respectall

Study your subject like you've never studied before!. I was in the same predicament where I was assigned to block hell. I know the instructor were doing what's best for the class and they want you to be COMPETENT nurses. Observe your instructor's tra...

If the pt is status post op, there are many possible etiology to his afib. 1. fluid vol deficit or overload 2. electrolyte embalance 3. pulmonary emboli 4. sepsis 5. substance withdrawal ( etoh, tobacco) If all of the above have been corrected and t...

This pt needs cardiology consult ASAP to better handle his arrythmia.

WHY was this conduct permitted or even tolerated. There's NO place in my unit that this SORT of narcissistic and condescending behavior is endulge. I am a preceptor and it broke my heart TO SEE how tretous and painful your orientation was. This prec...

Being competitive for egotistical reason is WRONG. Competitive to be competent is GOOD. Often times the degree of experience in the field makes staff think they have the right to punitively judge other staff who acquire less experience. This is ABS...

I'm NOT being defensive, I just want you to understand my RATIONAL.THANKs

Blondy206, WHY do you think many Cancer pt have a portacath? 1. Chemo tx requires a central venous line d/t its cytotoxicity. 2. DAILY blood work for inpt to monitor CBC c diff espicially post chemo tx. and outpt scheduled hematology 3. venous acces...

The 18g cath was just an EXAMPLE added to my question to you. I know PICC and PIV are two different venous lines - you're absolutely right. But the question arise, would you continue drawing DAILY blood work from peripheral IV in these pt population...

CORRECTION: 18GAUGE catheter in the L anticubetal.

Let me ask you a question. If your 75yo pt admitted for hematochezia on chronic steroid use for COPD has a h/h q8hrs ordered. He has no visible and or palpable vein for pperipheral blood draw, BUT he has a 18gauge needle placed in the e.d that draws ...

Blondy206, You totally misunderstood my point. When I said that pt who have daily blood draw need central line, I am refering to pt who have poor vein access and therefore NOT candidate for phlebotomy. I did not say that if any pt have daily bloo...

If they work in the floor they are paid similar regardless of degree held. however it's different if NPs' work for primary MDS', it is up to that group's discretion of how much they wage their NPs. NP's are often use as substitute for MDs in their o...

You're correct, when the PIV was just inserted it's absolutely OK to draw blood spec from it. After insertion it's no longer "adviceable" to get spec from the PIV because of risk of LOssing the site and extravasation. BUT when the ONLY way that a spe...

Learn basic first then advance as tolerated to more critical consistency. I started this way and NEVER regreted it! I am comfortable floating from ICU to MS . Been a ICU nurse now for 4 yrs.

I'm sorry for your loss. There is really no kind of preparation that can prepare you for the inevitable. My Father died of Esophageal CA, he was given three mos to live. I don't think I was ever ready to accept the loss of my dad eventhough we have t...

You must have lots of time on your hand. If you know what it mean, then just do it! You have sick pt that you could be doing something more productive, like researching about their DX and PMhx or helping them up the BSC. How pathetic!

Those ICU nurses that think they're "it", usually have a personality and EGO problem. I personally think they're nothing but bullies. They're so insecure about themselves that they pursue evry oppurtunity to step on something/someones shoe just to ge...

YES, there are a few ICU nurses that demean MS nurses. I have a few co worker in ICU who are narcissistic. Their Illusion of grandeur pass well beyond MS nurses to new MDs. Their number of experience and "knowledge" of the field makes them think the...

was there a PRN pain med that was ordered for this pt? If so why wasn't it given. A pain of 5/10 is considerable and could get even worse if no intervention is promtly implemented early. When you said "MD Aware" did you mean you consulted him about t...

absolutely precisely correct. many but not all new "young" nurse come into the profession with different expectation of their role. although i admire their enthusiasm of their profession. many believe that since they hold the same license as the prec...

M.D.s' also to some extent "abuse" their new partners. where I work new md associates are given too many pt assignments and are often on call even after hours. In addition, they're kept in house cleaning the mess while their senior partners are in th...

TERMINATION was the best thing that could have happen to that employee. Pt safety should ALWAYS be a priority amongst all. There obviously were a pattern of her negligence over a period of time and they were appropriately addressed by her preceptor. ...