sunnycalifRN

sunnycalifRN

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All Content by sunnycalifRN

  1. What do you do if your patient partially self extubates?

    sunnycalifRN replied to stripec30's topic in CCU, Coronary, Cardiac

    Well, as a former RRT, I can tell you the "by the book" answer. First off, if you can see the balloon, he hasn't "partially extubated", he's extubated himself . . . the ETT is just sitting at the...

  2. Comfort Care -- End of Life

    sunnycalifRN replied to pinky22786's topic in Hospice, Palliative

    Pinky, I don't know what more to say . . . you are the RN caring for your patient . . . the social worker, director and the MD's are not at the bedside . . . you are. If you are not comfortable with...

  3. Which state pays best for new RN grads??

    sunnycalifRN replied to 1a2s3d's topic in General Nursing

    California, San Francisco bay area . . $32-34 for new grads . . . only problem . . . they're not hiring new grads. (That's what they paid, when they were hiring a few years

  4. Comfort Care -- End of Life

    sunnycalifRN replied to pinky22786's topic in Hospice, Palliative

    you did the right thing. Comfort care is just that . . . alleviate pain and discomfort . . . if the patient did not appear to be in pain, short of breath, agitated . . . then, you don't need to...

  5. ? re unlabeled meds

    sunnycalifRN replied to OklaLPN's topic in General Nursing

    Policy where I work is: No home meds, period . . whether labeled/unlabeled, over the counter, from outside pharmacy.

  6. Xray tech~ more $$$ than RN???

    sunnycalifRN replied to SoulShine75's topic in Nursing Career

    There are always people like "her" . . . just try to ignore her . . . I know that might be hard. However, on your point about salary and education . . . unfortunately, the salary structure in this...

  7. Let me hear your raves

    sunnycalifRN replied to Kyla.ann's topic in General Nursing

    I work in a med-surg ICU . . . what makes my day is when a patient that you took care of, walks into the unit in his street clothes on discharge day to thank all the staff that were involved in his...

  8. Wow, now what?

    sunnycalifRN replied to blondy2061h's topic in General Nursing

    My insurance company did give me a discount for being an RN . . . I'd ask your agent if they offer a

  9. My Mom just passed.....

    sunnycalifRN replied to Angel@MyTable's topic in General Nursing

    So sorry for your loss. You've gone through such hardship and accomplished so much. You are an amazing person, angel. Big

  10. We Can't Use Tap Water for G-tube Meds? Only Sterile Water?

    sunnycalifRN replied to Plagueis's topic in General Nursing

    Oh, you can't take PO meds with tap water!! It's so contaminated!! You must use sterile water, poured into a single use, sterile specimen cup . . . and don't forget, you must "glove up" to put the...

  11. ICU Psychosis ?????

    sunnycalifRN replied to loricatus's topic in MICU, SICU

    Yes, many of our patients experience "ICU psychosis" / delirium. For the past year or two, we've been using dexmedetomidine gtt to treat it. It works quite well. We slowly titrate the drip to off...

  12. How do I get accepted into Texas CRNA school?

    sunnycalifRN replied to jbull86's topic in Student Registered Nurse Anesthetist

    this question would be better suited to the pre-crna inquiry

  13. Midazolam GTT

    sunnycalifRN replied to meandragonbrett's topic in MICU, SICU

    our max rate is 10 mg/hr. some of our narc tolerant patients have been on 500 mcg/hr fentanyl and 10 mg/hr versed and they are still arousable!! And, their BP is

  14. Depressed about new job-hate it- quit???

    sunnycalifRN replied to ajaxgirl's topic in General Nursing

    Well, only you know how bad it is . . . and you know the job situation in your area . . . but, bottom line . . . take care of yourself . . . decide if you can stick it out for 6 months and/or start...

  15. Depressed about new job-hate it- quit???

    sunnycalifRN replied to ajaxgirl's topic in General Nursing

    Sorry to hear that you're working in such a miserable place . . . some surgeons are such asses!! Maybe you could transfer to another unit? You've got to take care of yourself . . . find a better...

  16. We Can't Use Tap Water for G-tube Meds? Only Sterile Water?

    sunnycalifRN replied to Plagueis's topic in General Nursing

    Silly, silly, silly!! Maybe the author of the article only drinks sterile water!! The only time that I'd be concerned about using tap water is for a neutropenic

  17. RN to MD, has anyone done this?

    sunnycalifRN replied to Loux's topic in General Nursing

    Eclectic1, way back in 1974, I also was pre-med, though with a social science major . . . did go to med school for 2 yrs but decided it wasn't for me and quit. 25 yrs later . . . decided to do...

  18. Anyone had this problem?

    sunnycalifRN replied to sunnycalifRN's topic in General Nursing

    In my prior life as an RRT, one of the CNA's decided to silence the alarm on a PLV vent (home ventilator) by turning it off!! Fortunately, it was discovered almost immediately . . . the CNA said he...

  19. RN to MD, has anyone done this?

    sunnycalifRN replied to Loux's topic in General Nursing

    Loux, check your

  20. Work full-time but need extra $$$

    sunnycalifRN replied to werlp's topic in General Nursing

    You could sign up with a local nursing registry and pick up shifts on your days

  21. male pts who pull out foleys?

    sunnycalifRN replied to erin01's topic in General Nursing

    One of our restrained, confused patients was able to pull out his foley!! Not with his hands, but with his foot!! He got the drain tube between his big toe and 2nd toe and the rest is history!!...

  22. a matter of terminology

    sunnycalifRN posted a topic in General Nursing

    I notice that that the acronym, DON, for director of nursing is used a lot here. We would call that person the Nursing Manager or Unit Manager. The Director of Nursing at my facility is in charge of...

  23. a matter of terminology

    sunnycalifRN replied to sunnycalifRN's topic in General Nursing

    Wow, that's unbelievable. . . just like HawthoRNe on TV!! Heh heh, like I said, I've never seen ours . .

  24. a matter of terminology

    sunnycalifRN replied to sunnycalifRN's topic in General Nursing

    Thanks for the replies. So, now I know. In long term care facilities, the Director of Nursing is the head honcho. I already know about

  25. I need 50 ways to get out of my med surg job.

    sunnycalifRN replied to Born2BWild's topic in General Nursing

    Well, of course, they'll be upset if you resign. But, did you really think you could work two jobs? I'm exhausted enough from one. Is your other job also in nursing? If this is your first nursing...