I empty out the trash, only when I've put something soooo vile in it... even I can't stand it!! :rotfl: :rotfl: I can only say this because our environmental service is sooo superb that I've not...
NOT a flamed response :angryfire , meant in a non-agressive mannor. Hepatitis, TB, AIDS, MRSA, VRE, understaffed, can't teach you about your diagnosis and treatment, here... take your pills, my other...
heart queen replied to ensense's topic in Emergency
We use pG and our raises are 100% dependent upon them :angryfire Mind you, we are a level 1 trauma center which upsets the wait time with every multicar MVA. Administration put their money where...
how many of you are using flolan? Does your policy not only require the back up, but a spiked bag back up, with a back up pump pre set at the infusion rate? Are you keeping your (I'm assuming) 8...
heart queen replied to heart queen's topic in MICU, SICU
http://emc.medicines.org.uk/emc/assets/c/html/displaydoc.asp?documentid=7169 this link, falsely leads you to think its anticoagulation. We use it for it's prostiglandin vasodilator effects, esp....
It seems, as a future Lpn, that you've unfortunately been exposed to more of these situations than I have. The "2be", makes this even worse since it's usually only 18 months for an lpn program! I...
Agh, tough! Now you've not stated that she's incompetent, just falls behind and is very poor with documentation ( which protects not only her but the facility). There just is that something missing...
heart queen replied to I_Love_Donuts's topic in General Nursing
hey in the 80's and 90's real estate was the place to be for ex nurses. funny how we revert to the service industry's once out of the profession, and rigidly fight the service mode while in
you are so right, in that simple statement!!!! Which is why you need to find some way to get that person the hell out the room. Maybe you could suggest a better way. But If you don't arm management...
heart queen replied to OCCHCanada's topic in General Nursing
Our facility does 10-20 of these daily... but it's different if your the patient and I recognize that! all the above advise is excellent. You'll be taken to a cath lab or EPS "suite", the doc will...
I have the "luxury" of being an Rn and being able to say.."you are handling my patient roughly, you need to step out of the room NOW". Then write up an incident report to the manager, after speaking...
I've had high BP since daughter was born, I was 18!!!, I sat on the border of preeclamptic, but had normal delivery, on BP pills since then. I've tried them all, ace inhibitors work best for me, on...
heart queen replied to shirleyTX's topic in MICU, SICU
Ditto, for Elenaster, minus the heart transplant kids are shipped off (forgot to quote, I'm sorry) work in an enormous (>850 bed) teaching hospital and we have a total of 9 adult intensive care...
There have been many nights where we are sending an ICU patient to step down (after twisting the docs' arm) because the one needing to get in was sicker. Have even, on a RARE occasion, sent...
heart queen replied to itsnowbegun's topic in General Nursing
I agree with Sjoe that 1 yr. in and 1 month notice is the best for YOUR career, but your debating about the spouse too. Luckily, new grads are definately needed, so I can't see this interferring with...
okay, I'm NOT the best person to take advice from, tell ya up front. I push the buck quite a bit. me personally would have make eye contact with the doc. said "excuse me for just a moment, I was...
PJmommy, yep, I agree with you 100%. Although I am lucky enough to never have been personally tested.... which is why I hate that judgemental side of myself.... never walked that mile! And as you...
Thanks cameron, forgot to mention, that not all seemingly harmless maintence IVF is compatable. Dextrose is uncompatable with several drugs. Unsure of what type of unit you're working.... but watch...
Having nursed in an ICU setting and loosing many patients as well as having open discussions about impending death with many... I see an equal mix.... certainly not a statistical analysis by any means...
Re-read your post. Is it possible that you don' need to hang them seperatly? It seems that you're doing too much work, unnecessary Iv tubbing. Does your system allow for hooking up the secondary to...
Well, I think my Iv pumps are set up different. Every time I hang a piggyback, the pump stops the current IVF and switches over to the IVPB and delivers that soley at the set rate. When the IVPB is...
heart queen replied to rshores95's topic in MICU, SICU
Sorry only heartmate here. Curious, what are your anticoag. requirements. Ours is just hep. sq TID, yet on many we run a drip for prophylaxis. We've had a few CVA's despite the "magic" coating...
Have you considered using Employee Health, who are responsible via OSHA to minimize employee risk, monitor exposure stats and write policy to work with the medical director, and they, well in my...
fran, as angelbear already knows, maybe you need to remind your "practicioners" that pain exists, whenever and however the patients states it does, it is only measured in the subjective form in which...