sapphire18

sapphire18

ICU

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All Content by sapphire18

  1. Nurse giving discontinue medications to other patients

    sapphire18 replied to Nurse Amy Jolie's topic in Patient Medications

    This is where "critical thinking" (aka common sense) and problem-solving go out the

  2. Nurse giving discontinue medications to other patients

    sapphire18 replied to Nurse Amy Jolie's topic in Patient Medications

    Seems pretty ridiculous to me to call it dispensing without a license, diversion, or insurance fraud...the other pt didn't need the meds (they were d/c'ed), and the nurse's pt did...guess they should...

  3. Nebulizer

    sapphire18 replied to ariessanne's topic in LPN, LVN Corner

    Wow!.

  4. Nurse giving discontinue medications to other patients

    sapphire18 replied to Nurse Amy Jolie's topic in Patient Medications

    Why would she be fired? This sounds like you need to look at your own facility's policy on that. The pharmacy should be providing the patient's meds- why didn't they? In theory if it's the right...

  5. FFP infusion

    sapphire18 replied to EmeryRN's topic in General Nursing

    I've never heard of infusing plasma over 3-4 hours- ours usually takes 15-30 min, just wide open, and yes a 22 is fine; there are no RBCs to worry about breaking apart in a small gauge

  6. Case study of sorts

    sapphire18 replied to Nurse SMS's topic in General Nursing

    Delirium?

  7. Case study of sorts

    sapphire18 replied to Nurse SMS's topic in General Nursing

    Hmmmm

  8. Case study of sorts

    sapphire18 replied to Nurse SMS's topic in General Nursing

    My thoughts would be worsening aspiration pna and withdrawal. I wonder why his L side became weaker after initially

  9. Obesity, diarrhea and skin care

    sapphire18 replied to DawnJ's topic in General Nursing

    Dignicare?

  10. Nicotine Test for new employment

    sapphire18 replied to hls0810's topic in General Nursing

    I've heard it can show up up to 60 days

  11. Ambien- FDA Recommendations

    sapphire18 posted a topic in Patient Medications

    Hi all, My facility has recently instituted a new policy that ambien may only be prescribed/given in doses

  12. Ambien- FDA Recommendations

    sapphire18 replied to sapphire18's topic in Patient Medications

  13. Ambien- FDA Recommendations

    sapphire18 replied to sapphire18's topic in Patient Medications

    Ok, I didn't know if something had changed, because as far as I know this is a new policy. Thanks for the info everyone. Also, I've never heard of zopiclone, I don't think we have it

  14. ICU Charge Nurse with Patient Assignment

    sapphire18 replied to joeameehan's topic in Critical Care

    Our charge gets the same pt load as anyone else, but we're a very small

  15. AMA benchmarking

    sapphire18 replied to pharrington's topic in General Nursing

    Could you

  16. Most common (+ overlooked) reasons for abnormal vitals?

    sapphire18 replied to SoCal student's topic in General Nursing

    Hypotension: pt is a chronic renal or liver pt and low is their baseline (of course make sure it actually IS their

  17. Nurse brutally beaten in a Brooklyn Hospital

    sapphire18 replied to HGTVrn33's topic in Nursing News

    Ohmygod...this is one of the worst things I've ever heard of...I am sure she is getting super VIP treatment though...I hope she comes out of this ok!!

  18. How urgent do you consider melena to be?

    sapphire18 replied to Maddy_Rose's topic in Medical-Surgical

    100%

  19. C-Diff and commode disinfection

    sapphire18 replied to momandstudent's topic in Patient Safety Issues

    Put the commode in a large trashbag to transport down the hall (maybe double-bag). Also...clean BSCs in a dirty utility/hopper room seems unacceptable- they should be cleaned after removal from that...

  20. Pt's FB pictures of me

    sapphire18 replied to rse3's topic in HIPAA Challenges

    There's really no difference in looking for a pt in the obituaries than looking for them on Facebook. You got the pt's name through a "personal and private" interaction where the pt was vulnerable...

  21. Nicotine & Work

    sapphire18 replied to applesxoranges's topic in Nursing Professionalism

    Like a pp said, slippery

  22. Travel Nurses - Share your stories

    sapphire18 replied to Joe V's topic in Travel

    I can't stop thinking about travel nursing, this is perfect timing, I can't wait to hear some stories!

  23. writing telephone orders

    sapphire18 replied to nurse4lyfe37's topic in Geriatric, LTC

    TO = telephone order; you cannot receive a telephone order without talking on the telephone with a provider whom is giving you the order...as you know...your manager can put that on HER license if she...

  24. Never been charge.

    sapphire18 replied to RNikkiF's topic in General Nursing

    I'm in the same boat as you, OP- I've been a nurse for 4.5 years now but because I've done the job-hopping thing, I'm just getting to the point where I should be doing charge- and yes, people that...

  25. Clots related to fast afib

    sapphire18 replied to maloneys's topic in CCU, Coronary, Cardiac

    I was wondering that too,