XingtheBBB

XingtheBBB BSN, RN

OR, peds, PALS, ICU, camp, school

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All Content by XingtheBBB

  1. Can't rotate my steth head - advice?

    XingtheBBB replied to HealthShepherd's topic in General Nursing

    If it's Littmann, I think you can send it back for refurb... you can even have tubing replaced for an extra fee (but cheaper than buying

  2. Propofol shortage, anyone?

    XingtheBBB replied to CNL2B's topic in General Nursing

    Thats our problem with Fentanyl, sometimes we give 100 mcg but usually it's 50. Our policy requires the nurse to waste the rest AT the time of removal from pyxis, in that session, NOT to log out and...

  3. Propofol shortage, anyone?

    XingtheBBB replied to CNL2B's topic in General Nursing

    Yup. The POINT of precedex is that it's not a sedative, although it's an anxiolytic. We switched to fent + midaz or loraz gtts although we're starting to get the propofol back. Diprivan only, no...

  4. are filter needles necessary?

    XingtheBBB replied to brownbook's topic in Patient Medications

    All would be good reasons for carpujects, too. Do you do eye rooms? I imagine epi in carpujects would be nice with the rapid turnover and barrage of meds we give in the first 5 minutes of a pt...

  5. Coding visitors?

    XingtheBBB replied to blondy2061h's topic in General Nursing

    Depends on hospital policy- we prefer in my hospital that you do not call a code blue- we have a code just for visitors or out patients whether they're in arrest or just faint. The ER sends a team...

  6. MRSA in the nares

    XingtheBBB replied to Flo.'s topic in General Nursing

    We swab to cover our butts when payors refuse to cover HAI. If a pt develops MRSA in a wound or systemically we can see if they actually came in colonized or not. If they didn't, it's our fault, we...

  7. Running a code

    XingtheBBB replied to linda2097's topic in Operating Room

    At our facility, Circs were in charge of the code record. Only the nurse who was permanently assigned to holding needed ACLS. I happened to have PALS and ACLS from my other job. I think it helped...

  8. Baptism by Fire!!

    XingtheBBB replied to TigerGalLE's topic in MICU, SICU

    I'm jealous! Our acuity has been very low lately (I mean for over the last year) I miss the sick sickies. I'm at my best when they keep me on my toes! Good for you for proving yourself, bet you...

  9. how do i become certified in pediatric nursing?

    XingtheBBB replied to smartnurse1982's topic in Pediatric

    ANCC offers the RN,C in various specialties, including peds. The other organization was called "NAP-NAP" when I took their test years ago... Nat'l Assoc of Pediatric Nurses and Practitioners" maybe?...

  10. What happened to honor?

    XingtheBBB replied to JBudd's topic in General Nursing

    I was thinking the same. My unit, the ER, and the OR all have separate pre-printed sig sheets with teh names and sig of all regular FT, PT staff. There are blanks at the bottom so if your name isn't...

  11. Arterial Line Question

    XingtheBBB replied to wonderbee's topic in CCU, Coronary, Cardiac

    I have a couple thoughts from the last few posts- 1- I always zero to phlebostatic... the aortic root propostion is new to me... thanks for the exposure. We do typically keep our alines and CVPs on...

  12. Silly question:do most patients receive an antiulcer meds while hospitalized?

    XingtheBBB replied to Blackheartednurse's topic in General Nursing

    There are so many thoughts mixed up in my mind right now. I hate posts that reply in a list but I've gotta do here. -peptic ulcer prophylaxis and DVT prophylaxis are big these days. It's not really...

  13. NG tube question

    XingtheBBB replied to parrot07's topic in General Nursing

    Look into the fabulous device called a "lopez valve" It's a stopcock that fits between the gastric tube (any type) and the suction line or feeding set. Gives you access to the tube with less mess...

  14. Where are all of the "experienced nurses hiding?"

    XingtheBBB replied to SWS RN's topic in General Nursing

    I can't speak for everyone but that's the kind of thread I love! I can share what I know... clinical teaching is the fun part... and then I learn more as others chime

  15. Where are all of the "experienced nurses hiding?"

    XingtheBBB replied to SWS RN's topic in General Nursing

    Horseradish... for those of us who are not just "seasoned" but also "bitter" We post, we just get drowned out. Frankly, if I see a vent thread and one "OMG! How can you be soooo MEAN to your...

  16. So I Wore my Cap Today

    XingtheBBB replied to SuesquatchRN's topic in General Nursing

    My school switched uniforms halfway through. We had the blue pinstripe with the buttoned on princess seam panel and navy trim. There was a zipper inder the panel. Then we got white uniforms with...

  17. So I Wore my Cap Today

    XingtheBBB replied to SuesquatchRN's topic in General Nursing

    Did your front panel button on? Sounds a lot like the uniforms from my school. Pretty common actually in the 80s-90s. I still see that style around sometimes but in red, gold, and white from one of...

  18. New to HH, pediatric private duty advice

    XingtheBBB replied to Magsulfate's topic in General Nursing

    If you haven't been to Aaron's page, go. Now. Read some of the essays. Below is my favorite. (Actually I ahven't read some of the new ones.) I used to give this to new nurses I oriented. I...

  19. Lessons learned from a fatal medication error:-- reflections for CRNA epidural order

    XingtheBBB replied to NRSKarenRN's topic in Certified Registered Nurse Anesthetist, CRNA

    I'm seeing what I've said so many times. We have to spend so much time creating a pretty Joint Commission approved chart with teaching plans, i's dotted and t's crossed on the admission database...

  20. Do you admister oxygen on your floor to a pt complaing of chest pain?

    XingtheBBB replied to Blackheartednurse's topic in General Nursing

    I always start O2 before I leave the room to call the MD. I do it in ICU and I did it on the floor. I usually have the morphine in hand and the MI profile drawn or ready before the MD calls back....

  21. Perioperative Nurse Intern......

    XingtheBBB replied to LuvScrubs2's topic in Operating Room

    Did you look into Delaware Valley Community College? They have a peri-op certificate course. The editor of "Alexander's Care of the Pt in Surgery" text teaches it (or used to) I think they have...

  22. question about acidotic pts and labs

    XingtheBBB replied to crystalchen's topic in General Nursing

    tried to link to a site and

  23. question about acidotic pts and labs

    XingtheBBB replied to crystalchen's topic in General Nursing

    Does anyone know why I can't seem to edit my previous post? I don't want it causing further

  24. question about acidotic pts and labs

    XingtheBBB replied to crystalchen's topic in General Nursing

    Yuck. I've seen that blood. Never in someone with your pt's mental status and VS though. Acidotic and hypoxemic. Do you know what the pH was? I've seen that sludgy blood in the 7.0-7.1 range....

  25. How do I protect airway when trach gets pulled out?

    XingtheBBB replied to ahicks's topic in CCU, Coronary, Cardiac

    You might need the obturator to place the new trach. Some would place just the obturator in a true "can't re-cannulate" emergency just to hold the place. If the smallest trach on the floor doesn't...