tamadrummer

tamadrummer

1st year Critical Care RN, not CCRN cert

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All Content by tamadrummer

  1. best hands-on PICC training course

    I just went through the Bard Sherloc/3CG course and I can attest to the professionalism they bring to the table with their course! The training rep is an RN that has been doing PICC since they were being used in the 90's and she is flipping excellent...
  2. PICC migration

    I'm a new PICC RN using the Bard system and when we are done with our insertion and getting ready to print/save our strip, the actual number of cm out of the site is documented on the strip and is also documented on the EMR in lines/devices category....
  3. All in my head?

    Is it possible to get the company to purchase a small cheaper ultrasound? It's not a sure hit every time but you know when you are in before you even see the flash.
  4. Phone, cell, beeper and texting.

    Anything else seems kind of alien to me. All 3 of the facilities I have worked in have operated in the same fashion. Call the answering service and tell them whether you need, "orders, results, or condition" and stat or routine call. One physician, ...
  5. Boy, did I mess up :(

    Not one human being was harmed in this! You have to keep that in perspective! Risk management wants a statement because they always want a statement. It gives them a record so if heaven forbid this situation is brought up, they can mitigate the situa...
  6. How to deal with the old/experienced nurses?!

  7. Visitors who stay overnight. Vent.

    Its a legal document that is reported to the risk management department of the hospital. It is used when any medication error is made, any violent interaction with patients, ect. It is also used to report unsafe situations of any kind, up to and incl...
  8. Visitors who stay overnight. Vent.

    Risk-master is your friend in these situations. Complaining families can become like a terminal cancer to your position in the hospital. If you defend yourself and keep your charting square and treat each patient like law and order you will feel more...
  9. Visitors who stay overnight. Vent.

    I think that patients family member who demands you keep the lights off should be risk mastered, the supervisor as well. You have to be able to see everything happening with that patient and when you put them all on notice that this will not be toler...
  10. Amiodarone help!

    Have you ever called out for a consult? The doctor being consulted in an expert in their said field. Cardiology in this case would be the required expert. You don't decide if they are an expert of anything. The hospital already made that decision by ...
  11. Leaking blood during transfusion

    I will begin to use this idea from now on. I usually go get my blood and run NS at 125 for about 5m while checking and signing and spiking to make sure the site is patent and not leaking but starting before I even go to the blood bank and and being r...
  12. PBSC 2013

    The dept of health will always be the cheapest place. Sent from my iPhone using allnurses.com
  13. PBSC 2013

    I had 3 job offers right out of school. I just graduated in April 12 and passed my nclex on June 13. I work in a pcu now and will be in the icu starting December 2nd. There will be work when you graduate. Just worry about school right now. None of yo...
  14. Guys, do you take this personally?

    Shoot I put 3 foleys in females just today. Just be professional and if they refuse, so what. Get a female and be done with it. My career isn't worth some woman being modest. In my experience, by the time these ladies need a foley, they are ready fo...
  15. Which stethoscope?

    I have 2 excellent stethoscopes. The master cardiology and MDF ER premiere, the master cardiology is >$200 the MDF cost about $160 or something like that. I like the Littman because it weighs less but the MDF gives me better auscultation IMHO. If...
  16. Alert,oriented LTC patients who refuse routine nightly insulin?

    I am not sure many understand what it means to have 49 people to pass Meds on and educate. Day shift and management really need to be involved. The DON and case manager along with poa and MD. The nightshift nurse has to pass Meds and fly around like ...
  17. Alert,oriented LTC patients who refuse routine nightly insulin?

    I more than understand education and trying to prevent unnecessary suffrage but if it is not possible to prevent it, the consequences are many many many more fingerpricks and lots of insulin in the critical care area. Just take the darn treatment and...
  18. Alert,oriented LTC patients who refuse routine nightly insulin?

    Shoot let them end up in DKA and on endotool or some other algorhythm And the amount of sticks for blood sugar and the pain in the butt it becomes for them will teach them. Blindness and losing appendeges is way further than a good stent of DKA. Sent...
  19. Pradaxa

    Since this thread started months and months ago I too have seen the same trend away from pradaxa. Too many bleeders that cannot be reversed. There is another one we have been using but I cannot remember the name of it. A new pill form of anti platele...
  20. It's only ridiculous if you choose to go somewhere else or if you have other options. Many do not and the private school has the best plan for them. At 38 years old I had few other options, I needed to start and finish in 2 years exactly and private ...
  21. Is this everyone you are talking about students or practicing nurse managers? Most nurse managers could not care less about where you were educated. What they care about is if you passed the nclex. Everest is very expensive but excellent. I can't s...
  22. As a nurse will I be exposed to dead patients a lot?

    I have been a nurse for 3 months in a pcu/icu and have coded 5 (none made it), had one die 1.5h into my shift, and have helped with postmortem care on 4 others. Death can be dignified and a very important part of nursing care because of the people le...
  23. Everest only gets you an RN. They don't have an LPN degree. I just graduated from there and to be honest it is an excellent program. All of our grads passed the nclex on the first go and all are working full time as RNs. All the hospitals we go to de...
  24. Nursing Diagnosis in PRIORITY ORDER???

    Airway breathing circ, after that prioritize by maslows higherarchy of needs. Sent from my iPhone using allnurses.com
  25. If anyone thinks the less fortunate are going to have better care now that it is a mandate, just wait there will be more and more blind eyes all over and the seniors and poor will suffer the brunt. It simply sucks. Sent from my iPhone using allnurses...