MEDICJOHN

MEDICJOHN

Paramedic 15 years, RN now

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All Content by MEDICJOHN

  1. No wait list at my school

    Hi guys and girls If anyone is interested, there is no wait list at my school, LA trade tech in downtown L.A. I'm in 3rd semester and walked right in after taking the TEAS. If you are tired of waiting for school, think about applying to Trade Tech....
  2. Speed Shock

    I'm in preceptorship now. I gave Fentanyl IVP the other day and my preceptor warned me about "speed shock"....suffice to say, I googled it when I got home. Does anyone know about it? Does it only pertain to a certain class of drugs? say, vasodil...
  3. Antibiotic Tubing

    Being a new nurse, I am running into alot of nurses jumping down my throat for doing things this or that way. And it often leaves me stuck as to what is personal preference vs standard of care. This weeks question, it standard practice to use a dif...
  4. Standard v/s Contact

    I seem to be missing alot of questions where there is the choice between "standard" vs "contact" precautions. Can someone help me clarify which is which and why they are different?
  5. Ascites, and third spacing

    Is ascites, seen in Liver failure the same thing as third spacing seen in the abdomen of CHF? I dont think you could drain the belly of a CHF edema but i know you can drain the former. I think ascites is not really third spacing because its in the ...
  6. Mannitol in CHF, why not?

    Can someone please explain why we don't used mannitol in CHF. Yes, I know it's not indicated, but I can't understand why it is contraindicated. If it "pulls water" out, why would it not be a good thing? Confused! John
  7. Whats with Mondays?

    Worked 10 years as ER tech and now RN....so..whats the deal with mondays? Why is it universally insane? I have entertained many theories and and interested in hearing yours! Here are some of mine: 1. Daddy goes back to work and now mommy gets bore...
  8. Online BSN

    Anybody know anything about online BSN? I hear its common for ppl to go from AS to BSN totally online. Is it worth it? Anyone got any experience in either online or regular class BSN?
  9. How'd You Get Your ER Job?

    ER tech for 10 years, paramedic 15....sweet talked the director
  10. Online BSN

    Yes im already an RN.....
  11. I made my fist error recently. The order was Dilaudid PO and I work on a floor where EVERYONE gets dilaudid IV around the clock. So, the PO order was strange and unexpected. I gave the med, (same dose) and then realized it was PO later. I guess I...
  12. Useless "charge" nurse

    I work on Med Surg for the moment and my floor has all the physch and drug addicts. Needless to say, very hard to deal with. I have a "charge" nurse who loves to remind everyone that he is in fact the charge nurse. However, when things get crazy a...
  13. Useless "charge" nurse

    Davey, thanks..thats goin on my facebook!!!! Great quote!!!!
  14. Intubation without RSI meds??

    I have worked with docs like that...horrible horrible people, say nothing of horrible doctor. An a hole doc I once worked with had a full in MI while working in my ER...went into cardiogenic shock and ended up tubed in the ICU...he came back acting ...
  15. HATING MED/SURG

    I agree, the days i am "team leading" i do NOT give good pt care cuz hanging 10 drips and keeping up with pain meds every 20 minutes is all encompasing. Its a horrible thing to do to patients who deserve good nursing care....and all to save money by...
  16. HATING MED/SURG

    Looking at the clock is require to administer meds on time....duh!!!
  17. I'm now an RN, just review your a/p and dont worry about the other stuff. Micro, etc...u wont use as much as A/P.
  18. pet peeves when nursing students arrive

    I love students....I suggest the student say things like "what can I help you with" "Give me something to do" I remember my first months on the floor and you are lost, feel stupid, feel like you are in the way....but if u just be aggressive, the RN ...
  19. HATING MED/SURG

    I'm a fairly new nurse also and, of course, got sentenced to med surg. This is NOT nursing..its just looking at the clock and throw pills and antibiotics at patients. Anyone could do this. There is no assessment, intervention, nothing, just deliver...
  20. "Team Nursing"...hanging meds

    For those of you who have not endured the hell of "team nursing" it really sucks and is very dangerous. But my topic here is to ask. When you have 10 patients to hang IV meds on during the shift. How do you keep them organized and timed? I have a...
  21. Stocking up before nursing program starts

    wow, i got stuck into Americas Next Top Model too!!!!!!!!!
  22. Stocking up before nursing program starts

    If u have kids, premake and freeze meals for them, or your husband/wife. Go to amazon and buy Lippencott Manual of Nursing Practice, it will save your life when you forgot to study something and then hear about it the day of the exam. Huge book bu...
  23. ER nurses, let me pick your brains...

    IF you are asking what side you position the patient for the procedure, of course u would place him sitting on edge of bed or sitting UP in bed....a nurse would NEVER place a pt ON THE AFFECTED side for chest tube placement, the lungs and organs woul...
  24. ER nurses, let me pick your brains...

    In a pneumothorax, you lie the patient with the AFFECTED side UP....in a HEMOTHORAX, you lie the patient with the affected side DOWN. HEMO= to avoid blood draining to the one GOOD side of the chest, thereby makeing BOTH side problematic. In a pneum...
  25. "Team Nursing"...hanging meds

    Sounds like pretty much what I do. I was referring to antibiotics. I forgot to mention I am working on med surg now...(kill me)... and our hospital policy is RN's are NEVER to add anything to a bag...only pharm does that...safer that way. Anyhow, ...