ilikesharpthings

ilikesharpthings

Med-Surg ICU

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All Content by ilikesharpthings

  1. Is your hospital in the Arctic Zone?

    I recently brought a 70-something post-op patient a couple of warm blankets and she said, "oh honey, at my age that is better than sex!". ☺️Cracked me up!!
  2. Ataxia vs weakness

    Can someone please help me to understand scoring for ataxia using the NIHSS? If a person has limb drift in both arm and leg unilaterally, how do you determine whether the "clumsiness" is "out of proportion" to the weakness when doing the finger-nose-...
  3. What's your Myers-Briggs personality type?

    ISTJ - med c tele
  4. How do YOU clean your stethoscope?

    I just bought a new littman stethoscope and the instructions specifically said to use alcohol to prevent ruining the tubing. My old one (a lightweight littman) I used the clorhexidine wipes and the tubing hardened.
  5. What's your nursing kryptonite?

    So I had an order to remove a foley from an ETOH with AKI patient who had pulled his foley during his acute withdrawal. He was now A&O and having good output, no blood in the urine. So I deflate the balloon and pull and a fountain of blood just p...
  6. How to document your lunch time

    Write a note in the emr, "report given to such and such RN" when you leave the floor and "report received, this RN resumed care" or something along those lines when you return.
  7. Mispronunciations That Drive You Nuts

    I can't believe how many nurses can't pronounce metoprolol! Metopolol, metropolol, metroprolol.
  8. The honor of basic nursing care

    Just wanted to share a special moment that helped to remind me why I do what I do. I admitted a homeless, poorly controlled diabetic yesterday whose feet were... Well, you can imagine. I had a student who was excited to go through the admission proce...
  9. The honor of basic nursing care

    Thanks, everyone, for your kind replies and your stories. I think we all need moments like these to buoy us through the frequent moments when we're thinking, "What did I get myself into?! Why didn't I become a (insert profession here)?" I don't know...
  10. Student Nurse with a poop problem

    What I do sometimes is put on 2 masks with a mint teabag in between.
  11. Precepting students

    So, I am fairly new to the medical/telemetry floor where I work (about 8 months in) and we recently began having the influx of nursing students. I have had students assigned to me a few times - both ASN and BSN students at different points in their p...
  12. Nursing School Uniforms And Their Fate After School

    My husband worked for UPS when I was in school and would occasionally bring home in his pockets these awful black waxy crayon things that he would mark boxes with. So the night before my very last clinical day I threw my school scrubs in the washer a...
  13. How to pump breast milk on the go?

    I work med surg, but I bought 3 sets of pump parts so I just put them in a ziplock bag after each pumping session and use clean ones for the next time. Then I throw everything in the sink and wash when I get home. Saves lots of time.
  14. Precepting students

    Something like what you described, BluegrassRN, would be so great. Not all students are completely clueless, and there have been times where they seem really proactive or the instructor is really involved but I feel like there is a communication bar...
  15. I am the only retcher?

    In a pinch you can put a mint tea bag in a mask! Really helps with C. Diff!
  16. Please help a student nurse

    Be willing to accept that the real world of nursing often looks different than the NCLEX/nursing school world. Ask non-threatening questions about differences you see. Instead of saying, "Well thats not how WE learned it", ask your preceptor WHY they...
  17. Bedside Shift Report

    I have found that I usually do a short report at the bedside which is when I'll introduce pt, do a brief history, discuss current issue and plan, check lines, wounds, drains. Then a more thorough report after leaving the bedside. One issue we have is...
  18. Tattle tale? Or my duty to report?

    I worked as a pdn for a while and what I might have done in this scenario is work to update the care plan and 485 to reflect the patients normal VS and what should be reported to parents and then physician. Also, a friendly note in the communication ...
  19. Work in pajamas!

    I agree with the poster who said scrubs are practically PJs! I love working in my pajamas at the bedside, and plan to stay at the bedside as long as I am able to. In my pajamas. :)
  20. The Joys of CNA Work

    I'm not a CNA - I am an RN but I love and appreciate the CNAs on our team and have a great deal of respect for them and the work they do. I love working side by side with them to provide great care to our patients! One crazy morning one of my (very l...
  21. IVP Medication Problem

    You're giving 5ml over 5 mins. Or 1ml/60 seconds. Each ml on the syringe is divided by 5 calibration marks. So 60 seconds divided by 5 marks is 12 seconds per mark. Does that make sense?
  22. I notice nice veins!

    So true!
  23. I notice nice veins!

  24. RN Salary Survey 2013: Post here!

    Oregon 3 yrs Medical floor with telemetry $37.50/hr $2 diff for weekends, $5 nights No union