lady_jezebel

lady_jezebel

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All Content by lady_jezebel

  1. 8 weeks pregnant and taking dexamethasone

    Once again, this is just for info. This doesn't apply to your case, but you may want to talk to a pharmacist or another doc to see if there are also new recommendations regarding antenatal...
  2. 8 weeks pregnant and taking dexamethasone

    I found a website (2003) that describes it as category "C" (ie. no studies in pregnant women), but recommends switching to prednisone if a steroid is needed: http://www.having-a-baby.com/chart.htm A...
  3. Strange, I was just reading last night about how ketamine can be used to induce near-death experiences. It triggers something in the brain. Supposedly it alone does not sedate the patient -- it needs...
  4. Can someone help me with this med-surg question?

    Thanks for the tip!
  5. I wish I'd have known....B4 nursing school

    That I should have worked harder during my pre-reqs & applied for med school instead! Honestly, I would rather solve medical problems and write orders than carry out most of these freaken' orders....
  6. Mandatory overtime is not permitted in my hospital, as agreed in their contract with the Nurses' Union in my state. I've heard horror stories of nurses being REQUIRED to work an extra shift if there...
  7. I agree with the above poster. 1) Show up 10-15 minutes early, 2) Be THOROUGHLY prepared, 3) Be active/helpful & do all the tasks you possibly can (jump in), and 4) Be friendly. Ask carefully...
  8. What is Forensic nursing?

    I'm not certain, but I think they work with crime victims, such as rape or abuse cases. They will document what they see, take swabs, and report their findings. We had a Forensic Nurse in our ER who...
  9. How do you approach doctors?

    I LOVE the idea of asking a doc, "what shouuld I do if this new order is unsuccessful?" Why didn't I think of that? I'm going to start doing
  10. How do you approach doctors?

    Matter-of-factly. I report information or request orders. I make sure that I have all the relevant info before calling, so that no one's time is wasted (ex. pt's bp/hr, pain level, knowledge of...
  11. My take on nursing

    I work at a Magnet hospital on the West coast. The physician/nurse relations are actually quite good, and I feel respected most of the time. I also have a supportive manager & wonderful...
  12. Epidural & post-op pain management

    Oh, forgot to mention anticoagulants -- these can cause epidural hematomas, leading to disability/death. We have very strict guidelines about the use/doses of heparin or lovenox given with an...
  13. Epidural & post-op pain management

    Our post-ops usually come back with an epidural, PCEA (pt controlled epidural anesthesia), PCA (pt controlled anesthesia through peripheral or central line), or some combination of both. If the pt has...
  14. Can someone help me with this med-surg question?

    Everyone here covered it. Just wanted to add to the last post. Most post-surgical pts are on an "advanced as tolerated" diet. If there are no bowel tones present, or they are hypoactive, it is likely...
  15. Looking for a West Coast Burn Unit

    Harborview Medical Center in Seattle, WA: Oh, starting wage is approximately $22/hr for new grads, more for experienced nurses (many experienced nurses I work with make $30/hr), plus shift and weekend...
  16. Looking for a West Coast Burn Unit

    Harborview Medical Center in Seattle, Washington. Supposedly many new burn technologies/treatments have sprung out of research done in this unit (it's cutting edge). It's also a level one trauma...
  17. Any RN's working in the research field???

    Is nursing "research" simply a lot of paperwork? Do you make sure that study data is collected correctly, and then do audits? Any problem
  18. Sure, the diagnoses may differ from pt to pt, but I do the same types of tasks every day -- start IVs, blood draws/labs, empty foleys, wound care, change dressings, remove staples, empty hemovacs,...
  19. Federalize Nursing Licenses! Who's with me?

    I'd like to see MD licenses federalized to protect the public. How many times have we read about an MD commiting a crime in one state & thus losing his priviledges, only to move to another stata...
  20. What are your methods for keeping your cool at work?

    Sorry Mandi, I didn't realize that you were also referring to co-workers, not just pts. Well, co-workers are much more difficult to deal with. In fact, they can be more problematic than ANY other...
  21. from a student to the 'old' nurses

    i LOVE working with students. they're a lot of fun, and have great questions and insights. they often bring joy into the
  22. What are your methods for keeping your cool at work?

    I take a 10 minute break, chow on something, and try to center. Then I realize what the majority of my patients are going through -- many facing the loss of limbs, chemo/radiation, and looming death...
  23. compartment syndrome-did I cause it?

    Isn't there a possibility of acute compartment syndrome from a venous puncture when a pt is on anticoagulation
  24. Do I have the right to refuse CPR?

    Why in the world would you refuse CPR? What if you're simply choking on a chicken bone? What if you were a near-drowning, and needed the water cleared from your lungs? What if your heart simply...
  25. Dreading Work Again!

    My med-surg floor has a mandated 1:4 ratio, and often we have only 3 pts, but I still dislike my job. I don't like the feces/urine/vomit, complaining/dependent pts, arrogant/rude MDs, constant...