mags-rn

mags-rn

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All Content by mags-rn

  1. Drug seeking or real pain? How do you tell?

    mags-rn replied to JudyPRN's topic in Pain Management

    Ok, I have to weigh in here. You are walking a fine line when you start to label pts as "drug seekers" Granted, they are out there. Because a person asks what medication they will be receiving does...

  2. G C S application

    mags-rn replied to Bruno Matos's topic in MICU, SICU

    In the Glasgow coma scale they get a 1 or T for tubed, as it is impossible to assess neurological function accurately without guessing, which defeats the

  3. Things I've learned from my ER patients...

    mags-rn replied to SouthernERNurse's topic in Emergency

    1. The hospital is the only place that Panadol or Asprin can be obtained 2.I've learned that the first thing a person wants to do after vomiting is "reload the cannon" by eating or drinking and that...

  4. New PICU nurse

    mags-rn replied to LtSusiePoz's topic in PICU, Pediatric

    Ah, you have dealt with stressed parents. But ICU is a different kind of stress. Its one stress to see your child acting out , its a whole other stress to see your child hooked up to machines and...

  5. Pain Medicine for a dying patient ...

    mags-rn replied to Tweety's topic in Pain Management

    I'd give it in a HEARTBEAT - and in fact have done so MANY times over my many years as a nurse. WHAT IF it's the last injection that helps the patient relax and die comfortably?? To me, THEN you are...

  6. how do YOU deal with unruly patients?

    mags-rn replied to pie123's topic in General Nursing

    I have heard many people take the matter of fact attitude including myself telling the patient that language like that will not be accepted here we have other patients that do not need to be subjected...

  7. Persantine Myoview

    mags-rn replied to eenthebean's topic in Cardiac

    As the in above reply - there is very little danger in this myoview. My understanding is that it will dilate the coronary arteries pharmacologically (instead of through physical exertion i.e....

  8. Steven Johnson Syndrome

    mags-rn replied to gwenith's topic in Burn

    Steven Johnsons and TENS tend to be partial thickness wounds and really dont require all those extensive and disruptive dressing changes. I forgot to mention, we started using ACTICOAT! This was...

  9. Welcome to our new pain management forum

    mags-rn replied to Brian's topic in Pain Management

    http://www.vh.org/pediatric/provider/pediatrics/PediatricPainMgmt/index.html http://www.wch.org.au/rch_palliative/prof/?doc_id=1686 http://www.medicineau.net.au/clinical/palliative/palliative3.html...

  10. PBS and Free Trade Agreement

    mags-rn replied to nyapa's topic in International Nursing

    Considering the amount of medication(s) ingested in the western world we are either the sickest bunch that ever lived or the most healthy. While it is true that we are healthier in many respects this...

  11. New PICU nurse

    mags-rn replied to LtSusiePoz's topic in PICU, Pediatric

    Congrats to you! I am a former Paediatric Nurse - hospital ward. I do ICU primarily adults nowadays. The one thing I can honestly tell you is to always, always take care of YOU...burn out comes to...

  12. Things that make you go eww...

    mags-rn replied to TraumaQueen's topic in General Nursing

    There is an old joke. God put a thousand people in one room and filled it 1/2 full of poop. Then sneezed with copius amounts of snot flying. The ones who ducked became nurses, the ones who stayed...

  13. Xygris question

    mags-rn replied to Dinith88's topic in MICU, SICU

    We've had great success with Xigris, but then it's been started early, and we've had little incidence of bleeding. I think it's a keeper. My only problem has been that thus far, patients have had to...

  14. What bacteria is it that turns the drainage bags blue?

    mags-rn replied to Diamond Nurse's topic in Dialysis, Renal, Urology

    I had to run a search as USA med brands differ to those in Australia. In answer to you questions 1. If the urine in the foley is blue the patient is probably on urised, a medication for bladder spasms...

  15. What's your craziest story of the ER

    mags-rn replied to debo_lpnER's topic in Emergency

    Cross my heart the following is factual Now, grab on to something, folks - Last week - adult male arrived heavily intoxicated in A & E (Accident and Emergency) s/p assault. Drunk and acts like a...

  16. Pay to park?

    mags-rn replied to uamsrn's topic in General Nursing

    A $5.00 weekly fee automatically deducted from our pay for staff parking. Hospital parking is free in the wee hr of the morn. - no one patrols the boom gates at this

  17. respirator mask for copd patients

    mags-rn replied to nu2this's topic in Pulmonary

    A venturi mask delivers a more precise FIO2 which can be important in COPD patients who are oxygen sensitive ( those that have a compensated respiratory acidosis on ABGs). FIO2s range from .28 to .60...

  18. Steven Johnson Syndrome

    mags-rn replied to gwenith's topic in Burn

    I no longer work in burns either, but over the past couple of years, there has been an increase in SJS and TENS. I believe it was/has been related to the increased combination of medications used to...

  19. Respirator weaning in COPD

    mags-rn replied to Vikingnurse's topic in MICU, SICU

    There is one thing to keep in mind - A.P.R.V ventilation, and that ventilation is not curative form of science, but only a means of

  20. central lines

    mags-rn replied to pjdk9's topic in MICU, SICU

    Referring to this specific question whether a line in the jugular vein could be used, the answer is no for the reasons given below. There may not be evidence in the literature about such things where...

  21. Part-time ICU

    mags-rn replied to pnurseuwm's topic in MICU, SICU

    Working PT in ICU - I am rostered on as FT in a 25 bed ICU dept. where I know of 2 staff who are scheduled on PT

  22. One in seven . . .

    mags-rn replied to road runner2003's topic in International Nursing

    Because this is an issue all throughout nursing, and not exclusively Australia. I stand strong in saying this - nurses should NOT have to put up with abuse whether it be verbal or physical. Spend a...

  23. Transfer routine...

    mags-rn replied to IamRN's topic in MICU, SICU

    The hospital I work at written physician order, or a verbal order to dc or continue meds is a must for discharge, a duration of script is also a must with indicated refills. If an RN or pharmacy has a...

  24. chest tube removal

    mags-rn replied to corkyrn's topic in CCU, Coronary, Cardiac

    Nurses are playing increasingly important roles in the ICU/CCU. It is not uncommon to see nurses remove central lines or arterial lines or endotracheal/ trach tubes. Therefore I see no reason why they...

  25. Lap Chole post op care

    mags-rn replied to NPJohnson's topic in Medical-Surgical

    Here - Generally speaking, no - no drains. Rarely they may come out with a T-tube, but again that is very rare. The only real consideration is to watch for bleeding from the clipped artery. A rare...