Nurseboy1

Nurseboy1

MICU, SICU, CICU

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All Content by Nurseboy1

  1. RN intubation in ED?

    Nurseboy1 replied to Firemedic7's topic in Emergency

    Where are they RTs in your facility, are they not allowed to intubate to assist the

  2. Decub's starting in the ED

    Nurseboy1 replied to Aneroo's topic in Emergency

    Suebird is absolutely right about the time, decubs can start in as little as 2 hours of unrelieved pressure, regardless of patient age and health. Not only that, ER gurneys are not designed with...

  3. Waste in hospitals

    Nurseboy1 replied to ShayRN's topic in General Nursing

    My personal favorite:rolleyes: is when we have to throw away supplies that were in patient's rooms on contact isolation. The supplies are still STERILE and in their individual SEALED packages, but...

  4. Stat locks! Yay!

    Nurseboy1 replied to SheriLynnRN's topic in General Nursing

    I have to agree that I hate the stat lock when used for PICC dressings, they make the dressing change more difficult. Our IV team uses them when they place PICCs, but then we have to change the...

  5. was this Vanco dose a little high?

    Nurseboy1 replied to LPN2RNdude's topic in General Nursing

    The dosing of vancomycin is varied based on the individual patient. I usually see it dosed based on the patient's height/weight and their kidney function. As for the dose, I commonly give 1gm, 1.25gm,...

  6. my boyfriend CNA/my issues with him dealing with human bodies

    Nurseboy1 replied to lena11's topic in Men in Nursing

    Ladies and Gents, I believe we have a

  7. Suctioning

    Nurseboy1 replied to mysticalwaters1's topic in General Nursing

    In my experience working on a pulmonary unit with a large number of trached patients, we usually keep the suction no higher than 120 mm suction. The RTs on my unit have told us that suctioning at...

  8. Why is everyone on Protonix

    Nurseboy1 replied to mediatix8's topic in General Nursing

    Interesting study, so really no matter what we give it shows no statistical benefit in the prevention of stress related ulcers:confused: . Since I have to work tomorrow I am going to ask our...

  9. Why is everyone on Protonix

    Nurseboy1 replied to mediatix8's topic in General Nursing

    While I can't account for all inpatients, my unit being pulmonary medicine uses protonix since GERD increases the incidence of aspiration pneumonia. Also in our lung transplant population we see many...

  10. Why is everyone on Protonix

    Nurseboy1 replied to mediatix8's topic in General Nursing

    According to my med-surg textbook, stress ulcers have some known causes such as trauma, burns, head injuries, sepsis, respiratory failure. Stress ulcers also arise from unknown etiology. It is...

  11. Why is everyone on Protonix

    Nurseboy1 replied to mediatix8's topic in General Nursing

    While that is true, sucralfate does bind to many drugs preventing absorption which can make a dosing schedule problematic since the sucralfate is typically taken qid while protonix is taken daily or...

  12. Telemetry Techs vs. Nurses

    Nurseboy1 replied to Jubei's topic in Cardiac

    On my telemetry unit that I work on as a secondary unit, we have individual monitors for each patient in their room, and in every room there is a large monitor that displays all of the patients on the...

  13. Pediatric Trach Tips

    Nurseboy1 replied to jacesmom2's topic in General Nursing

    According to what I learned in school and in my practice on a pulmonary unit with multiple trachs, you should leave the old ties on the trach while you put the new ties on. Once the new ties are in...

  14. Slow Codes and Extubating a Conscious Pt

    Nurseboy1 replied to Meerkat's topic in General Nursing

    To answer the first question, I find "slow codes" to be extremely unethical. It is the decision of the patient or the people acting on behalf of the patient to determine code status. If they...

  15. Shingles

    Nurseboy1 replied to tukeyflats's topic in General Nursing

    My facility places shingles patients on respiratory isolation if the lesions haven't crusted yet. Once the lesions crust over and begin to heal we take them off

  16. Stupid Question!

    Nurseboy1 replied to tx2007's topic in First Year After Licensure

    You only have to take the NCLEX once. Thank

  17. Precepting

    Nurseboy1 replied to Tweety's topic in General Nursing

    Hey Tweety, I get the attitude of you have it easy when I precept, but my NM doesn't allow a nurse thats precepting to exceed a certain number of patients. Generally to keep people from giving me...

  18. Patients who steal from the ER

    Nurseboy1 replied to mdslabod's topic in Emergency

    To the OP, sorry about the theft of your stethescope. In my facility ALL the supplies are in the supply pyxsis, and only the nursing staff have access. They don't even allow the docs access. The...

  19. For all the RN's that passed nclex on 1st shot

    Nurseboy1 replied to Kitty Hawk's topic in General Nursing

    I took a review course, and studied with my classmates prior to taking the NCLEX. I signed up for my test in Wilmington, on purpose. I went down the night before and didn't take a single book with...

  20. NPO and meds

    Nurseboy1 replied to djsrn's topic in Patient Medications

    At my facility, the docs will generally write NPO with meds. And generally depending on procedure we will only give the important meds. Such as anti-rejection meds, BP meds, 1/2 dose insulin, and...

  21. Nurses who Hunt and Fish

    Nurseboy1 replied to MacERRN's topic in Men in Nursing

    A crappy is a small black/white speckled panfish. Similar to a bream, but with a bigger

  22. Nurses who Hunt and Fish

    Nurseboy1 replied to MacERRN's topic in Men in Nursing

    Hey Joe, Not much hunting to be had in my area of NC. However, the catfish are starting to bite in the river near me, and I have several ponds that the bluegill and crappie are starting to bite in....

  23. Medical Errors

    Nurseboy1 replied to ninas's topic in General Nursing

    I read "Internal Bleeding" I thought it was an excellent account of how errors were committed and ways to fix the

  24. Facial hair?

    Nurseboy1 replied to Nathan_Brody's topic in Men in Nursing

    Since I work on a respiratory floor and TB admits are common, I choose to stay clean-shaven. I absolutely hate wearing PAPRS, and much prefer the

  25. First person you meet

    Nurseboy1 replied to needsmore$'s topic in Emergency

    In our ED campus police and security are in the area 24/7. All patients and visitors must go through the metal detector and have bags x-rayed. When patients arrive via ambulance a security gaurd...