mappers

mappers

Med/Surg/Tele/Onc

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All Content by mappers

  1. Last night I had a patient with a BS of 39. I had just finished giving report on her when she asked us to check her BS. Since the oncoming nurse still had to get report on a few more patients, I got...
  2. Learned something this week. I didn't know you had to use a 10cc syringe to administer meds through a picc or port. I know you have to use them to flush a picc or port. This is what I heard in...
  3. So at the hospital where I used to work, night shift does not get paid for the "extra hour" on "Fall Back" time change. They also don't get shorted the hour they don't have to work in the spring on...
  4. Pregnant Oncology Nurse

    We don't let our pregnant and breastfeeding nurses hang chemo. Our clinic has triage, lab, coag, and injections as well as chemo, so they rotate through those
  5. Should I dress up?

    So she should dress in Sesame Street scrubs??? She wants a job in peds. I think she should dress professionally in slacks with a jacket or a
  6. I'm suspicious of this stuff too. I an certified in Oncology. I do not deny that I learned a lot through the process of getting my certification. However, I now need to maintain all of these CEUs...
  7. Are American hospitals ready for Ebola?

    Since Ebola is not airborne, why would you need negative pressure rooms? It is spread similarly to HIV and because it is only contagious when the person is sick, you know they have it, unlike HIV? I...
  8. Half Question/Half Pet Peeve

    Because when men do it, they are just getting ahead and showing
  9. Someone told me the other day that soon Medicare will no longer reimburse hospitals who are not Magnet Status. I have a hard time believing this and can't find anything to verify it. Has anyone...
  10. LPN working at compounding pharmacy

    There really are no nursing actions involved in what you have described. I'm not sure there is a problem
  11. Charting"No s/s of infection noted" when pt comatose?

    I think what you are saying is that since a symptom is what a patient tells you, how can you write sign and symptom when the patient is comatose. I would put, "Patient non-verbal and unable to...
  12. Size matters? (IV question)

    For vesicents you want quick hemo-dilution and the smaller the gauge the better More blood flow around the catheter creates more hemo-dilution. Larger bores can sometimes occlude some blood flow....
  13. Rhabdomyolysis

    This happened to a friend of mine. Recently put on a statin and began an exercise program and diet in the way of lifestyle change. Ended up in the hospital on fluids because of Rhabdo. I doubt the...
  14. Nurses Talk To Nurses. Doctors Talk To Doctors

    This is my chief complaint about my current manager, there is no support or advocacy for the nursing staff. I work in a large clinic with 12 MDs. The majority of the MDs are professional and respect...
  15. How does chemistry apply to your RN position?

    Acid Base is great. I love Arterial Blood Gases and figuring that stuff out. You can also look up electrolytes and how they effect the electrical activity of muscles especially the heart. Chemistry...
  16. Dreaming About Work

    I was dreaming one morning that pumps were beeping everywhere and I was winded running from room to room, trying to find the bleeping, beeping pump. When I woke up, a neighbor was having work done...
  17. It's against the law to pay based on grades or pass rates. However, colleges are required by BONs to have a certain pass rate for the NCLEX or they will loose accreditation. I don't think the state...
  18. comfort care?

    This sounds completely wrong to me. Sounds like your facility (MD or MDS maybe) doesn't understand the theory behind comfort care. See if you can't get a trained palliative care person
  19. Without Orders

    BTW, mothers deliver the babies. Doctors, nurses, midwives, etc assist in the delivery, but the women in labor are doing most of the work. C-sections, on the other hand, are different and I sure as...
  20. Can They Do an Autologous Stem Cell Transplant...

    http://www.lymphoma.org/atf/cf/%7B0363CDD6-51B5-427B-BE48-E6AF871ACEC9%7D/MANTLE%20CELL.PDF If there is no bone marrow involvement (which I don't think is typical with Mantle Cell), I don't know why...
  21. I'm getting a little tired of the "this economy" thing too. Corporate profits and Wall Street are doing very well, it just isn't trickling down to the worker though. The fat cats are sitting on...
  22. Call to organ donation center post pt death

    We are required to notify the organ donation agency in our state for every death. I've done it a few times, it never took 45 minutes though. We do not discuss it with the family. If the deceased...
  23. Washing hands

    You should also use a towel to open the bathroom door and then throw it away outside the bathroom. There should be waste baskets outside the bathroom
  24. Accuracy of Automatic BP machines?

    If the readings are out of whack, I'll check manually. I trust my ears more than the cuffs, however I think the machines are good for showing
  25. Question about normal temps being lower for some?

    I have had people tell me this type of thing. (I work oncology where we carefully watch for neutropenic fevers.) Our guideline is 100.5. I've had people tell me that they normally run 97 so 99 is a...