phoenixrn

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. Parkland Formula should be the standard guiding fluid re...

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, which has been her true passion. I'm a practicing RN....

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, and step down patients from the ICB. I was probab...

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 patients that are burned almost entirely on their back ...

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 that it makes more sense for them. Not necessaril...

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 hero!!!

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 assistance), part time over 3 years so I can contin...

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 orientations. Part time track for me to chip away over the n...

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 pole.

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 medical assistant and she gave a runaround answer...

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 into the lungs pretty quickly.

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 itself, and in burns we want to get rid of eschar ...

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 tissue. Our silver nitrate sticks are in the wound car...

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 whatever I could to make my way to the city to help out, ...

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 its purpose to the patient. Almost fool proof way...

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 anyway). The patient told ME that the pain in her c...

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 questions over the minimum required. But I tell yo...

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 they can be pretty sick. You will handle a lot of PC...

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 way... which also straightens out the shaft. I've n...

I'd like to know the answer to this question.... how much can/should you void from a bladder? Will it affect bp if you empty out too much?

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 could, in fact, be categorized as bullying. Sincerely...

As long as the nurse isn't hosting her porn website DRESSED UP AS A NURSE!!! Wish the BON could go after porn sites that have a "nurse theme." Sorry to get off track here :)

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 activity!! I almost jumped out of my seat from dis...

THIS GUY IS SOOO FUNNY! He's a doc, but a seriously funny one. http://www.youtube.com/user/ZDoggMD

I love making my patients and their families laugh.