XingtheBBB

XingtheBBB BSN, RN

OR, peds, PALS, ICU, camp, school

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All Content by XingtheBBB

  1. Questions for 30 unit option nurses or diploma nurses.

    XingtheBBB replied to Elleveein's topic in General Nursing

    Call school that offer an RN-MSN/NP and ask them what they accept. I'm a diploma nurse but carefully picked a diploma school that offered credit classes from a university. My credits transfer. Back...

  2. question about acidotic pts and labs

    XingtheBBB replied to crystalchen's topic in General Nursing

    If it was me sent to him on a rapid response team, I would suggest ICU and call dialysis to set up a machine there. I wondered, too, about that sugar! I even wondered if you were from Australia or...

  3. question about acidotic pts and labs

    XingtheBBB replied to crystalchen's topic in General Nursing

    I assume that was CO2 in a Chem 7, not CO2 in an ABG? Whole different concept there. Chem 7 CO2 is representative of bicarbonate, not acid and reflects the acidosis. Pt probably went to ICU to be...

  4. PEG tube placement checks

    XingtheBBB replied to IngyRN's topic in General Nursing

    Well, actually they can. In this case the PEG was fairly recent and the tract had not matured. Tracts can also erode. I'm not sure if the migration started with balloon failure or erosion of...

  5. PEG tube placement checks

    XingtheBBB replied to IngyRN's topic in General Nursing

    Ever seen a PEG migrate into the peritoneum? THAT's scary stuff. Sepsis, washouts, etc. I check. Even buttons. Just vent or aspirate, assess contents, and auscultate. I don't know if the nurses...

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

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

    We don't have a policy for keeping the next size down at the bedside but I always toss one in the room when it's my pt. Also, if you can't even get that in... stoma closing too quickly or too much......

  7. Question about catheters...

    XingtheBBB replied to CrazierThanYou's topic in General Nursing

    No, CamaroNurse, I don't think your post was OT, sounds like that was on the OP's mind also. I was going to point out the same thing. The longer a device sits in the body, the better the chance of...

  8. Straight caths - to clamp or not to clamp?

    XingtheBBB replied to SaraO'Hara's topic in General Nursing

    I've never seen it myself but I was taught the 1000cc rule to prevent hypotension. I've probably still got the textbooks to back it up. I never was sure why, though? A vasopressin effect? Does...

  9. Is this common practice or was I in the wrong??

    XingtheBBB replied to Sassylil14u's topic in General Nursing

    Yeah, that was the thought I kept getting stuck on. 8 stepdown patients is not normal. In and of itself. 6 is too many when you have vents, trachs, and recent transfers from the units. Let alone...

  10. Almost made my first medication order while on orientation how do you get over it.

    XingtheBBB replied to Blackheartednurse's topic in General Nursing

    Yes, that's exactly what I always do and was going to suggest same. I've been doing that ever since single dose packets appeared... long before we expected pharmacy to adjust dose units for us. Some...

  11. Abbreviations?

    XingtheBBB replied to Libitina's topic in General Nursing

    I assume RN is Registered Nurse? yes NP? Nurse Practitioner? yes CRNA? Certified Registered Nurse Anesthetist (like an NP, a CRNA has at least a Master's Degree (soon minimum will be doctorate)...

  12. RN-CRNA?

    XingtheBBB replied to mzkede's topic in Operating Room

    I left the OR after a few years to got to ICU while completing my BSN. I worked at the bedside in my second job while I was a PT OR nurse and a couple CRNA's I was close to encouraged me to consider...

  13. Or nurse float to floor?

    XingtheBBB replied to JOURNEYDL's topic in Operating Room

    13 room OR. 300 bed "teaching" hospital. (FP residents and various med and PA students but not surgical or OB residents. No trauma. OR nurses do not float out of peri-op. Most float to holding...

  14. "NP's Are Smart Nurses" ????

    XingtheBBB replied to Misslady113's topic in General Nursing

    LOL. Anyway... chalk it up to semantics. Often when people say "smart" they really mean "well educated" Yeah. NPs are more educated than bedside nurses. Therefore, when discussing the pt's care...

  15. Totally Gross! Had to share...

    XingtheBBB replied to Bumashes's topic in Patient, Colleague Relations

    Tip for anybody wondering what they would do if documentation became contaminated with bio-fluids- slap a tegaderm over the affected area. Back, too. We've had to do that in the OR or in codes when...

  16. Totally Gross! Had to share...

    XingtheBBB replied to Bumashes's topic in Patient, Colleague Relations

    I've often heard of people spitting on their computer. I've just never actually done it before. What an

  17. Does home health aid count as experience?

    XingtheBBB replied to sam1984's topic in General Nursing

    for the purpose of getting a nursing school seat, it should count. The PP is correct that is does not count as experience for a SNF where state requirements mandate CNA/LNA possession. I was a CNA...

  18. Lost my first ICU patient today

    XingtheBBB replied to TigerGalLE's topic in General Nursing

    Perhaps part of the problem is the gag and increase in abd pressure, even in an open abd, that increased pain as you were extubating. Just a thought. It might have been worse at that moment that...

  19. Lost my first ICU patient today

    XingtheBBB replied to TigerGalLE's topic in General Nursing

    Sounds like you did everything you knew you needed to. It can be hard to assess pain. Especially when someone can't move or make sound (FLACC becomes useless) when they are so septic/shocky that...

  20. Resident called me a "cheap date"...

    XingtheBBB replied to NurseLoveJoy88's topic in General Nursing

    When I was an aide I used to enjoy listening to some of the elderly residents. During nursing school I worked for an agency and often picked up shifts at a personal care home. I often paced my work...

  21. M.R.S.A or mersa?

    XingtheBBB replied to Pepper The Cat's topic in General Nursing

    I learned the pronounciation "mersa" over 15 years ago and it stuck. We used to write it as MRSa, not MRSA, but I haven't seen that in forever. I've actually seen nurses write "mersa" on a kardex......

  22. MIC gastrostomy tube question

    XingtheBBB replied to Blackcat99's topic in General Nursing

    Often, they come with 2 extension sets- one for pump feedings and meds and one wide tube for venting, gravity bolus feedings, or a larger volume of meds (fits a toomey syringe) The thinner extesion...

  23. Opinions of working in iccu?

    XingtheBBB replied to ITALY123's topic in General Nursing

    ICCU should be a great experience! Let us know how it

  24. Do Nurses Use Abdominal Percussion in the Field?

    XingtheBBB replied to j_tay1981's topic in General Nursing

    I've done it in ICU with pts who look like they're heading towards an ACS. Gives me a feel of whether or not it's time to page and tell then we need bladder pressures. Why do an invasive procedure...

  25. help! culture shocked

    XingtheBBB replied to nursecisstic's topic in General Nursing

    Are you in ICU by choice? It sounds like you're just there temporarily? Are you in the