nminodob

nminodob

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All Content by nminodob

  1. atropine oph for excessive secretions

    nminodob replied to nminodob's topic in General Nursing

    I'm sorry, but I am unsure what RSI'd means...and RRT would mean respiratory therapist? I was off the following days so I really don't know the final outcome of all of this, but thanks to all of you...

  2. atropine oph for excessive secretions

    nminodob posted a topic in General Nursing

    I had a pt that suffered anoxic brain injury and had a trach, and was now stable in our stepdown unit. He became tachycardic last night and also had increased blood pressure, as well as increased...

  3. Incident Reports and Unusual Occurances

    nminodob posted a topic in General Nursing

    At my facility incident reports and unusual occurrences (IRs/UOs) are supposed to be used in a "non-punitive" way to correct so-called "system errors." But it has been my experience that this is a...

  4. Job interview- progressive care unit

    nminodob replied to tbell2's topic in Job Search, Interview, Resume

    First, good luck on your interview! I work in Progressive Care and I'm not sure if our unit is typical of all units that go by that name or not, but I will tell you about how it is with us: We are in...

  5. Hepatic encephalopathy

    nminodob replied to SweetLemon's topic in General Nursing

    I work on a TBI unit that has a lot of other neuro pts, including those with cirrhosis (alcoholic and otherwise) and HCV. Any of our pts with ESLD (end stage liver disease) are vulnerable to hepatic...

  6. New Grad Jobs

    nminodob replied to LoveMyDaughters's topic in General Nursing

    I worked thru nursing school, and got hired where I was already working as an extern (they called it a "Public Service Aide" - really a glorified nurse assistant). But I had to wait almost 4 months...

  7. ICU Stepdown workload

    nminodob replied to rotteufel's topic in General Nursing

    I work in a stepdown unit and we always have a charge nurse and a tele nurse, except times when we're short-staffed and the tele nurse might have to admit a pt. We require sitters (CNAs) since we have...

  8. Nursing Survey from California Board of RN

    nminodob posted a topic in General Nursing

    I received an interesting bit of mail today - a "New Graduate Online Survey" from the California BRN (I got my license in Jan 09). The stated purpose of the survey was to "document the difficulty...

  9. Shortening report on an ICU step-down unit

    nminodob replied to nminodob's topic in General Nursing

    First, thanks to all for your replies. I also wanted to mention that the freedom to pick our own assignments is what makes our unit special, and we don't want to lose that privilege. We use the...

  10. Shortening report on an ICU step-down unit

    nminodob posted a topic in General Nursing

    I work in a busy tele unit with a census between 20-29. Ratio is 1:3, and we have many unstable pts as we are an ICU stepdown unit. Our traditional reporting method is to gather for a general report...

  11. What are the types of artificial pacemakers?

    nminodob replied to ms.pebbles's topic in CCU, Coronary, Cardiac

    I have a somewhat similar question: Do pacemakers only treat bradycardia, or can some of them handle tachy episodes? And if a pacemaker can be placed to control tachycardia, how would it work? How...

  12. New male nurse getting ready to tackle first nursing job

    nminodob replied to scsunurse85's topic in General Nursing

    I bet a lot of folks don't get your sense of humor, do

  13. Common practice for any ER??

    nminodob replied to BAMARN09's topic in Emergency

    Had a pt the other night in our ICU stepdown unit with disseminated Kaposi Sarcoma who was scheduled for Ondansetron, Vanco, Clinda, and Metronidazole, all IV infusions and all at 2200. He had 3...

  14. SF General Hospital layoffs - update

    nminodob posted a topic in General Nursing

    In a March post I told everyone on the forum about the massive layoffs (more than 15,000 workers) at SF City & County, including the entire benefited staff at the county hospital, SF General....

  15. Memo to All Hospital Staff

    nminodob posted a topic in Nursing Humor

    As many of you may know, SF General Hospital is experiencing layoffs due to the city budget. This tongue-in-cheek memo was posted in our unit, and lightened the mood a bit: To: All Hospital Staff...

  16. TV shows and movies that are ruined, because you know better

    nminodob replied to HollyHobby's topic in Nursing Humor

    I was watching a Nurse Jackie episode (ok - I was bored) and the "student nurse" pushes 5x the fentanyl that's been ordered, sending the character into a "coma" from which they never think of...

  17. cantankerous and age study

    nminodob replied to Michaelxy's topic in General Nursing

    I can really relate to that part about having to go to a party. Somewhere through all these years I've lived I switched from loving parties to dreading invitations, because I never want to go to them...

  18. Dealing with delusional patients

    nminodob replied to hearts895, RN BSN's topic in General Nursing

    One thing I have noticed about certain psych pts, especially those with long-standing personality disorders like "borderlines" is their uncanny ability to "read" people's weaknesses - when they get...

  19. Drug Testing

    nminodob replied to CapeCodMermaid's topic in Geriatric, LTC

    My hospital has an indigent pt population with lots of methadone maintenance, ETOH pts on ativan, and other drug users. We typically administer many many doses of opiates and benzos on any given...

  20. question about pneumonia

    nminodob posted a topic in General Nursing

    This is not a request for medical advice. A friend who was hospitalized for pneumonia insists the doctors told her that her bacterial pneumonia "traveled" to her knee, and that is why her knee become...

  21. question about pneumonia

    nminodob replied to nminodob's topic in General Nursing

    I have never heard of reactive arthritis but it certainly seems to fit the description.

  22. Alcohol Withdrawal Assessment Tool or Beer with meals?

    nminodob replied to Mbshil's topic in General Nursing

    Beer with meals? Is your facility in Europe or something? That's funny, because I have always questioned why we are required to snow a pt with benzos to the point where they drift in and then out of...

  23. Nurses and vaccines

    nminodob replied to georgiasfynest's topic in General Nursing

    The facility I work at allows us to sign a waiver ifwe refuse the H1N1 vaccine, but also requires that we wear a mask for all pt care during flu season! In other words, we all got the

  24. Nurses rally for national law mandating ratios for patient care in hospitals

    nminodob replied to herring_RN's topic in Activism, Healthcare

    I am a Calif nurse. Yes, when layoffs come around the CNAs are cut. This is because there are no laws protecting them. Of course, this makes our job harder. But think about it: if there were no...

  25. California nurses, how do you experience burnout?

    nminodob replied to want2banurse35's topic in California Nursing

    Nursing is a hard job everywhere. When a pt is really, really sick, they need ALL of you, and ALL the time. THere is no way that this cannot be an exhausting experience. However, it helps if there are...