llltapp

llltapp

ER, ARNP, MSN, FNP-BC

Member
  • Content

    121
  • Visitors

    3,830
  • Followers

    0
  • Likes

    2

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 the nursing home. Came to us with a fully execut...
  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 ones
  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 arse to elbow LOL. thank God the ER has scrubs lol
  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 interviewer. GET a job, have fun, and get married! Co...
  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" LOL
  7. Nurse Manager Write-Up

    Their beef should be with the ordering physician, not you. TYPICAL . Make the nurse the fall guy
  8. I try never to discuss politics, religion, or sex :) However, I did stop asking who the president was while doing mental status exams LOL it caused too much controversy.
  9. 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. Don't expect to change him. Don't expect to motivate ...
  10. I give up! How long did it take you to find a job?

    Nursing is what we DO, not who we ARE :)
  11. Going before the board

    if you have done everything they asked , then take a deep breathe and be honest. :)
  12. 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 disappointed lol.
  13. 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 relationships, learning something new every day. no...
  14. 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 asking questions and being a pain in their arse. ...
  15. New grads, once of orientation....

    yep. the most important thing to know is what you don't know
  16. 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 told the nurse (who recognized me as a nurse), ye...
  17. Discharge Vital Signs

    Sometimes wish I didn't do discharge vitals LOL JUST KIDDING
  18. 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 will not have any skin tears within the next mont...
  19. Is this Wrong?

    sounds like a GREAT plan to me :)
  20. 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 will be. Relax and learn to laugh at yourself too :...
  21. 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 superhuman. Take a deep breathe and do the next right ...
  22. 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. Think about it, postmenopausal women still have lo...
  23. Student trying to understand DKA and Dehydration

    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 level. Keep monitoring that potassium level as you ...
  24. 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 for someone to talk to. And yes, in a PINCH, you ...
  25. 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 that?) 3. how about potential for muscle atrophy rela...