TonyaM73 ASN, RN

MED/SURG STROKE UNIT, LTC SUPER., IMU

Member

  • Content

    249

  • Visitors

    7,198

  • Followers

    0

  • Likes

    6

All Content by TonyaM73

  1. TonyaM73

    how much orientation did you receive as a new grad?

    TonyaM73 replied to tokmom's topic in First Year After Licensure

    I got three shifts and all three were on different wings, so I didn't get the same patients more than once before I was on the floor by myself. This was LTC with rehab, but sheesh! After three...
  2. TonyaM73

    "Knock, Knock!"

    TonyaM73 replied to sophiee's topic in General Nursing

    What in the world does HIPPA have to do with it, unless they are screaming personal information rather than "knock,
  3. TonyaM73

    Bullying--The Other "B" Word

    TonyaM73 replied to rn/writer's topic in Patient, Colleague Relations

    Well stated. May people want to go to the extreem when they #1 Don't like someone #2 Disagree with someone. There are many examples of this in society including witch vs bully. Extreem behavior...
  4. TonyaM73

    Transfusing blood

    TonyaM73 replied to Grasshopper11's topic in Medical-Surgical

    I always prime with NS first and clamp, then run the blood though to almost the end. If it gets all the way to the end before you connect to the pt, you have a huge mess. I agree with the above...
  5. TonyaM73

    Behaviors you've learned to lose when at work.

    TonyaM73 replied to nola1202's topic in General Nursing

    Being too talkative and sometimes (expecially when stressed or upset about something) letting everything that comes into my head escape out of my mouth. I keep trying to remind myself that everything...
  6. TonyaM73

    Anyone ever seen a 17.2 for an INR

    TonyaM73 replied to LVN2beRN's topic in General Nursing

    I had a 16.8 on admission once. Pt felt dizzy and fell down that was why EMS was called and she came in. (Covered with terrible bruises) She had been on Coumadin for a few months, but she had...
  7. TonyaM73

    Written consent forms

    TonyaM73 replied to 2mochas's topic in General Nursing

    evidence best
  8. TonyaM73

    Pregnant stroke pt!?!?!?!?!

    TonyaM73 posted a topic in General Nursing

    Ok, got a very different pt the other day: Early thirties, 4 wks pregnant with numbness and tingling down right arm, leg and right side of face. CT negative, but MRI not done due to pt refusing and...
  9. TonyaM73

    Just finished my first interview--feeling not so great

    TonyaM73 replied to nulife4good's topic in General Nursing

    NO!! Chocolate cake first and formost!! Then on to the rest of your week. You deserve it. Good thoughts coming your
  10. TonyaM73

    Pregnant stroke pt!?!?!?!?!

    TonyaM73 replied to TonyaM73's topic in General Nursing

    WOW Elvish! I am so glad that everyone is safe and healthy. I would have chewed my nails to bits throughout the entire pregnancy. I worry about this pt and wonder what if anything can be done....
  11. TonyaM73

    Pregnant stroke pt!?!?!?!?!

    TonyaM73 replied to TonyaM73's topic in General Nursing

    Sometimes the crossovers can be the hardest to treat. We are so used to our specialties that when something like a stroke comes around...I have no problem treating it, but this was the first time I...
  12. TonyaM73

    Pregnant stroke pt!?!?!?!?!

    TonyaM73 replied to TonyaM73's topic in General Nursing

    Our protocal is CT first within 20 min of hitting the ED door and then follow up with MRI. CT is to see if there is a bleed and to find out if TPA is warrented. So, CT is kind of mandatory in cases...
  13. TonyaM73

    Pregnant stroke pt!?!?!?!?!

    TonyaM73 replied to TonyaM73's topic in General Nursing

    Thank GOD! Did they find out why she had the PE or was it a
  14. TonyaM73

    Pregnant stroke pt!?!?!?!?!

    TonyaM73 replied to TonyaM73's topic in General Nursing

    Due to the classic stroke symptoms. We have a stroke protocal which calls for all kinds of tests, echo included and a standard set of meds including anticoagulant (lovenox or heparin and aspirin) as...
  15. TonyaM73

    Pregnant stroke pt!?!?!?

    TonyaM73 posted a topic in Medical-Surgical

    Ok, got a very different pt the other day: Early thirties, 4 wks pregnant with numbness and tingling down right arm, leg and right side of face. CT negative, but MRI not done due to pt refusing and...
  16. TonyaM73

    Pregnant stroke pt!?!?!?

    TonyaM73 replied to TonyaM73's topic in Medical-Surgical

    That is pretty much what I told her, but a little less direct. "We need to make the house safe for the baby to be healthy." Have you ever taken care of a pt like this, what was done and what was the...
  17. TonyaM73

    Question for Nurse Managers

    TonyaM73 replied to WindRN's topic in General Nursing

    That is how I got my job. I had been trying to get into the hospital for a year and finally got up enough nerve to go in and try to catch the manager. Just go in and act really humble, let them know...
  18. TonyaM73

    Are nurse patient ratio's safe with the numbers rising away?

    TonyaM73 replied to Aubrianna's topic in Patient Safety Issues

    Oh believe me limey, I have been there and done that. I started out at a LTC with rehab and did the 20-30 pts with minimal CNAs to help. You are just as busy in the hospital with 7 pts as I was...
  19. TonyaM73

    Are nurse patient ratio's safe with the numbers rising away?

    TonyaM73 replied to Aubrianna's topic in Patient Safety Issues

    AH, 4 to 1 sounds like a dream job unless it's ICU. On med/surg we usually have anywhere between 5-7. Most of the time it is 6 or 7 to 1 nurse. It gets a bit busy to say the least expecially with...
  20. TonyaM73

    drug shortage ?

    TonyaM73 replied to Trekfan's topic in General Nursing

    We have seen a shortage of Levoquin for months now. If the pt comes in with infection (not Pneumonia), pharmacy changes the order if the doc writes for levoquin or makes it PO instead of IV. If it...
  21. TonyaM73

    Will LTC experience help in med-surg??

    TonyaM73 replied to Jasel's topic in Medical-Surgical

    YES! I spent my first year in a LTC/Rehab because at the time, hospitals were not hiring new grads. It will help so much with your time management, meds and some skills. My manager in the hospital...
  22. TonyaM73

    Funniest post op patient: Wish all were like her!

    TonyaM73 replied to Florence NightinFAIL's topic in General Nursing

    :lol2::lol2: That is
  23. TonyaM73

    Narcotics pyramid/tier

    TonyaM73 posted a topic in General Nursing

    We have been having a lot of discussion about the levels of narcotics that are prescribed to pts and am wondering if anyone has any sites of information about some kind of narcotic pyramid/tier. I...
  24. TonyaM73

    Medication Administration through a feeding tube

    TonyaM73 replied to lalexa15's topic in General Nursing

    You definately should not be punished for this, but I am always one to prepare for the worst. I would document everyone who was there and their phone numbers. I would also document time, place and...
  25. TonyaM73

    Narcotics pyramid/tier

    TonyaM73 replied to TonyaM73's topic in General Nursing

    Esme 12, thank you! This is exactly what I was looking for. I knew someone out there had to have this information at hand. I started looking but everything I found was not exactly