Guest374845

Guest374845

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All Content by Guest374845

  1. Two step triage process and registration

    Guest374845 replied to Lev's topic in Emergency

    They register and are taken back for triage based on chief complaint or time (lower priority obviously). They get triaged by a single nurse and either get a room or wait for one. I wouldn't be...

  2. Doppler during Code

    Guest374845 replied to eastcoastrn586's topic in General Nursing

    In the ED, we take for granted that there's always an ultrasound machine nearby to look at the cardiac windows. There are definitely patients whose pulses are physiologically or morphologically hard...

  3. Needle stick badly handled

    Guest374845 replied to MurseMan123's topic in General Nursing

    So you were seen and prophy'd in an ER after a needle stick, and your actual name (that you presumably registered with) is what's in your chart? Even if you were a core staff member of that exact ER,...

  4. Emergency situation-- how should I have handled it?

    Guest374845 replied to ksola's topic in Emergency

    I think you did great. The worst thing to do would be to over-think in a situation like yours and miss the basics. For the future, check a pulse in anyone who looks like they're "seizing". Hypoxia...

  5. Suicide screening for all is not needed

    Guest374845 replied to Emergent's topic in Emergency

    I'm in paradoxical agreement with everyone in this thread. On one hand, I can completely see nurses as a whole probably missing some substantial chunk of SI, so 100% screening becomes the gold...

  6. Failed my drug test and I'm pregnant

    Guest374845 replied to ianurse's topic in General Nursing

    A hair follicle test targeting fentanyl or its metabolites can show use as far back as 90 days, so if she had her supposed positive UDS in the last few weeks, a hair follicle test could demonstrate...

  7. Failed my drug test and I'm pregnant

    Guest374845 replied to ianurse's topic in General Nursing

    I'm no expert, just a paranoid father whose been accused of munchausen's (sp?), but I'd get confirmatory testing that predates your false positive ASAP. The groundwork is potentially laid for...

  8. MEPS disqualifiers

    Guest374845 replied to aj111991's topic in General Nursing

    None of that should be disqualifying on its face. Absolutes are things like asthma, exczema, anaphylaxis, certain diseases (even when well-controlled), etc. Your recruiter should be already be...

  9. Questions about military branch nursing!

    Guest374845 replied to bqanna's topic in General Nursing

    I'll do my best to give you some information, and it probably won't be what you were hoping to read, but don't let it discourage you... time is your friend during this process. If you meet the basic...

  10. IV forms of Zofran and Decadron given PO???

    Guest374845 replied to GleeGum's topic in Emergency

    I had a pt who was allergic to one of the inactive ingredients in ODT zofran, that was the only time I've given IV zofran PO. Decadron, on the other hand, I give PO all the time. I was actually...

  11. Flight nursing in reserves

    Guest374845 replied to Jwhitfield9's topic in Flight, Surface Transport

    Military flight nursing is very different from civilian flight nursing. It's primarily and Air Force mission and something you can do in the reserve. You would be doing long distance, fixed-wing...

  12. Living Will Tattoo

    Guest374845 replied to jeastridge's topic in General Nursing

    The case study published by that patient's physicians is far better than the layman editorializations in the media. Other questions raised in the ethics consult were things like, "what was his states...

  13. IV Benadryl

    Guest374845 replied to kmrn1737's topic in Emergency

    Regarding IV valium and precipitate in NS: the precipitate is immediately unbound in plasma so it's actually ok to give it via a med port or diluted. The way around the precipitate altogether is to...

  14. Smallest gauge for blood draw?

    Guest374845 replied to KLouHerout's topic in General Nursing

    It's a combination of the needle (or catheter) gauge and whatever is pulling the pressure. A good flowing 24g IV and 3ml syringe yields perfectly acceptable results for my peds patients. Directly...

  15. Interview With The Most Influential Nurse Of Our Time -

    Guest374845 replied to DavidBeckerCCRN's topic in General Nursing

    I just want to thank you for helping me pass the CCRN. I listened to your lectures for hours while driving. And your side tangents are

  16. My NCLEX Experience: Preparations, Study Tips, and Acing the Exam

    Guest374845 replied to lilmonsterkray's topic in NCLEX Exam, Programs

    Kaplan all the

  17. How fast do you run blood?

    Guest374845 replied to Rexie's topic in General Nursing

    I always start at 30-50ml/hr for the first 15 minutes, then run the VTBI over

  18. How fast do you run blood?

    Guest374845 replied to Rexie's topic in General Nursing

    No faster than 2 hours (unless exsanguinating), no more than 4 hours from being issued from the blood bank. That's the standard of care per all the transfusion medicine guidelines I've

  19. Patient With a Fractured Hip

    Guest374845 replied to LM96's topic in General Nursing

    Generally yes, but only as long as there's clarity that the pt isn't on ultra strict bedrest i.e. no turns. "Hip fracture" isn't very specific, and I've had pts awaiting the OR with unstable pelvic...

  20. Feeling guilty ALL the time

    Guest374845 replied to detrelibre's topic in Emergency

    How long after getting the vanc did he transfer to the floor? You'll often see pressures drop after abx as the bacterial lysis releases vasodilatory endotoxins. I've just learned to anticipate it....

  21. Working out and Nursing..

    Guest374845 replied to Bnw684's topic in General Nursing

    My hospital has a gym that's super cheap for staff. I go in an hour early to work out before my shift. I used to stay late and work out after but doing it before work yields better

  22. What do you do when a patient refuses treatment and wants to go home?

    Guest374845 replied to xmilkncookiesx's topic in General Nursing

    You literally have no legal power to detain a person who is hell bent on leaving. If you've paged the almighty attending but they aren't calling you back, the pt is well within their right to just...

  23. What do you do when a patient refuses treatment and wants to go home?

    Guest374845 replied to xmilkncookiesx's topic in General Nursing

    Nor is it unilaterally a physician decision. A doc can't force you to detain a pt who is making a cogent decision to

  24. Military Medic Licensure by Examination

    Guest374845 replied to JonJohnson23's topic in General Nursing

    Honestly, the LPN-RN bridge might be the route that has the highest yield of "fast" and "safe". With a medic bridge or direct-to-exam option, while "fast", you risk losing the "safe" part: graduating...

  25. What is your hospital’s sepsis protocol? Do you tend to adjust it for CHF with low EF?

    Guest374845 replied to Purple_roses's topic in General Nursing

    Definitely find the literature and read it. And read other papers, old and new. Learn more about the physiology of sepsis, of heart failure, and of the treatments. Don't talk out of school because...