HollyHobby

HollyHobby

critical care, home health

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All Content by HollyHobby

  1. Share your "problem patient" stories!

    Yeah, but I should have known
  2. Help with questions on meds

    Regarding IV potassium, the first thing is to check to be sure you have the right concentration and that your patient's lab results are compatible with giving supplemental potassium. Second, make sure...
  3. Share your "problem patient" stories!

    Until just now I had blocked this patient out of my mind, but I once had a trached and vented patient who repeatedly yanked her vent tubing off her trach because she knew it would get a faster...
  4. iNurseUK, this a bit off topic, but I've never heard the expression "mad as a box of frogs". I love it, and I hope you don't mind if I adopt this as my new favorite
  5. Basic Blood Pressure Question

    You said she has ESRD; is she on dialysis? HD can do whonky things to your blood pressure. Since she's a renal patient and she's asymptomatic, reassure her (over and over again, if necessary) that...
  6. Question about scrubs

    On a related note, I'd suggest wearing pantyliners to work. Stress can upset your menstrual cycle, and the very last thing you ever want to have happen is to have an accident like
  7. When did you become competent with starting an IV and blood draws

    IV starting is simply a matter of practice. If you work in an area where you get to do it often, you'll become proficient faster. I was lucky to start out in an ICU where most of our patients were...
  8. Was I completely in the wrong?

    I honestly can't understand how you did anything wrong at all. At the very most, if you are required to do the bath, your manager could have said, "next time make sure you participate in the bath". I...
  9. Med Errors

    As time goes by, I'm happy to see safer practices put in place. Many med errors are partly due to bad systems, and most of the errors I've seen were of this type. This isn't to say the nurse isn't...
  10. Your orientation should last exactly as long as it takes for you to be ready to function independently. This place sounds like a deathtrap, girl. Get out of there and into a place where your education...
  11. Best Doc Stories

    One evening, our unit secretary coded in the stairwell. She had an unknown heart defect and she went into vfib and dropped like a stone. The nurse that was with her ran into our ICU and called the...
  12. I have a friend who went through a similar ordeal. It was more difficult for her to find a job, but she did get one and was able to prove her worth. However, this was before the employment crunch. So...
  13. I once had a patient with a blood glucose of 1400 who was still quite alert, so I suppose he was accustomed to levels that high. His white count was also pretty high, but the resident hadn't isolated...
  14. Wheels, I'm willing to bet that your nurses are disappointed to see you again... because they want nothing more than to have you healthy, and they feel personally responsible when you are not. The...
  15. going backwards?

    louise, you sound to me like a very good, conscienscious nurse. You haven't had much time yet to get into your groove, but that time will come. That isn't to say that your work won't always be...
  16. Had a Brain-fart on this one....

    Wow, this woman sounds like she has some frontal lobe damage. Seriously, could she have a history of a head injury or some other organic brain disease? I probably would have reacted just like you...
  17. Dealing with an uncooperative patient?

    I think HDNurse has raised a very important point. So many of our patients, especially the chronically ill ones, do feel helpless and this is a big factor in how well they cooperate with their care....
  18. Inappripriate things you've seen a CNA do?

    I have the utmost appreciation for CNAs. Most of the ones I've worked with are unsung heroes. That being said, I once knew a CNA from Hell. This was in a very busy ICU. I had an end-stage COPD patient...
  19. managements new idea for call-lights

    Wow... the gold stars... this is so humiliating. It reminds me of when I worked at Burger King when I was in high school. We had a board with our names on it and we'd get a gold star everytime the...
  20. Kenosha - United Health Systems

    I work at St. Cat's and I love it, love it, love
  21. Dealing with an uncooperative patient?

    We had a gentleman last week who was admitted with A fib and TIAs. He had a history of having an ischemic CVA. Naturally, the doc prescribed coumadin, which the patient adamantly refused to take...
  22. Things nursing school FAILED to tell us

    Never, ever, ever, ever, under any circumstances should you give ambien to an elderly person, unless ambien is something they regularly take at home. 75% of the time, nothing bad will happen, but 25%...
  23. How was your Orientation?

    I'd suggest talking to your preceptor to work out with her what you'll be expected to focus on each day. For example, she might want you to shadow her for a couple of days, then concentrate on the...
  24. Nursing Superstitions?

    I had a superstitious charge nurse who would tie a knot in each corner of the sheet to keep the patient from dying. I'd go along with this only because she'd become hysterical if the knots weren't...
  25. In my experience here in the good ol' USA, is as follows: 1. Many of our patients have no health care coverage. Even if they work full time (many work full time at one job, part time at another) no...