BRANDY LPN

If you had a pt with sudden CP lasting 3 hours(at the time of hospital visit), radiating to left arm, back and neck, and labs and EKG and chest xray were normal. pt rates pain 7/10, b/p 146/94 p 72-128 on monitor, Sp02 95-97 on 02 via NC, and resp, 24. Pain is not better with rest, nothing makes it better (or worse). Smoker, strong family hx of heart disease, (father died at age 47, mother, mother grandmother hypertension, paternal grandmother died of unknown cardiac disease) This is my s/s list from Friday nights ER trip, I will let you guys guess then will tell you the dx.

Chiming in to say that once when I tested the balloon it WOULD NOT deflate, can you imagine the pain THAT would have been upon d/c? Anything can be defective, the safegaurds are put there for a reason.

I am tired and kind of lazy tongiht, so forgive me for not reading the whole thread, and if this has already been mentioned I'm sorry..... How in the world will being able to differentiate between staff decrease med errors????????????????? I don't care if you wear cutoff shorts and a tube top to work, how many of you have heard of a med error meing caused by an aide, or housekeeping? What a bunch of crap, another of the long list of reasons I am no longer practicing. Sorry, continue on.... I am all done griping now, and I feel a little better for venting that.

I am in the minority here in that I never minded the family video-taping or taking still shots, and would generally even try to give them an opportunity to get "posed" pics of baby in warmer, if everything was going fine. Other times during the actual birth of baby or during a resucitation I was generally explaining to mom and dad exactly what was happening, what we are doing about it, and why, for one reason saying the steps outloud helps ME remember them and talking to the parents instead of outloud to yourself just seems more professional/competent. I have never had a problem with a support person asking me to move out of the cameras way during a birth, and I would like to think this is because I have kept them informed at every step along the way. If I were a lawyer I would be questioning why no video exists, I would bring the parents into the court room and I would ask them what was said to them regarding video, I would review the policy, I would question EVERY hospital witness regarding this policy. After all if you are practicing competently, what do you have to hide, if you did nothing wrong why would you care if video exists? If you followed standard of care then the video should exonerate the doc, the nurse, and the hosp. right? If it were altered it could be proven, and the plaintiffs would be charged with tampering with evidence, and would lose their case.....that's what I would do if I was a lawyer.

Thank you, all the ones I only put in ( ) I KNEW I was mis-spelling, was just trying to get as close as possible to pronunciation as I could. I have a question about "Que hacer por ti" a husband of a former pt told me that and even worte it down for me, he was fluent in english but spanish was his first language, so is that slang or something? Here's a funny story, I had a completely non-english speaking pt and was trying to get her out of her room because a tornado was coming towards the hospital, I could NOT think of a word for "tornado" and finally got flustered enoguh to try using english LMAO. tornado=tornado

Que hacer por ti? what can i do for you? via con mio come with me orinar urine aqui (a key) here (con- TAR- say las ropas, pon-TAR-say las bata) take off your clothes, put on this robe el bano the bathroom ayudar help (beber) drink (comer) eat (yay-low) ice mi quero I want relaja e respiro relax and breath (sangray) blood also always remembre to say por favor- please I don't know how to write spanish and only speak very little so may wanna check some of these. lol a bunchof these are in the back of a tabers dictionary.

At my last nursing job we wore the scrub tops that snap up the front, and while leaving my pts. room i caught my top on the door handle, while simultaneously walking out and opening the door, unsnapped it almost all the way. Pts dh was in the room, and I was mortified. They both thought it was hilarious.

I know how she feels, I won't go into details but one of my laceration scars still twinges a bit now and then.

Is it possible to have shingles in more than one area? For instance can you have the rash around your eye AND on your chest at the same time? I have never seen shingles first hand before and don't remember what they said in nursing school about this. I know it follows a nerve path and is unilateral, but havent been able to find the answer to this question anywhere.

OMG Dawngloves, that is horrible, I cannot imagine how bad that must have been for all involved.

I wasn't even THAT lucky, my epidural had ran out several hours before delivery and they wouldn't give me any more because "you will have to stay in recovery too long" and wouldn't give me lidocaine for the repair because " you aren't feeling pain it is just pressure, you had an epidural after all" hmmm ya, NO I felt every single needle stick thank you, and of course was too young and stupid to really stick up for myself, I was crying the nurse was crying it was really bad, the whole reason I did OB nursing, you can bet that I NEVER allowed that to happen to any of my pts., and I have seen forceps with good results and even small epis. but would still rather just have the c/s, I know it is major surgery but forceps are just so dangerous.

My son has a DENT in his head from the forceps, it is still there he is ten. I was 19 when i delivered him and remember pointing it out to the ped who said "oh it will most likely go away, and if it doesnt his hair will cover it" I was much more concerned with brain damage! He obviosly doesn't have any brain damage but his hair doesn't cover it either. And whoever said that forceps are barbaric is right, 3rd degree epis and SEVEN lacerations- was not a good birth experience, would have healed faster from a c-section I'm sure.

I have seen it happen once and like alot of others it was during a stat section, was also the only time I ever witnessed a prolapsed cord, and from prolapse in LR to delivery in OR it took a whole 7 minutes, and I believe that the rush to make sure the baby was born HEALTHY was worth the stitches to the scalp....

Okay who knows how common is it to develop septicemia from recurrent boils? Have any of you seen this? Any good links/with statistics? Thanks Brandy

Read this article on pica, and try not to worry too much unless it becomes a persitant problem. I just found out my 4 year old that has been potty trained forever.... just pooped in her brothers candy bucket, when asked why she did it she said "there was no candy in it" like that explains everything......Kids are weird, and pretty gross. http://www.emedicine.com/ped/topic1798.htm