Vespertinas

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All Content by Vespertinas

  1. Vespertinas

    Lab Skeletons/ "fishbone"

    Vespertinas posted a topic in General Nursing

    I think we need some clarification here and I've found that an internet search produces mixed/unreliable results. I'm talking about how we do lab notations. I've seen what I thought were basic lab...
  2. Vespertinas

    CVRN Certification

    Vespertinas posted a topic in Cardiac

    I wanted to get my cardiovascular RN certification. I started studying the topics and when I went to the website to do a bunch of test questions, I did great. Then I realized I needed to get my 30...
  3. Vespertinas

    Charting Systems

    Vespertinas posted a topic in Agency Nurses

    I have used PowerChart, Epic, Citrix, TDS and Meditech... and paper charting of course. Of these, Meditech is THE WORST! (actually TDS was but thankfully the facility quickly changed over to EPIC...
  4. Vespertinas

    Intake Questionnaire

    Vespertinas replied to Vespertinas's topic in Emergency

    Ixchel, your understanding of my assignment and responsibilities is inaccurate. Your answers have been not only not helpful but condescending. Whether this was my fault for not conveying the problem...
  5. Vespertinas

    Intake Questionnaire

    Vespertinas posted a topic in Emergency

    I'm working on an interdisciplinary case challenge being given by the IOM. We're trying to find a comprehensive solution to support the mental health of aging veterans. Our approach will start in the...
  6. Vespertinas

    Intake Questionnaire

    Vespertinas replied to Vespertinas's topic in Emergency

    The case challenge is fictitious and we've been given less than two weeks to present a budget, timeline, short and long term solutions, identify stakeholders, read 81 pages of background data,...
  7. Vespertinas

    Ugh...Bedside Report

    Vespertinas posted a topic in General Nursing

    A few hospitals I've worked at have started to implement bedside shift report. I dislike it. There is information that I don't feel comfortable sharing in front of the patient because 1) it may make...
  8. Vespertinas

    Changed my entire perception of autism

    Vespertinas posted a topic in Developmental Disabilities

    I hope it changes yours too. Girl with autism expresses profound
  9. Vespertinas

    Best Hallucinations Thread

    Vespertinas posted a topic in General Nursing

    Cmon, what's some of the good stuff? I had a patient who spoke only Russian and finally when I was assigned to him, I think I might have been the first person who understood him (I speak Russian)....
  10. Vespertinas

    T-Waves in Afib

    Vespertinas posted a topic in Cardiac

    Can I or can't I positively identify T-waves in afib? Sometimes I think I can see them and want to measure but then it could always be a P-wave, right? Should I not even bother once I recognize the...
  11. Vespertinas

    T-Waves in Afib

    Vespertinas replied to Vespertinas's topic in Cardiac

    Right. I agree with both of you. Ohiobobcat you made me think that if I can measure a consistent QT interval, then it's likely a T wave. I think my problem was stemming from a patient who was in...
  12. Vespertinas

    T-Waves in Afib

    Vespertinas replied to Vespertinas's topic in Cardiac

    Based on what you said, it sounds like I should measure the T-wave if I suspect that's what it is. But it's entirely possible that I won't find T-waves in which case it's okay to say it's...
  13. Vespertinas

    Stupid Nurse Tricks (Or How To Look Incredibly Stupid)

    Vespertinas replied to Ruby Vee's topic in General Nursing

    1st year of nursing moment: Agreed to take on an extra 4 hours after my 12 hour shift. Of course someone codes at hour 15. I'm hypoglycemic and full of adrenaline, pumping this patient so hard. When...
  14. Vespertinas

    Stupid Nurse Tricks (Or How To Look Incredibly Stupid)

    Vespertinas replied to Ruby Vee's topic in General Nursing

    Win Miss State for the Miss America pageant while in nursing school. Use "I want to be a nurse" as your platform. Quit nursing school immediately
  15. Vespertinas

    LVAD programs around the country?

    Vespertinas replied to AkentRN's topic in Cardiac

    Mechanical
  16. Vespertinas

    Patient's right to refuse

    Vespertinas replied to julz68's topic in Patient Safety Issues

    Nah. I've had trouble getting treatment for autonomous patients with MR. No lorazepam for that. It's so sad seeing them walk out AMA knowing the trouble they'll have
  17. Vespertinas

    Code words

    Vespertinas posted a topic in General Nursing

    ...used during shift report. High five = HIV I'll even go as far as to say indigent is code for homeless because it's a euphemism passerby might not pick up on What
  18. Vespertinas

    Engraving on Littmann

    Vespertinas replied to ilovemythreeguys's topic in General Students

    LOL "The power of Christ compels you!" with your stethoscope on her
  19. Vespertinas

    Patient's right to refuse

    Vespertinas replied to julz68's topic in Patient Safety Issues

    Remember, you said "a lot of psych issues" You'll hate me for preaching but please try to still be compassionate to people like this. They're not trying to make life difficult for you and ultimately,...
  20. Vespertinas

    your first "patient emergency"

    Vespertinas replied to pinkiepieRN's topic in General Nursing

    My first emergency.... a renal transplant patient who experienced a transfusion-related acute lung injury (TRALI) which is basically an immune-mediated flash pulmonary edema. Uh yeah I totally...
  21. Vespertinas

    your first "patient emergency"

    Vespertinas replied to pinkiepieRN's topic in General Nursing

    Love this story but I wanna ask are you sure it was actually asystole? (sorry to ruin it with
  22. Vespertinas

    Personality At Work vs. At Home

    Vespertinas replied to pinkiepieRN's topic in General Nursing

    Having a bad attitude about management and pulling off the two-faced routine must be exhausting too. I don't even see how this relates to the original topic but I love
  23. Vespertinas

    Rehab needs to get a clue

    Vespertinas replied to CapeCodMermaid's topic in Geriatric, LTC

  24. Vespertinas

    Personality At Work vs. At Home

    Vespertinas replied to pinkiepieRN's topic in General Nursing

    NurseDirtyBird, lets make us triplets. My husband and I practically divorced because he doesn't believe I'm a compassionate person. I wasn't... to him. He was too needy. I'm learning to transfer my...
  25. Vespertinas

    What's the lowest potassium you would feel comfortable not supplementing?

    Vespertinas replied to blondy2061h's topic in Patient Medications

    This is true. I wanted to make this point but for a potassium of 2, it is recommended to supplement with BOTH PO and