Vespertinas

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All Content by Vespertinas

  1. Vespertinas

    The student nurse

    Pepper, you're tough! I think one explanation for this behavior is that the student has never been in the healthcare setting before and has no idea what tasks are or are not okay for them,...
  2. Meh. I didn't even attend my own graduation ceremony. I remember being embarrassed when people would compliment me on getting a HS diploma. Maybe some of your family members just aren't the type to...
  3. Vespertinas

    Baffled...

    Wooh! Your new avatar deserves a
  4. Vespertinas

    How Do You Prime Blood Tubing?

    I'm still having an imaginary conversation with that nosy nurse in the original scenario. Sorry for taking my unchecked exasperation out on
  5. Vespertinas

    How Do You Prime Blood Tubing?

    I don't know what you mean by that. There is one way to administer blood: per protocol. I don't care if you can do it standing on your head, the only thing I want is per protocol. And if you DO do it...
  6. When i was in college, I arrogantly declined taking the elective "Spanish for Healthcare Workers"... I rationalized something, well, arrogant. Then I moved to another state and boy did I wish I took...
  7. Vespertinas

    Learning a Second Language Through Nursing

    A nurse who worked with my grandmother in a daycare setting told me about a wonderful language program that worked like this: It'd read an english sentence to you and you'd repeat it: My brother wears...
  8. Vespertinas

    How Do You Prime Blood Tubing?

    That's even more odd. I would have assumed that she an inexperienced RN but yet full of herself. To have 20 years of experience and prime blood tubing in such an unusual manner... you'd think that in...
  9. Vespertinas

    Baffled...

    Bravo for your school. There's one for the "why-don't-they-prepare-us-for-the-culture-of-nursing-in-nursing-school?"
  10. Vespertinas

    How Do You Prime Blood Tubing?

    I also don't understand why she primed BOTH sides of the Y tubing with it. That's not the way to do it anywhere. To answer your second question, we use the Y tubing for all blood products including...
  11. Vespertinas

    Because It's always been done that way orders

    You can put on an icepack without an MD's orders, no? Of course I'm nitpicking because bigger issues obviously exist here. If you're not comfortable, get out. If you forced yourself to stay there,...
  12. Vespertinas

    Pill falls on pt gown...is it safe to give?

    I don't even know why we're supporting the idea that this is the correct answer "in nursing
  13. Vespertinas

    Surprise In My Pocket - this ever happen to you?

    When you said "surprise in your pocket" first thing I imagined was when I put a suppository in my pocket and forget to dispose of
  14. Vespertinas

    Baffled...

    I used to work on a unit where we had to stash our own K-Dur because the pharmacy was never giving them on time and patients were often ordered NOW doses. Once when someone asked me if I had any...
  15. Vespertinas

    Patient Questions

    I think the crux of this problem is that you work in an urgent care setting. Isn't the idea here to treat them just temporarily until the patient can get in touch with their PCP? So if you've...
  16. There's a section called "Nursing Scrubs" on AllNurses. Shouldn't this thread be there instead? I'd rather talk about NURSING in this
  17. Vespertinas

    Acute/ Chronic Renal Failure

    Also, PVCs are more likely to lead toward V-tach esp in the setting of
  18. Like turnforthenurse said, you should have extras at the bedside. You spend all this time doing trach care and keeping it clean and now you shove in the one that just fell on the floor (or whatever)?...
  19. Vespertinas

    Acute/ Chronic Renal Failure

    Definitely the Kussmaul patient. The one with PVCs likely recently returned from dialysis so he just had a big drop in his K+ and is experiencing relative hypokalemia. He can handle the PVCs (for now)...
  20. Vespertinas

    AV fistulas and lines.

    that's what you take in neuro ICU? I had no idea What's his neuro
  21. Vespertinas

    BP medication "food chain"

    I think of the three you have, clonidine is the biggest one but there are more side effects that go along with it. Like Nurse Nessa said, there is a risk of rebound hypertension after suddenly...
  22. Vespertinas

    Anyone else the QUIET nurse?

    I'm loud, I speak up. I like to think that it's not to the point of being obnoxious. I also float. The other day, another loud(er) charge RN said to me, "I'm glad you're here today. You're a much...
  23. Vespertinas

    giving O2 per request?

    I once had a RT explain to me how the whole hypoxic drive theory is half-bologna. I wish I could recall the details but something about how the patients can HANDLE the extra CO2 in their bloodstream...
  24. Vespertinas

    Dealing with "Web-Trained" Patient/Family Members.

    A media literacy and statistics class in middle school? P-values? Very
  25. Vespertinas

    Is turning dying patients comfort care or not?

    I don't agree that we should insist on turning. If a patient's death is a matter of days and moving is very painful, sometimes the patient PREFERS to be left alone. Also, pain medication does not...