tokebi

tokebi

Hem/Onc/BMT

Member

All Content by tokebi

  1. Lack of acute pain management for minimally conscious

    tokebi replied to planetstef's topic in Patient Safety Issues

    Or is there a dedicated pain management team at your hospital? If there is, would the primary at least be willing to have a

  2. EKG interpretation - Sinus Block vs PAC?

    tokebi replied to nurs1ng's topic in Nursing Student Assistance

    One distinguishing feature would be that in PAC, you'll see the abnormal beat before the expected next wave. Hence, "premature" contraction. On the other hand, in sinus block, you'll see regular p-p...

  3. when a patient has chills and shivers?

    tokebi replied to tokebi's topic in Oncology

    It wasn't a reaction. She was six days post transplant, had spiked a fever previous day, so she had all the fever work-up done and antibiotics started. When she started shivering badly, I...

  4. What are you really good at?

    tokebi replied to proud nurse's topic in First Year After Licensure

    Selective hearing, noise blocking mechanism right in my brain. Served me well over the years but it can backfire though. My patient's bed alarm was going off and I didn't even budge. I'm trying to...

  5. Does education have a "soul," and how much should you pay for it?

    tokebi replied to zephyr9's topic in Diploma, ADN, BSN

    I believe that the value of an education is completely dependent on what you get out of it. If I were in your position, I would no doubt choose the school I am in love with, because my tendency is to...

  6. What CPR course does a LPN need?

    tokebi replied to xxMichelleJxx's topic in LPN, LVN Corner

    Just make sure it says "for healthcare professionals." I've had HeartSaver (I'm in California) without knowing the difference. It was okay for my nursing home job but wasn't accepted for nursing...

  7. Y-site versus Piggyback

    tokebi replied to cgreer1's topic in Patient Medications

    I'd like to ask a related question. If patient has a central line with multiple lumens, is it okay to infuse incompatible drugs into separate lumens? I'm thinking we shouldn't because the ends of the...

  8. Out of Scope of Practice?

    tokebi replied to ladytopaz's topic in Geriatric, LTC

    I echo what many people already said here: if we nurses don't bring up hospice or palliative care options, who will? Many people don't know about it or have misconceptions, or MDs either don't even...

  9. overly pleasant demeanor after CA diagnosis?

    tokebi replied to ashleyisawesome's topic in Oncology

    It could also be that people express grief, anger, etc, in very different ways. While she may be going through denial, it is also possible that cheerful exterior is her way of dealing with grief. Or,...

  10. How do you keep your faith in LTC?

    tokebi replied to al586's topic in Geriatric, LTC

    Can you find any positive things that go on there? At the facilities I used to work, we had movies with popcorn, ice cream days, and such, which residents loved. Comatose residents with feeding tubes...

  11. are there nurses who ACTUALLY care ?

    tokebi replied to seriouslyserious's topic in Patient, Colleague Relations

    I can understand the irritation. There are some fiercely competitive people out there who would do anything to get ahead, and nursing school is no exception. Don't mind them, just do the minimum to...

  12. are there nurses who ACTUALLY care ?

    tokebi replied to seriouslyserious's topic in Patient, Colleague Relations

    "my belief that all nurses have a genuine interest in people and their well being." Really? all nurses, 100%? Seriously, of course there's bound to be exceptions! I would never assume such thing, but...

  13. Phamacology(DRugs are killing me)

    tokebi replied to KellyT1001's topic in Nursing Student Assistance

    As mentioned already, study classes of drugs, instead of each individual drugs. Brain retains information better when it's categorized. Study one class of drug -- it's mechanism of action, clinical...

  14. LTC med nurses-Are you obeying all of the rules?

    tokebi replied to Blackcat99's topic in Geriatric, LTC

    It is easy to tell the nurses, "You must do this, this, and this" and more documentation to boot in order to make sure those things are done. Problem is, the more tasks are dumped on nurses whose time...

  15. I/O Calculation Question

    tokebi replied to edatri's topic in Nursing Student Assistance

    This type of unit conversion problems is really getting old... US seriously needs to get on board and start using only metric system and standardized international units. Anyway, the closest...

  16. LPN/RN ...Is it all the same? Please Advise!

    tokebi replied to j464335's topic in General Nursing

    I don't think it matters so much as in LPN vs. RN, but rather depends on what kind of facility you work regardless you're LPN or RN or CNA. I had an OK experience in a community hospital as an LPN,...

  17. Penicillin G IM injection?

    tokebi replied to anon456's topic in Patient Medications

    I never gave it but have received it. Yes it is thick and it was the second-most painful IM injection after BCG. Like the resident said, penicillin is given IM because it will slowly absorb and...

  18. LTC med nurses-Are you obeying all of the rules?

    tokebi replied to Blackcat99's topic in Geriatric, LTC

    Everytime someone comes up with such ideas that tack on more tasks onto already busy med-pass nurses, they should first shadow a med-pass nurse with a stop watch, record the time it takes to do all...

  19. VIP treatment. Ethical dilemma for paper?

    tokebi replied to metfan's topic in General Nursing

    I don't know if you already decided against it, metfan. But I thought your topic was really interesting and relevant. Looking at the problem in terms of ethical principles (autonomy, veracity,...

  20. Share Ways how to find a nurse to interview

    tokebi posted a topic in Nursing Student Assistance

    Interview requests seem to appear constantly here in spite of many words of wisdom steering them away from anonymous forum to get their assignment done. I thought I'd start this thread to provide...

  21. Help :'( I'm lost on the steps I need to take to go into med school.

    tokebi replied to brie_1994's topic in Nursing Student Assistance

    Brie, if you're certain you want to go to a med school, you really don't have time to entertain LVN programs or EMT classes or whatever. I don't know where you are at academically right now, but as...

  22. RN Residency?

    tokebi replied to Swellz's topic in General Nursing

    I don't know about other parts of the country but here in California, many new grad programs in hospitals are known as RN Residency programs. The well-known Versant program (which numerous hospitals...

  23. Healthcare is NOT a basic human right.

    tokebi replied to Asystole RN's topic in Activism, Healthcare

    Of course, no one is entitled to a 60k annual income and x number of doctor visits a year and two-story house, etc etc. But I strongly believe there has to be a certain minimal standard that everyone...

  24. Healthcare is NOT a basic human right.

    tokebi replied to Asystole RN's topic in Activism, Healthcare

    I know the thread is about US Constitution but here's one that's above that: Here's the full document: The Universal Declaration of Human Rights Sure it's just words, and who knows how much weight...

  25. Share Ways how to find a nurse to interview

    tokebi replied to tokebi's topic in Nursing Student Assistance

    Darn, I like the title suggestion, Esme. But it doesn't seem like I can change the post. Maybe an admin