scoochy

scoochy

PACU, CARDIAC ICU, TRAUMA, SICU, LTC

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All Content by scoochy

  1. Injection in buttocks: 1" vs. 1 1/2" needle

    Believe it or not, that has been taught in nursing schools from time immemorial. It is not a new concept. Giving an injection is all about knowing anatomy. I have been a nurse for 31 years, and until...
  2. Injection in buttocks: 1" vs. 1 1/2" needle

    What IS the rationale for NOT using the gluteus medius muscle? Having received Demerol (in years gone by) in the deltoid as well as the gluteus medius muscle, I would never again allow anyone to give...
  3. Injection in buttocks: 1" vs. 1 1/2" needle

    To administer an IM injection in the gluteus medius muscle, locate the posterior superior iliac crest and the greater trochanter of the femur. Draw an imaginery line connecting the two. The injection...
  4. Injection in buttocks: 1" vs. 1 1/2" needle

    When I ended my PACU career in 2007, IV Phenergan was prohibited from being given IV (in the PACU where I worked) because of the reasons stated in the you tube video. Phenergan could only be given in...
  5. My First Medication Error

    utilizing the color pink when typing a comment is difficult to read, imo. what you typed may be very valuable to someone on this site, but for me, if i have difficulty reading it from the get go,...
  6. Need help guys...

    Have you received education on sterile fields? I read both of your posts with regard to the same topic. You seemed very anxious to get an answer. Why is
  7. pt pass out after IM ceftriaxone inj

    Agree; a vasovagal reaction...typical s &
  8. Canker Sores.. ouch!!!

    After undergoing mandibular osteotomies some years ago, I had a mouth full of canker sores from the wires anchoring my jaw closed. My oral surgeon gave me Chlorhexidine mouth wash that stung like...
  9. Walden University-woohoo!!

    Congratulations on your
  10. ICU vs. assist. nurse mgr......

    My vote is for ICU, hands down. There is so much to learn; the challenges are
  11. evil.. just so evil...

    Sounds like a scene from "One Flew Over The Cuckoo's Nest." It is such a sad situation for these
  12. evil.. just so evil...

    How did you come to the conclusion that psych nurses "are either lazy or crazy?" I will not ask if you have ever been a psych nurse for obvious reasons. Please keep this type of comment to yourself;...
  13. Seriously...

    "Handing Off Care" is the term given by the Joint Commission. We started doing this in the PACU (2007) just before I hung up my critical care stethescope. The documentation had to include time...
  14. gallbladder disease and reflux

    Have you spoken with your MD re: hiatal
  15. I would like to be the taste tester for your cupcakes! I just got home from work, and enjoyed a cupcake with the seven swirls on it with a big glass of milk. My craving for sweets has been...
  16. Lubricate the patient's eyes with an eye ointment such as Duratears and tape them shut. If the patient cannot close his eyes, he is unable to lubricate them through the blink reflex. When it comes to...
  17. I'd love to work for the Boston Red Sox!
  18. Bizarre Case- Any guesses?

    I would say Gram negative Urosepsis. Offending bacteria E Coli causing UTI. Initially, diaphoresis from elevated temp; pt. then becomes hypothermic. Respiratory alkalosis initially coinciding with...
  19. "And what would you like me to do about it?"

    A resident's son came in to visit his mother. During the 4 pm med pass, he came up to the cart, demanding to know where his mother's hearing aids were. I looked in the case that her hearing aids are...
  20. The OP did write a letter of resignation. With all the info presented, it was easy to miss her comment re: resignation
  21. Time Off Requests

    Sounds like you are being singled out; have you considered discussing this with someone in the Human Resources
  22. Leave me alone when I'm passing meds!!!!!

    Yup, we have the same sign. It might as well not be there; even though a family member read the sign, it was too important to have to wait to tell me her mother's mattress was sagging. I'll run...
  23. Do night shift nurses try there best

    Every nurse has their "down" days/evenings/nights. That is not to say the care delivered is not efficient and effective. It's just the little things that might not get done, such as disposing of the...
  24. Summer Sizzling Heat

    When I was employed in the PACU, it was always a battle with the thermostat no matter what season it was. The Engineering Department got so fed up with frequently broken thermostats; the thermostat...
  25. What did you do before you were a nurse?

    High School to CNA. College x 1.5 yrs, quit. CNA for a semester, then off to nursing school. RN now for 31