sapphire18

sapphire18

ICU

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All Content by sapphire18

  1. Where am I competitive?

    sapphire18 replied to hik9258's topic in Student Nurse Practitioner

    Sorry, this made me

  2. How do you pronounce "centimeter" ???

    sapphire18 replied to shermrn's topic in General Nursing

    CEF-uh-peem.

  3. Hospice in LTC-Why vitals every shift?

    sapphire18 replied to Blackcat99's topic in Geriatric, LTC

    Wow. Never worked hospice, but when I have a comfort care pt we only ever take their temp, MAYBE a quick pulse-ox just to determine where they're at. I don't agree with doing blood pressures or other...

  4. Trachea Care: protocol versus real life

    sapphire18 replied to coffeebean88's topic in Nursing Student Assistance

    The only time I have ever deviated from hospital P&P or best practice regarding trach care was when I had a pt on the verge of coding. I figured he would've liked to be kept breathing and with a...

  5. What to do about refusing Dr. orders?

    sapphire18 replied to nancynurse0828's topic in General Nursing

    I agree with Tracy. I question orders all the time, request/suggest orders that I feel would benefit the patient- that is all in my scope of practice and I dont know any nurse who doesn't do these...

  6. Sucide lies: is it CYA or blaming?

    sapphire18 replied to Tiffanybaybay's topic in Emergency

    This. I wasn't trying to be passive-aggressive in my post, but I would never let this happen to me in real life. I WOULD have gotten the supervisor involved. And if that still wasn't enough, I would...

  7. Bad Dreams ---- What does this mean?

    sapphire18 replied to abbaking's topic in General Nursing

    It means that you are majorly stressing out, and probably thinking about work before bed. Do you have a therapist? If so, talk to her/him about those nightmares. I have vivid nightmares very often as...

  8. Chest Pain and DNR status

    sapphire18 replied to MissRN7's topic in Geriatric, LTC

    DNR stands for do not RESUSCITATE. So technically it shouldn't even come into play until the pt loses a heartbeat or stops breathing, at which point there is nothing you can do. It does NOT mean no...

  9. Refusing to dissect in A&P or Microbiology?

    sapphire18 replied to joel.mercado's topic in Pre-Nursing Students

    Dissecting a cat was the majority of our A&P lab...idk how they will grade you on identifying all of the bones, muscles, blood vessels, nerves otherwise. I do understand your beliefs- I am also...

  10. Sucide lies: is it CYA or blaming?

    sapphire18 replied to Tiffanybaybay's topic in Emergency

    I agree.. If the charge didn't want to be "implicated" should something go wrong, then he should play by the rules and follow the doctors order for 1:1

  11. *PLEASE HELP* Is this considered patient abandonment in IL??

    sapphire18 replied to JRN6311's topic in General Nursing

    If you have taken report and accepted the assignment, you cannot leave before reporting off to the accepting RN(s). Did you leave without giving anyone

  12. How do you pronounce "centimeter" ???

    sapphire18 replied to shermrn's topic in General Nursing

    I never heard the "sont" pronunciation until I was in nsg school. We had to ask our professor what she was talking about. It still annoys the he!1 out of me. Is it just a nursing

  13. How would you handle this..?

    sapphire18 replied to crichards00's topic in MICU, SICU

    Why would you restrict sedation/pain meds bc of renal failure? If they're still awake and in pain, they still need it,

  14. Night shift and daylight savings....

    sapphire18 replied to mappers's topic in General Nursing

    Realize that RNs in CA have it much better than the rest of

  15. Obamacare: are you for it, against it, or unsure?

    sapphire18 replied to Lucidity's topic in Activism, Healthcare

    Must be nice to make $60/hr!! I

  16. Night shift and daylight savings....

    sapphire18 replied to mappers's topic in General Nursing

    I think we're saying the same

  17. Night shift and daylight savings....

    sapphire18 replied to mappers's topic in General Nursing

    Pretty sure that's illegal...they cannot just NOT pay you for an hour that you worked. Doesn't work that

  18. How would you handle this..?

    sapphire18 replied to crichards00's topic in MICU, SICU

    Yeah, this is just wrong. SO frustrating...reminds me of the time we spent at least an hour sticking a patient multiple multiple times for IVs and blood draws...as soon as we finally get everything...

  19. Having a celebrity as a patient

    sapphire18 replied to Brian's topic in Nurses Rock

    I've had a couple different experiences with taking care of celebrities- we had to lock down the unit at one place d/t someone stalking this star (who was there visiting her sister). It's weird waking...

  20. Nurses need nursing advocates

    sapphire18 replied to Harmony2's topic in General Nursing

    We don't really have an advocate...unless you're at a union

  21. Noc Nurse perspective...

    sapphire18 replied to exit96's topic in General Nursing

    Yup, the same thing happens where I work, with the exception of the unfinished work. My first job was awesome with having separate food for all shifts, and our manager coming in at night for staff...

  22. Pain control via PRN narcotics

    sapphire18 replied to flyingchange's topic in Emergency

    Yes, the order needs a frequency, even if it's something like "Q5min." If the pt is in severe pain, I would dose with the higher dose; minimal pain gets the lower dose, and for moderate pain I would...

  23. IV narcotics?

    sapphire18 replied to AlphaPig's topic in Medical-Surgical

    I have been a nurse for 3 1/2 years and have never seen 1mg/ml dilaudid...that is one long shortage!!

  24. Drug guide question

    sapphire18 replied to MilliePieRN's topic in Patient Medications

    According to this, bc of the "or," the baby fits into both categories. Doesn't make much

  25. Signing out medications for my manager.

    sapphire18 replied to OlaHospiceRNBSN's topic in Patient Medications

    This sounds extremely fishy to me...why is it only dilaudid that she