phoenixrn

phoenixrn

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All Content by phoenixrn

  1. ED treatment for severe burn victim

    1) We don't refer to them as victims unless they're dead. Burn SURVIVOR. 2) The primary focus of the ER should be to stabilize the patient and get them to a Burn Center as quickly as possible....
  2. Greetings! It's 2017. I'm the primary caregiver for my mother, who is showing s/s of advancing memory loss. She frequently has back pain also, and the two issues are keeping her out of the garden,...
  3. How did you start in Burns?

    I was hired as a new grad into a hospital that has an ABA certified ICB. I was hired onto the "ortho/neuro" med surg unit. In addition to ortho/spine patients, we would see cosmetic plastics patients,...
  4. Burn dressings vs. Defibrillation

    Gosh.... this is a great question. And what if you cut the dressings down but the torso is covered in goopy silvadene and eschar? Burn patients are often slimy and slippery. And we get plenty of...
  5. Nursing students who want to be NP's

    This is also fueled by the fact that there is a PHYSICIAN shortage..... this is why APNs are in demand. Many bright young people considering medical school will also look at the APN pathway and think...
  6. Hero nurse!!! I guarantee you that mom and dad were praying to God/Allah/Jesus/Jehovah and probably Satan as well for any chance to hold their live baby again, deficits or not. You are a
  7. Update: I've accepted my admission. It's a State school (hella cheap tuition, and my facility will pay a chunk of it). Mostly online classes, but driving distance for on campus seminars and...
  8. Greetings APNs! I could really use your advice. I was just accepted into an FNP program at a well-respected four year university. It will be dirt cheap (subsidized in-state tuition, employer tuition...
  9. Well hello my fellow burn nurse!! We certainly are in a niche, aren't we? You either love our specialty.... or you don't touch it with a ten foot
  10. So I was just at a "medically supervised" weight loss clinic. The "counselor" gave me a subQ injection in the upper arm. I had to tell her to wash her hands and put on gloves. I asked her if she was a...
  11. Albumin Resuscitation

    Gotta watch out for pulmonary edema also. If the patient has a good, health strong heart prior to the burn injury, they'll be able to handle the fluids. Patients with weak hearts can get backed up...
  12. Excoriated Skin= Sloughing??

    I agree with what Marienm said... I will add: I would consider eschar to be nonviable tissue that covers a wound bed ... eschar can be yellow, white, or scabby. Eschar doesn't necessarily come off by...
  13. silver nitrate sticks & silvadene creme

    We use silver nitrate to cauterize areas of hypergranulation in healing graft sites. Granulation tissue = pink or red smooth wound bed. Hypergranuation = raised, caviar-like dark red or purplish...
  14. Forced to stay and work under mandatory evacuation?

    I live in earthquake country.... 30 min away from the city where my hospital is at and in a safer earthquake zone than the city. If the "big one" hit and I knew my family was safe, I would do...
  15. Pyxis (almost) nightmares. PLEASE be careful.

    My routine: I check the MAR, then pull the meds. Then, I chart the meds one by one against the MAR, checking the name and correct dosage again, then opening the package, announcing the medication and...
  16. Worst night ever

    1) I saved a patient's life by NOT listening to the charge nurse's advice. I got an order for the EKG which concluded a STEMI (Charge wanted to ignore it, because the pt was homeless and yelling out...
  17. Studied for 6 days, passed NCLEX-RN in 75 questions

    I'm a good test taker. I downloaded NCLEX study questions onto my Itouch. There were 1000, and you could bookmark the ones you got wrong. I studied them until I had 0 wrong. I passed with just a few...
  18. Do you love Ortho?

    I like that most of my patients get better and go home. You see your nursing interventions actually work and patients progress. But don't take it lightly.... when these patient's are fresh post ops...
  19. I use the skin prep swabs... gives a sticky surface to grab onto the condom cath so it won't slip off as easily, protects the delicate skin, using a downward motion sweeps any stray hairs out of the...
  20. The irony of your entire post, OP, is that by singling out a group of people (of whom you have gathered no evidence to support your claims) you are making cruel and degrading generalizations which...
  21. Do you ever get tired of hearing this phrase?

    As long as the nurse isn't hosting her Media website DRESSED UP AS A NURSE!!! Wish the BON could go after Media sites that have a "nurse theme." Sorry to get off track here
  22. Was asked if I was bisexual?!?!?

    I was at a free clinic once and going through the questions.... thought I'd heard it all at that point and was unimpressed, until I was asked if I regularly came into contact with BLOOD during sexual...
  23. YouTube Nurse Vlogs

    THIS GUY IS SOOO FUNNY! He's a doc, but a seriously funny one.
  24. What's the task you like doing most on the job?

    I love making my patients and their families
  25. A doctor's apology.....

    "so I said IT'S GONE, IT'S MY FAULT, MOVE ON, WHAT CAN I GET YOU RIGHT NOW..." Beautiful. A metaphor for all relationships