thehipcrip

thehipcrip

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All Content by thehipcrip

  1. The Right Way to Collect a Urine Specimen from a Patients with an Indwelling Catheter

    thehipcrip posted a topic in General Nursing

    As someone who uses an indwelling urethral catheter for bladder management, I'm exceedingly frustrated by how few nurses (and doctors who are not urologists, for that matter) know the proper procedure...

  2. What do you think? (warning: vent ahead)

    thehipcrip replied to Nursey103's topic in Patient, Colleague Relations

    The OP never said anything about not feeling safe. In fact, she never gave her rationale for pushing the Benedryl 30m after the Dilaudid. Are there factual reasons for giving the two meds...

  3. colostomy

    thehipcrip replied to mrnewman's topic in General Nursing

    Some folks are able to control evacuation using irrigation -- essentially giving themselves an enema through their stoma. One friend has had such success with irrigation that he covers his stoma with...

  4. "That nurse is vile" (long)

    thehipcrip replied to PintheD's topic in General Nursing

    If this had happened recently, this is definitely good advice. But since the OP said she's resisted posting about this for months, re-opening the matter with her manager by requesting a sit-down this...

  5. What is my legal and Ethical Obligation?

    thehipcrip replied to tripletsgranny1's topic in General Nursing

    The OP states that the second nurse asked the first nurse for *her* birthday, the drug and the dose, not for a patient's birthday, drug and dose. Seems clear to me that the first nurse needed a...

  6. syringe to collect specimen from foley?

    thehipcrip replied to nursing81student's topic in General Nursing

    Many urologists treating people with spinal cord injury consider collecting the first urine emitted immediately after a new sterile catheter is placed to be the best practice. This ensures that the...

  7. Long term foley use

    thehipcrip replied to Vtachy1's topic in General Nursing

    Ack! Forgot my link. The NIH funded study that recommended using the 10 percent bleach solution and found that pseudomonas thrived in bags cleaned with vinegar can be found at:...

  8. Long term foley use

    thehipcrip replied to Vtachy1's topic in General Nursing

    He should be on some anticholinergic medications to both prevent painful bladder spasms and to help prevent bladder shrinkage. Just because the ditropan didn't work doesn't mean others shouldn't be...

  9. IV antibiotics compatible with D5W ?

    thehipcrip replied to Mithime's topic in General Nursing

    I'm not a nurse and I found both the correct name of the ABX and the answer to the question! This doesn't fill me with confidence about the competency of some of the new grads entrusted with keeping...

  10. Your thoughts/reasons patient is in pain or addicted or what...?

    thehipcrip replied to NocturneNrse's topic in General Nursing

    If I discovered a nurse had unilaterally decided to 'stretch out' the time before I received pain medication that was ordered by my physician, I'd file complaints with everyone from her employer to...

  11. Patients' "home remedies"? What have you seen

    thehipcrip replied to flyingchange's topic in General Nursing

    There are a number of people I know who manage their bladders with catheterization [indwelling and intermittent] using instillations of a wound-care product called Microcyn to prevent urinary tract...

  12. That is IT; have had it with nursing...I'm going insane!

    thehipcrip replied to carolmaccas66's topic in General Nursing

    Riiiiiggght. And right now, your counterpart is posting a similar rant over at AllTeachers.com about how they should become a nurse because it's a high status profession, they're well-paid, and all...

  13. Drug error

    thehipcrip replied to coneartist's topic in General Nursing

    The problem with software like this is that the geeks [and I use that term with the utmost respect ] who develop it have almost zero input from the actual end users, so they don't know about features...

  14. Cleaning Catheter Leg Bags?!

    thehipcrip replied to jocelynlpn's topic in General Nursing

    Sorry, I had to come back to this thread and address the fact that a nurse thinks that cleaning urinary collection bags is "ridiculous". Urinary tract infections (UTIs) are the most common type of...

  15. Cleaning Catheter Leg Bags?!

    thehipcrip replied to jocelynlpn's topic in General Nursing

    A study funded by NIH and done at the University of Utah recommends cleaning all urinary leg bags with a solution of 10% bleach. The procedure should be two rinses with tap water, sloshed vigorously...

  16. How do you deal with suspected addicts?

    thehipcrip replied to OhioCCRN's topic in General Nursing

    From the meds alone, it sounds like the 20-something is living with central pain, a specific type of chronic pain that occurs as a result of damage to the central nervous system. I've been living...

  17. How do you deal with suspected addicts?

    thehipcrip replied to OhioCCRN's topic in General Nursing

    It's evident from your efforts to better understand your opioid-tolerant patient's actions and concerns about the potentially dangerous side effects narcotic drugs can have on bowel function that...

  18. Foley sterile field

    thehipcrip replied to AJPV's topic in General Nursing

    Something no one mentioned here is the use of Lidocaine 2% gel to make insertion less uncomfortable. Apply a liberal amount of lidocaine gel to the patient's meatus and leave it to start working...

  19. i feel guilty, help!

    thehipcrip replied to anotherone's topic in General Nursing

    I never worked as a nurse, but this is what I told people in my line of work: I need you for the long haul, not just the short term. If you take on too much now, you'll burn yourself out. For your...

  20. OK- Freaking out about TB now!

    thehipcrip replied to ilovemicrobiology's topic in General Nursing

    This is more than a little overdramatic, don't you think? It might not be a comfortable existence, but I speak from experience when I tell you that thrush and yeast infections resulting from extended...

  21. What ridiculous things have you seen happen in the workplace?

    thehipcrip replied to pink_shoes99's topic in General Nursing

    One night in my local ED, a nurse started the process of emptying my bedside urine collection bag without putting on gloves or using hand sanitizer. As a FT Foley user at high risk for UTIs, I ask...

  22. why the lack of baths

    thehipcrip replied to Trekfan's topic in General Nursing

    Having no one to help a patient bathe or having an inaccessible tub/shower at home may, in fact, be the reason that some patient seek help with bathing just before being discharged. There have been...

  23. Advice Needed: Helping Nurses Recognize a Dangerous but Obscure Condition

    thehipcrip posted a topic in General Nursing

    What is the best way for a patient to alert you to and educate you about autonomic dysreflexia (AD), an emergent, potentially life-threatening medical condition most doctors and nurses have never...

  24. Advice Needed: Helping Nurses Recognize a Dangerous but Obscure Condition

    thehipcrip replied to thehipcrip's topic in General Nursing

    I already carry a wallet card about AD, which I presented to both the nurse who checked me in and took vitals, and the triage nurse. The Medic Alert bracelet is a great

  25. Advice Needed: Helping Nurses Recognize a Dangerous but Obscure Condition

    thehipcrip replied to thehipcrip's topic in General Nursing

    While my resting heart rate during triage was 25+ beats per minute slower than my very high baseline, I was still WNL and not obviously bradycardic. @NeoPediRN and Leslie -- That the nurses at my...