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onedayitllbeme

onedayitllbeme

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onedayitllbeme's Latest Activity

  1. onedayitllbeme

    Nurse recruiter at Atlantic Health

    Just a method I use, I can usually find names of recruiters for hospitals on LinkedIn . I dont normally contact them but I might if I applied for a position online and wanted to "follow up"
  2. onedayitllbeme

    PICC line blood draw

    Wow I'm shocked a place would have you waste 20ml for a blood draw. I hope there is an exception for GI bleeds and other anemias. If a patient is a reasonable stick I actually prefer peripheral blood draw in these patients to avoid the blood loss of wasting. Of course many have the piccs because of poor venous access.
  3. onedayitllbeme

    Weirdest/most difficult thing swallowed by a patient

    The inside of a instant heat pack. Turns out it is non toxic, likely for this reason. My patient was more confused than I realized! I was particularly shocked because I couldn't get him to take a bite of his dinner a few minutes before that.
  4. onedayitllbeme

    RN - Crushing medications

    I generally combine vitamins at the very least.
  5. onedayitllbeme

    RN - Crushing medications

    I have had CHF patients with a gtube that have between 10-15 meds at 10am. With previous suggestion we would get to half of their liquid requirement for the day by 10am with no nutrients. Here is a sample made up from my head of meds I seen scheduled for one time in an elderly for 10am Low dose aspirin Plavix Lasix Protonix liquid Lopressor Colace liquid Vitamin b-12 Vitamin c Multivitamin Acidophilus Seroquel Just an example, very common though, some of those are 2 or 3 times daily
  6. onedayitllbeme

    What nursing task do you loathe???

    Tap water enemas in bed.. Uhh, time consuming, uncomfortable for patient and a mess.
  7. onedayitllbeme

    Hep C? end of the line?

    Negative. I'm sure. Hang in there!
  8. onedayitllbeme

    Was I right, wrong, or am I going crazy

    I guess I should say a unconscious person in danger is not arouseable, sleeping is of course an unconscious state.
  9. onedayitllbeme

    Was I right, wrong, or am I going crazy

    It seems based on responses that posters know the original poster, as an outsider my question would be was she arousable, an unconscious person is not arousable a sleeping person is. If she was not arousable that is a problem and surely an aspiration risk. If she is breathing normally and her heart is beating normally there is no need for intubation I wouldn't think.
  10. onedayitllbeme

    Bedpan? Why not a Poise pad?

    I have had a female patient who was completely capable of using a male urinal, she was pretty mobile though. I think we should test out the female urinal more and get the shape right. My own 9 year old daughter is capable of pushing her pelvis out and Standing at the toilet like a boy to urinate. Maybe we've just been tricked into thinking we need a bedpan.
  11. onedayitllbeme

    CDC rec to counsel all males about benefits of circumcision

    But I'm not an adult male deciding whether to circumcise myself. I don't need to read to read that. I'll certainly encourage my son to read up in that if he ever asks me. I'm b sure there will be benefits and disadvantages. I dont go much for anecdotal accounts anyway.
  12. onedayitllbeme

    CDC rec to counsel all males about benefits of circumcision

    Up to this point there was this fake fear that somehow this procedure was so dangerous if u weren't a newborn because of the sedation which never made sense to me.
  13. onedayitllbeme

    CDC rec to counsel all males about benefits of circumcision

    I was actually happy to see u can infer from this new CDC information that a teen boy could consider circumcision if he wants and a parent doesn't have to make this choice for an n unconsenting newborn. My son is intact and I always felt it was his choice when he is older.
  14. Dbk99 that sounds almost identical to where I work. Also geriatric medsurge. We use to. Have a sheet like that but they got rid of it. We also include code status and DVT prophylaxis.
  15. onedayitllbeme

    IV catheter changes..

    From field change after 24 hours. Internally 4 days. It use to be 3. In the elder sometimes confused population they rarely last that long unfortunately.
  16. onedayitllbeme

    New nurse and feeling discouraged by older nurses?

    Hang in there. The only thing that surprised me a bit in your post was the saturation going to the 70's, but even that not knowing the whole story I wouldn't judge you. If the patient was asymptomatic completely for example you might have incorrectly assumed you could wait to sort out why he was sat'ing that low. I had to chuckle though at the new grad nursing student who said this " We were given 15 minutes at the beginning of each clinical to meet our patient and review the chart." I really think right after nursing school you have to hold off giving advice to RN's until you are working on the job and see what the real world is like. there is no 15 minutes/patient at the beginning of the shift to review the chart, that is nursing school only, you can take 15 minutes or as long as you need obviously to assess your patient and read the chart, but with 6 or 7 patients, it isn't always possible to get that all done at the beginning of the shift. That said you get better and better at getting a handle on the patient and being ready for report etc as you get experienced. I have only been on the job about 3-4 months without a preceptor and it is getting better everyday. Coincidentally just the other day a Nursing student casually came up to me to tell me my patient had an O2 saturation of 75% at which point I jumped up went in the room and he looked better than ever so I took a deep breath and said 'Where is the vitals machine?' She said 'Oh, I gave it to another nursing student'.. I quickly got another one, confirmed his O2 saturation was 98% and then gave her some education on how to handle the whole thing properly and how O2 saturation in the 70% was critically low.