scg08rn

scg08rn

Sub Acute Rehab/ Oncology Med-Surg

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All Content by scg08rn

  1. PICC removal

    I was taught that you measured the catheter and made sure the tip is
  2. What's wrong with kids today? (and I'm not even that old)

    The hospital is scary for all age groups, and the environment where you usually sleep in is not where you are at that time, I can understand. I'm in my almost mid-20s and have been hospitalized in my...
  3. Am I freak for charting meds as I pull them?

    Never sign before actually administering the med! what if you walk in the room and the patient is unresponsive or critical change in status? I used to work sub-acute rehab, the sister of long term...
  4. Do you shower right after your shift?

    being a zombie after 7p-7a, i still take a shower. with dial
  5. This is making me nervous

    It may be legal. I wouldn't agree to doing it. I would also emphasize quality of care. I'm sure most of the rehab patients don't turn themselves every two hours. It's hard to do cares/ADLs by...
  6. Some facilities have a checklist, however, if the teaching is related to risky AND safety behavior (falls, DM teaching, etc), I would defiantly write a short note. Doesn't hurt to cover your behind...
  7. Jevity from liquid to coagulation consistency

    jevity is very thick! Try to see if you can increase the amount of flushes throughout the day, that might
  8. Wanted to get everyone's opinion--regarding hipaa

    the only way he could look through the chart is if he is the primary doctor caring for the patient. even if he was a poa or decision maker, he would probably need to get permission from administration...
  9. ****** if you do and ****** if you don't

    what about good samaritan
  10. Unclogging a g-tube

    i googled "how to unclog a gtube" and those steps are at this website http://www.ehow.com/how_5135339_unclog-gtube-feeding-tube.html the website gives instructions for home care
  11. Unclogging a g-tube

    Coke, ginger ale.. flushing with cranberry juice once in awhile to keep it going. i encountered a nurse's who held the gtube at the base (by the stoma) and milking the contents towards the opening of...
  12. Question about holding meds

    i wouldn't have held the medication if the bp is wnl.. doesn't make sense. a doctor should always be notified if a medication is held or refused. if the bp is wnl now, in an hour it may not be because...
  13. medications at bedside

    where i work, the state came in for medications being left at the bedside (a patient reported it to the ombudsman..). it is not acceptable, and the nurse who left them at the bedside will be...
  14. need answer asap regarding peg tube

    i thought a peg tube had to be changed by a doctor, or is it by policy of the institution/regulations of the state? i know if a peg tube comes out, inserting a foley cath will keep the stoma
  15. Blood glucose levels in Diabetic Patients

    every diabetic is different. i've seen people unresponsive in the 50s but somebody talking with a cold sweat in the 40s. every diabetic is different. it all depends on the patient and how their body...
  16. Nursing Interventions...

    With fever you can put a cool rag on the forehead, encourage po fluids. But if these symptoms are presented to you by a patient, you need to call the doctor for further orders to find out what is...
  17. I always do- from my alert patients to my non-verbal ones. I have a majority of patient's with different degrees of dementia as well, but they still want to know what they are getting and what for. I...
  18. Trying to understand the death of an Organ Donor

    Hello. First, I'd like to share 2 stories of organ donation with you. - When I was in nursing school, during my O.R. rotation, a few of us stayed after clinicals to watch an "organ" harvest. The team...
  19. Graduating in 4 weeks and have a big question!!

    Hello, Jersey over here as well! http://en.wikipedia.org/wiki/List_of_hospitals_in_New_Jersey websites for New Jersey
  20. question :) o2 therapy

    Depends on policy, however if it's empty, replace it. My place is q weekly for all oxygen
  21. How to stay organized?

    It took me one year to place my organization together. I work in sub-acute rehab, I get a census sheet at the beginning of my shift with pt's info, so that saves me time. I have a good memory, so much...
  22. Everything about multiple choice questions

    I always read the answers first, not the question first. Then I read the question, and place rationales with them, go through the question again and eliminate those that don't relate to the question....
  23. First Clinicals....any advice??

    Wear a smile! :) Get yourself involved, ask questions of things you are unsure of, take lots of mental notes and keep a journal with you throughout your days during clinical. Look up / research what...
  24. Some Med Errors

    I once gave a patient sotalol 240mg when the scheduled dose was 160mg. The pharmacy sent a box of 40mg and 120mg and I pulled out two 120mgs, don't remember where my mind was at that time, I always...
  25. CPR on bed.

    No crash cart? A defibrillator at