CountryGirlRN

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1. Now, if you saw this on a chart, what would YOU think?

   CountryGirlRN replied to AngelfireRN's topic in General Nursing

   My favorite is the doctor who described the pt's wound drainage as "pu__y" instead of purulent.

2. Feeding tube residual

   CountryGirlRN replied to mharrah's topic in Geriatric

   Always check for residuals before putting anything down the tube. Our pts on tube feeds have different protocols, but the most common one is to hold TF if the residual is greater than 150ml. I don't hold the meds, though, just the TF.

3. What I have learned from working with a QUAD

   CountryGirlRN replied to elizabeth8503RN's topic in General Nursing

   I work with paras and quads on an SCI unit. Here are a few things I've learned: The pt is your best guide when transferring to the wheelchair - he knows what he can and can't do and what you need to do Take the time to let the pt do what he can fo...

4. what do the docs use in colonoscopy?

   CountryGirlRN replied to johnnyDoGood's topic in General Nursing

   We use GoLytly on our pt's - they have to drink about 2 gallons of it! They also get tap water enemas the day before and the day of the procedure. Of course, all my pt's have spinal cord injuries; people without SCIs take some kind of laxative pill...

5. Concerned about bias/predjudice when seeking home health services

   CountryGirlRN replied to DLKeys's topic in General Nursing

   To DLKeys: I'm so sorry for your daughter's condition - what a nightmare. It sounds like all the above posters gave you some really good advice. I know this is off the subject of prejudice, but I felt compelled to write. I'm writing because I have w...

6. Do Nurses Use Abdominal Percussion in the Field?

   CountryGirlRN replied to j_tay1981's topic in General Nursing

   I don't use percussion as a nurse, but most every doctor, PA, and NP I've seen (and my kids have seen) has used it.

7. VA nurses, what time is your largest med pass?

   CountryGirlRN replied to twokidsmom,rn's topic in Government

   At my VA, where I work day shift, our largest med pass is the 1000 one. However, we only have between 7-9 pt's to give meds to. We do the blood sugars and IVPBs ourselves. We do have a lot of IVPB lately. I wish we had enough LPNs to have them pa...

8. How are nurses adapting to genesis electronic records?

   CountryGirlRN replied to raggyrehabRN's topic in General Nursing

   At the VA, that's all we have - its called the Computerized Patient Record System, and I love it. We do spend a fair amount of time on notes, but I think it saves time since everything about the pt is right at our fingertips - orders, notes, meds, l...

9. beta blockers for anxiety?

   CountryGirlRN replied to Zookeeper44's topic in General Nursing

   My doctor asked if I wanted a beta blocker when I asked for something for anxiety for my CPNE (Excelsior College clinicals), but I ended up getting a one-time rx for xanax. It worked like a charm and I only took it when I needed it. Good luck on yo...

10. what are some websites where i can go and take nclex mock test online

    CountryGirlRN replied to princess007's topic in NCLEX

    I agree, the NCSBN's site is the best! I used it to take the NCLEX-PN and the NCLEX-RN and passed both. I highly recommend it.

11. Why would I NOT help? I'm confused.

    CountryGirlRN replied to AngelfireRN's topic in General Nursing

    We have one advanced practice (Wound Care & Continence) nurse on our unit and she will ALWAYS help if asked - even though she is very, very busy. She will help clean the pt, turn the pt, change the linens, etc. The docs help too, if you ask the...

12. Recent Excelsior Grads, I have a question

    CountryGirlRN replied to caringtouch's topic in General Nursing

    I waited about 2 months to get the date and then another 4 months I think for the date to arrive; but I really needed that time to prepare and was glad for it!

13. Are verbal orders still done?

    CountryGirlRN replied to pumlittlekin's topic in General Nursing

    Yes, but then the doc writes the order right away...usually!

14. CPNE Mistakes - I would love to learn from yours

    CountryGirlRN replied to pebbles57's topic in Online Learning

    I failed the IVP lab because I took too long getting the bubbles out of the syringes - and went over by one minute! The instructor told me I could just draw up the whole syringe full of fluid and then expel the extra into the trashcan (I knew this, ...

15. Meeting with the TCN Rep in the morning

    CountryGirlRN replied to readytoroll's topic in Online Learning

    I used TCN's Study Guides for Excelsior's ADN program. The content in them did not match up, at times, with the questions on the tests; however, the basics were there. The only one I had to supplement was the one for Microbiology - I used a friend...