XingtheBBB

XingtheBBB BSN, RN

OR, peds, PALS, ICU, camp, school

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All Content by XingtheBBB

  1. which patients are in/out of your comfort zone?

    XingtheBBB replied to PureLifeRN's topic in General Nursing

    Medical kids are OK but I hate peds psych. I can't get used to the unsettling feeling of disliking a child because their behaviour is so frustrating. Nor can I get used to handing out some scary...

  2. stupid

    XingtheBBB replied to charlie1234's topic in MICU, SICU

    Yup. I know what you're saying completely. I know I've had shifts I'm not proud of. Maybe I could have fought harder for my pt etc. Not long ago I did the opposite of you. I was told to draw up...

  3. foley catheters

    XingtheBBB replied to troy09boston's topic in General Nursing

    I've only once not been able to pass a foley on a female... easy to visualize (and she was under anesthesia in lithotomy) I ended up having the urosurgeon from the next room insert it and believe me...

  4. peri-Op course at community college?

    XingtheBBB replied to HurricaneRN's topic in General Nursing

    I don't know where you are or how courses may vary but Jane Rothrock (editor of Alexander's Care of Patients in Surgery text) teaches at a peri-op course at a community college in south Pennsylvania....

  5. hyperkalemia tx of insulin and glucose?

    XingtheBBB replied to erin01's topic in General Nursing

    We always give the triple treatment- 10 units Insulin + D50 to balance the insulin + an amp of Calcium gluconate. Often we add Bicarb, too. (shifts K back into cells if acidosis has shifted it out....

  6. If you are a CRNA, how did you decide to become one?

    XingtheBBB replied to Piccione's topic in General Nursing

    I;m not a CRNA but I'm an ICU RN finishing my BSN with the intent to continue on to CRNA. I spent a lot of time taliking to CRNAs and observing them at work. Talked about the moment by moment...

  7. Why are or & recovery specialties paid more?

    XingtheBBB replied to MELY13's topic in General Nursing

    At most places the hourly pay is not more. In some in my area, OR does pay more hourly because they really need trained OR nurses... it's a 6 mos minimum orientation for a new grad or a nurse with...

  8. Wildest lab values you've ever seen?

    XingtheBBB replied to nerdtonurse?'s topic in General Nursing

    K+ = 1.5 ... after replacement! with a iCa+ = 1.? really hard to treat a low Ca AND a low K at the same time! Mg was 0.5 Pt c/o "weakness" times a few days. Progressive. Forget what the CK was...

  9. Would this be appealing for an RN?

    XingtheBBB replied to Born2BWild's topic in General Nursing

    It sounds like the OP is writing the description? How can she make it sound less

  10. stupid question alert...

    XingtheBBB replied to 45whenimdone's topic in General Nursing

    Early in the days of managed care this happened. Hospitals (maybe just in this area were trying to make floor RNs salaried and impose mandatory OT) I knew several RNs who applied for positions...

  11. This is a 'sterile' dressing change?

    XingtheBBB replied to 09NewGrad's topic in General Nursing

    Yes that's sterile. After all that I'd call it "packaged" We keep big piles of 4x4s and 2x2s in our carts that are used for wiping, accuchecks, and other unsterile activities. They are originally...

  12. Grr! "Customer Service" Nursing Gone Crazy!

    XingtheBBB replied to KaseyBSN's topic in General Nursing

    I know you're tongue-in-cheek but I don't think this is way off. Whatever happened to candystipers/ volunteers on the floors? Why did we pull them all back and put them in offices stapling mail?...

  13. Grr! "Customer Service" Nursing Gone Crazy!

    XingtheBBB replied to KaseyBSN's topic in General Nursing

    If serving drinks and snacks is important to administration, then they need to take a lesson from OB/peds and have DIETARY bring up a snack trolley to the lounge area or waiting room. Let the NURSES...

  14. Nurses who wish you "hadn't" - other healthcare careers you wish you'd pursued?

    XingtheBBB replied to arigsbee's topic in General Nursing

    Respiratory therapy. It used to be my favorite part of nursing... managing resp distress and vents. But there's a good chance I would have ended up a nurse anyway. I just wish sometimes that I had...

  15. "Scrub the Hub" means... ?

    XingtheBBB replied to Dialysis R.N. in IA's topic in General Nursing

    The OP is in dialysis so there shouldn't be any type of "posiflush" or "heplock" cap device on the end of the dialysis line. Open end to open end is the way to work there. I remember years ago, the...

  16. Internal "Lady Parts" Falling Out?!

    XingtheBBB replied to MauriceRC's topic in General Nursing

    It certainly happens. Look up "Uterine prolapse" for more questions to ask her and more information. Perhaps her mother had something along the lines of a "pubolady partsl

  17. Carpijet?

    XingtheBBB replied to missjmeRN's topic in General Nursing

    How have you kept your Tubex that long? Or is it the metal one? I was never a huge fan of the metal one but I bet I have one around somewhere. I dropped my last blue plastic tubex a couple months...

  18. Any RN or CRNA In Cali Willing to Help Student?

    XingtheBBB replied to thinwildmercury's topic in General Nursing

    The CRNA forum has a delay. I'd be willing to help out. I'm not a CRNA, but, like you, I hope to be someday! I'm an ICU nurse and I've worked in the OR along some great CRNA's that inspire

  19. associates in nursing is pointless

    XingtheBBB replied to kkia123's topic in General Nursing

    Then I agree with you. No school in the NY metro area should be allowed to offer an ADN. Years ago, when hospitals were begging for nurses, I tried to get a weekend/perdiem position in the city. No...

  20. If No Luck Trying to Straight Cath, Obtain Urine Sample from the Wet Pad?

    XingtheBBB replied to Zen123's topic in General Nursing

    Obviously it's not sterile for a culture but I have gotten ketone strip samples that way... don't try to "suck" it out of a pad with a syringe... just tear a little piece of the wet fluff out of the...

  21. Propofol Shortage...

    XingtheBBB replied to Ivanna_Nurse's topic in General Nursing

    Yup. It's not as bad for us as for the OR though! We've always used Teva prop so our hospital hasn't been hit too hard yet. The limited Teva recall was first and no biggie but the Hospira recall...

  22. decreased cardiac output

    XingtheBBB replied to lillysa1919's topic in General Nursing

    If I remember back (10+ years, LOL) Some schools or profs within my school said "related to" and others said "secondary to" The OP has the first parts of the dx just needs the "as evidenced by" or...

  23. Complain more please! It is just an hour!

    XingtheBBB replied to Tait's topic in General Nursing

    We have to chart hourly vitals and that's how I differentiated

  24. Is Tramadol part of your Narc count?

    XingtheBBB replied to Alibaba's topic in General Nursing

    Well, although it's non-narcotic, it has some action as a Mu (opioid) receptor agonist. I don't think it's had much problem with diversion/ recreational use but I have heard of some. I seem to...

  25. Boom in CRNA interest...thoughts?

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

    Could be, but I think it's more a reflection on the economy and the current state of hospitals and ambulatory centers. I've been talking to some CRNA's where I used to circulate- the OR schedule is...