TonyaM73 ASN, RN

MED/SURG STROKE UNIT, LTC SUPER., IMU

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All Content by TonyaM73

  1. TonyaM73

    Brain herniation and eye movement

    TonyaM73 replied to TonyaM73's topic in General Nursing

    I wish I worked with Esme too!! I think I'd learn a
  2. TonyaM73

    Brain herniation and eye movement

    TonyaM73 posted a topic in General Nursing

    I have been trying to look up the name of this eye movement, but have not had any luck. Any of you that have experience with this, please chime in. Pt had massive global stroke, younger 50ish. I was...
  3. TonyaM73

    Brain herniation and eye movement

    TonyaM73 replied to TonyaM73's topic in General Nursing

    Thank you Esme! Everyone was a little freaked out by the eye movement last night and what that meant to the nursing care. We knew what was happening, but none of us had actually seen someone's eyes...
  4. TonyaM73

    Brain herniation and eye movement

    TonyaM73 replied to TonyaM73's topic in General Nursing

    sorry, forgot to put the "g" in nystagmus in the other post. Not enough coffee
  5. TonyaM73

    Brain herniation and eye movement

    TonyaM73 replied to TonyaM73's topic in General Nursing

    actually her head was perfectly stationary. I thought that doll's eye reflex was only when you turned the pt's head and their eyes still looked forward rather than the normal responce which is to turn...
  6. TonyaM73

    Brain herniation and eye movement

    TonyaM73 replied to TonyaM73's topic in General Nursing

    Everything that I am looking up mentions nystamus or abscent upward movement of the eye, but nothing that really describes what I was seeing. Nerdtonurse, what was the diagnosis with your
  7. TonyaM73

    high degree AV block

    TonyaM73 replied to trauma_lama's topic in General Nursing

    I would suggest checking breath sounds frequently and o2 saturation for the CHF. Strict I/O would also be a
  8. TonyaM73

    slower paced nursing in long term care?

    TonyaM73 replied to pepsi115's topic in General Nursing

    For the most part I am less tired and stressed out from my 12 hour/day med/surg job then when I worked LTC/rehab for 8 hours/day. I couldn't take a break in the LTC pretty much at all! If you want...
  9. TonyaM73

    Why are ICU nurses so rude?

    TonyaM73 replied to wanderlustRN24's topic in Patient, Colleague Relations

    Well said jls
  10. TonyaM73

    Why are ICU nurses so rude?

    TonyaM73 replied to wanderlustRN24's topic in Patient, Colleague Relations

    TigerGalLE True! So true! We are all just human and are trying our best to care for all of our patients. Some people are better at it than others and some have more experience than others. We also...
  11. TonyaM73

    Why are ICU nurses so rude?

    TonyaM73 replied to wanderlustRN24's topic in Patient, Colleague Relations

    I actually did have a family member die because a very small downward trend was overlooked until it was too late. I also understand that it was a suble change that may not have been understood in the...
  12. TonyaM73

    Why are ICU nurses so rude?

    TonyaM73 replied to wanderlustRN24's topic in Patient, Colleague Relations

    Wow! You must be a joy to work with. Real morale booster! In ICU when you are able to assess a pt every 15 minutes, I can almost buy that. Almost. On the floor when you see your pt every couple of...
  13. TonyaM73

    Why are ICU nurses so rude?

    TonyaM73 replied to wanderlustRN24's topic in Patient, Colleague Relations

    I, for the most part love our ICU nurses. They are helpful as all get out! Every nurse on my floor tried to get a line on one of my patients a while back and no one could get it. I finally called...
  14. TonyaM73

    Disappointed in myself and feel like a failure in nursing.

    TonyaM73 replied to NocturneNrse's topic in General Nursing

    Oh honey, I have had those feelings before and it doesn't feel great by any means. Is there a way you can transfer to a different unit? It sounds like a pretty toxic work environment. I tend to...
  15. TonyaM73

    Any legal issue there?

    TonyaM73 replied to akasu's topic in General Nursing

    I still don't get why he would not go back to the MD who placed it. Doesn't he want to make sure there were no
  16. TonyaM73

    Any legal issue there?

    TonyaM73 replied to akasu's topic in General Nursing

    Agree with the rest of the posters. Why doesn't he just go back to who ever put them in? You are placing yourself in a very bad position. What if the incision site opens up while you are taking out...
  17. TonyaM73

    measurement 0.5ml same as 0.50ml?

    TonyaM73 replied to ajfm's topic in General Nursing

    What Ashley says! It is too easy to see a 0.50mg as 50mg. BiG
  18. TonyaM73

    ER Wasted

    TonyaM73 replied to RNFiona's topic in Emergency

    OR sounds good. They don't complain or talk
  19. TonyaM73

    Giving a flu shot to patients without a signed consent?

    TonyaM73 replied to Double-Helix's topic in General Nursing

    I personally would not give it without a concent signed and in the chart. Everything else could be argued that it was covered under the general admission concent of the hospital, but if they did not...
  20. TonyaM73

    Two med errors... I'm sick!

    TonyaM73 replied to beatrice1's topic in General Nursing

    Don't worry! Everyone feels this way at first. You have the realization that "these people's lives are in my hands!" and it is scarry. The coumadin thing sounds like a proceedure error. If it is...
  21. TonyaM73

    Tips for first clinical?

    TonyaM73 replied to betsyMT2003's topic in General Students

    All so true! I absolutely LOVE teaching students, but if it comes down to teaching someone how to do something OR taking care of my patients and getting out on time (management does not like it when...
  22. TonyaM73

    Drug error

    TonyaM73 replied to coneartist's topic in General Nursing

    My thoughts are: #1 if the pt was already on Coumadin and has a CVA, why would the MD continue down that road? Why wouldn't he choose another blood thinner at least in the interum to hit another...
  23. TonyaM73

    staffing question

    TonyaM73 replied to SC APRN's topic in General Nursing

    Like the above poster said, we have until 2 hr before the shift to call off. They in turn will call you off about an hour before the shift starts, but you have to be oncall for just the first 4...
  24. TonyaM73

    Politcally incorrect rant aka how my day went

    TonyaM73 replied to rngreenhorn's topic in General Nursing

    Totally agree and could follow the second paragraph with no problem. I hope you have a better day today. I definately think management should shadow a nurse for a day and then tell us how we can get...
  25. TonyaM73

    "Knock, Knock!"

    TonyaM73 replied to sophiee's topic in General Nursing

    Mazy, That's funny! As I was writing that I thought the same thing....."Mrs. Sally Jones with gallstones and a SS number of ###-##-####....knock,