HamsterRN

HamsterRN ADN, RN

Psych/CD/Medical/Emp Hlth/Staff ED

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All Content by HamsterRN

  1. Studying nursing theory, came across Jean Watson

    A profession's theory should define that profession as being distinct from others. While caring is central to nursing, it is also central to any "service" profession such as social work, medicine,...
  2. Frustrated over a code

    If techs were expected to assess patients then we'd be out of a job. An U/S tech doing a scan has no baseline to compare to and an ill appearing patient is not that unusual in a hospital. We learned...
  3. While it may be true that wearing teddy bear scrubs on an adult unit may make patients smile, so would wearing a clown costume. Is it any wonder Nursing has such a hard time being viewed as...
  4. What are the types of artificial pacemakers?

    It's understandable that your textbook caused some confusion. Pacemakers can be divided into two main groups: permanent and temporary. Atrioventricular (AV) pacemakers are subgroup of both of these...
  5. New BSN program-no accreditation yet?

    I also graduated from a new nursing program that was not yet fully accredited at the time I graduated. This is because part of the accreditation process is based on the program's graduation rate and...
  6. Sliding Scale vs Tight Glycemic Control?

    The cause of increased mortality is not known. The mortality rate was corrected for incidents of hypglycemia. Since many of the participants in the ACCORD study were taking oral antihyperglyecmics...
  7. Sliding Scale vs Tight Glycemic Control?

    A sliding scale is a method for controlling blood sugar and "tight control" refers to a blood sugar control goal, in our ICU this refers to a range of 80-110 using an insulin gtt, although we only use...
  8. SBAR with computerized charting

    The nursing process, not SBAR, is the standard for describing and communicating a patient and their plan of care. SBAR is intended for the communication of a singular issue in a way that allows the...
  9. SBAR for shift report

    SBAR is a useful tool for communicating a single issue, but it is not appropriate for communicating an overall patient story and plan of care. We already have a framework for organizing this...
  10. ANA, NNU and State Nurses' Associations

    Neither the NNU or the ANA is professional practice organization, as both are collective bargaining organizations and the ideology and goals of both types of groups often conflict, making any single...
  11. IV tubing terminology

    I'm curious how other nurses define primary and secondary tubing. This may seem pretty straightforward, but I've found a wide variety of definitions used by
  12. IV tubing terminology

    So I've finally figured this out (I think). The INS based their terminology on an (old) textbook in which defines IV set-ups without a pump (the book actaully refers to IV pumps and even plastic IV...
  13. IV tubing terminology

    Regardless of the amount of overfill, any overfill in the bag would still contain an equal amount of antiobiotics, still leaving it un-infused. The extra 10 to 15 ml a renal failure patient would get...
  14. IV tubing terminology

    If that is what a "primary intermittent" is, then it should not exist. Our tubing doesn't require 30ml to prime, but it does leave 15 ml un-infused if hung without a secondary set-up, and with a 50ml...
  15. IV tubing terminology

    The reason why I ask this is that the Infusion Nursing Society divides tubing into three categories: Primary continuous, secondary continuous, and primary intermittent. The common wisdom seems to be...
  16. IV tubing change

    I'm trying to figure out how nurses define different types of IV tubing, and noticed you mentioned "piggyback" tubing, how do you define piggyback
  17. Potassium and Insulin Relationship

    Could someone explain to me why we give insulin and dextrose to treat hyperkalemia? I realize that insulin and glucose help drive potassium into the cells thereby reducing serum potassium levels, but...
  18. Kayexalate + Hyperkalemia

    Not only has kayexalate never been proven to be the cause of reduced K levels, there has been enough research on the subject for the Cochrane Collaboration (the highest level of EMB available) to...
  19. IV site changes/tubing changes???

    The current CDC recommendation is that both primary and secondary (intermittent) tubing be changed no more often than every 76 hours, except certain solutions such as lipids and blood. This is a...
  20. The current CDC recommendation for changing IV tubing is that both primary and secondary (intermittent) tubing be changed no more often than every 72 hours, except for lipids, blood, etc. This is a...
  21. IV tubing change

    There seems to be a basic misunderstanding regarding terminology. It appears that the most common policy reflects the current CDC recommendation that primary and secondary tubing not be changed more...