Vespertinas

Member

  • Content

    652

  • Visitors

    16,063

  • Followers

    0

  • Likes

    14

All Content by Vespertinas

  1. Vespertinas

    OB Nurse's View on Natural Childbirth

    Vespertinas replied to LexiRN2's topic in Ob/Gyn

    Please don't ask for a reference but I remember reading recently something about how constant fetal monitoring is now considered unnecessary in most cases and even harmful because it precipitates more...
  2. Vespertinas

    Precepting New Nurses

    Vespertinas replied to pitt34's topic in General Nursing

    For my second orientee I treated her just like my first and she didn't jive with my plan at all. What I'm saying here is that you should keep your feelers out for how your orientee is doing and adjust...
  3. Vespertinas

    OB Nurse's View on Natural Childbirth

    Vespertinas replied to LexiRN2's topic in Ob/Gyn

    For the record, if you're into the idea of a natural childbirth, the lithotomy position (legs up in the stirrups) is nearly the farthest thing from
  4. Vespertinas

    Would You Rather...

    Vespertinas replied to parkerwoodward's topic in Travel

    When I was in nursing school it was also a dream of mine to do travel nursing. I hope you get to fulfill your dream one day but I think you should know that right now I think that travel agencies...
  5. Vespertinas

    When to give insulin?

    Vespertinas replied to kriegerkriegr's topic in Diabetes, Endocrine Nursing

    Has anyone else had this thought? Death to the Sliding
  6. Vespertinas

    IV start help!

    Vespertinas replied to 2011nursetobe's topic in First Year After Licensure

    Oh also... when you do advance after the flash, do so at a very small angle. You already pierced the vein... now you want to advance inside.. not *through* it
  7. Vespertinas

    IV amiodarone for chronic afib, is it safe?

    Vespertinas replied to rnvancouver's topic in Cardiac

    Since he was chronic, I doubt they were trying to convert his afib (or at least I hope not... esp hearing that he was not anticoagulated). In a perfect world, maybe he could have gotten the MAZE...
  8. Vespertinas

    HR drop/rhythm change during sleep..Would you call Doc?

    Vespertinas replied to BandaidBunny's topic in Cardiac

    Isn't afib expected for some time even after a MAZE
  9. Vespertinas

    IV start help!

    Vespertinas replied to 2011nursetobe's topic in First Year After Licensure

    If you get a flash of blood you should then advance the needle FURTHER STILL and THEN thread. This is because the needle protrudes unsheathed out of the catheter a little so when you hit the vein,...
  10. Vespertinas

    Dumb question: How do you move a pt w/ left side hip fracture to the restroom?

    Vespertinas replied to J-Swish's topic in General Nursing

    See if there is a physical therapy note. If you work on days and nobody can advise you on technique, I suggest next time the physical therapist is in the room with an ORIF you be present to assist and...
  11. Vespertinas

    No IV Practice / Little hands-on practice in clinicals

    Vespertinas replied to SlyFoxRN's topic in General Students

    In my facility, it is frowned upon to use the IV team as your first line for IV
  12. Vespertinas

    Working from home as an RN with no experience

    Vespertinas replied to natnat122's topic in Job Search, Interview, Resume

    Yes, experience is necessary. Even if it wasn't, do you think you could handle patients on your own- answering questions, planning care, deciding on interventions -all on your
  13. Vespertinas

    Grossest thing that you've experienced?

    Vespertinas replied to dirtyhippiegirl's topic in General Nursing

    I shared that one at work that day! I think that patient came in with an infected stoma and it was revealed that her husband had been "doing his business in there." Honestly, I had to read that...
  14. Vespertinas

    Fixing occluded peripheral IVs

    Vespertinas replied to Cuddleswithpuddles's topic in General Nursing

    If we're talking about occluded PICCs, we use Cathflo/alteplase if there's still a chance you can instill medication. As for PIVs, I've always felt guilty about pushing through a fibrin clot as Viva...
  15. Vespertinas

    You know its a seeker when . . .

    Vespertinas replied to BostonTerrierLover's topic in Emergency

    Depends on your area of practice. I thought the same thing when I went from one specialty to another. I felt like I was cheating my patients by giving them 0.1 mL (0.2 mg) of dilaudid but turned out...
  16. Vespertinas

    Coffee Addiction

    Vespertinas replied to Vespertinas's topic in General Nursing

    I am not a big coffee drinker but if I do have some, it had better be good. I tried instant to cut down on price but it doesn't taste as good to me at all. Since I don't need​ coffee, I'd rather...
  17. Vespertinas

    Coffee Addiction

    Vespertinas replied to Vespertinas's topic in General Nursing

    good
  18. Vespertinas

    Your method for analyzing lab values

    Vespertinas replied to Cuddleswithpuddles's topic in CCU, Coronary, Cardiac

    I just was asking that the other day! At this new hospital where I work, everyone reports which IV abx the patient is on. Excuse me for being ignorant but I had to ask why do we share that information...
  19. Vespertinas

    Wiping off IV ports

    Vespertinas replied to blondy2061h's topic in General Nursing

    Good question. I'd pick my battles. If it was on the floor where I worked, there are probably bigger fish to fry when the time
  20. Vespertinas

    Your method for analyzing lab values

    Vespertinas replied to Cuddleswithpuddles's topic in CCU, Coronary, Cardiac

    For the most part, we also use the metric scale in medicine. The only holdover I can think of is that some places still use Fahrenheit. As for norms, it varies by which standards the facility has...
  21. Vespertinas

    You know its a seeker when . . .

    Vespertinas replied to BostonTerrierLover's topic in Emergency

    That reminds me of a story I heard when a newly married couple from the midwest came into the ER on their honeymoon. She had a range of symptoms/complaints and her young husband was fearfully...
  22. Vespertinas

    Coffee Addiction

    Vespertinas replied to Vespertinas's topic in General Nursing

    That's exactly what scares me from drinking coffee regularly. I don't want to be in the position where I'm miserable if I had to do without. I've heard people mention that when you go on vacation (to...
  23. Vespertinas

    Standard practice for arterial line pulls

    Vespertinas replied to butofcourse's topic in Cardiac

    Fem-stop anyone?
  24. Vespertinas

    Pt refusals

    Vespertinas replied to NurseOnAMotorcycle's topic in General Nursing

    Yeah, don't start an ethics debate on addiction.
  25. Vespertinas

    Coffee Addiction

    Vespertinas replied to Vespertinas's topic in General Nursing

    Honestly! There were maybe 2 who did drink coffee.. an NP and one other RN and they both brought theirs already. It was night so there was much less staff. But seriously I ended up running up to...