so hard at the OP and others. I WAS that ED nurse in the ICU with my 17 year old son who was literally on the edge of death for a week. The first time I went to the unit, I...
  16. Discharge Vital Signs

    Sometimes wish I didn't do discharge vitals LOL JUST
  17. Help with writing a care plan

    example: Dx: potential for altered skin integrity r/t imobility as evidenced by pt inability to turn and transfer Goal: pt will not show develop any stage 1 pressure areas for the next month Goal: pt...
  18. Is this Wrong?

    sounds like a GREAT plan to me
  19. I suck at IV starts

    by the way, everyone goes through this at first. There have been veins I could have crawled into and set up a tent in that I have missed LOL. The more anxiety you have the more difficult the task...
  20. New grads, once of orientation....

    Sometimes, the best that a superb nurse can muster is charting "pt observed awake, alert, alive" and stayed that way until the end of shift LOL and sometimes, that's all you can do. you are NOT...
  21. Remembering Lab Values!

    FYI: females hemaglobin and hematocrit being lower than males has nothing to do with menstruation. They are always "normally" lower than males before, during, and after mentruation in their lifespan....
  22. And if you have someone with DKA, make SURE they have that high potassium level before you start dumping them with insulin. Because Insulin puts potassium back INTO the cell and lowers the serum K...
  23. Like previous posts have said you find someone to give you the 411. Whether its another nurse, charge nurse, house supervisor, clinical nurse specialist, nurse educator, or call the ICU or ED and ask...
  24. 1. how about her airway and risk for aspiration? 2. her skin may be intact now but she has SEVERE potential for impaired skin integrity (what are you going to do for assessment and prevention of...
  25. acute and chronic renal disease

    medscape nursing online (free) is a must have :) Great info on there that will help you now and in the