SoldierNurse22 BSN, RN

Member

All Content by SoldierNurse22

  1. SoldierNurse22

    Switching to NICU

    There is a large teaching hospital nearby, but due to sequestration, I seriously doubt I will be able to get in to see one. Military has to request permission to shadow/work on the civilian side, and...
  2. SoldierNurse22

    Bio Patch with PICC line dressing changes?

    Biopatch or gel are policy--no exceptions--at my
  3. SoldierNurse22

    Switching to NICU

    Hey prmenrs, thanks so much for the advice! I kinda anticipated that I'll feel like a fish out of water amongst the little ones, but (as it appears you were military, you can probably appreciate...
  4. SoldierNurse22

    PRN narcotics for patients who cant request it?

    For fresh post-ops, it's not terribly uncommon. Usually, when a patient needs a short-acting narc dose that frequently, I've asked physicians to either put them on a PCA or add a long-acting narc on...
  5. SoldierNurse22

    PRN narcotics for patients who cant request it?

    The patient in question appears to have established a pattern of becoming agitated without the PRN medication on a more regular basis than what it is being given. The issue isn't overmedicating, as...
  6. SoldierNurse22

    Awful Doctors

    No one reprimanded you for anything other than giving advice without having any basis on which to do so. When you have a license, THEN you can refer your colleagues back to fundamental skills and the...
  7. SoldierNurse22

    Awful Doctors

    To echo a previous poster, you are not a nurse yet. The RN in responsible for your patient is supposed to know how to handle things in the event that things go sour, not you. You are simply lucky...
  8. SoldierNurse22

    No rapid response for a DNR?

    Not sure where you heard this. I've seen many a patient just stop breathing, go completely pulseless and just drop off. And yes, with proper medication for pain and attention to comfort, many...
  9. SoldierNurse22

    PRN narcotics for patients who cant request it?

    Education for the LVN. Big time. Talk to the manager if you have to because that's unacceptable. It doesn't matter if you're not usually doing direct patient care. You're the charge, you're the...
  10. It's sad to see a physician of some "stature" (social, at least) contribute to the mindset that people with mental illnesses aren't really ill--they're just weak-willed. Most of the folks I know who...
  11. Just because you're not trained as an emergency responder doesn't mean you'll be in the way. As previously stated, you are a nurse. You DO know what to do in an emergency--all you have to do is...
  12. SoldierNurse22

    Oncology Nursing Vent

    Your post is an incredibly accurate representation of my own feelings about oncology as well as the reactions I got to it. I so loved my patients and (vast majority) of coworkers, but like you said,...
  13. SoldierNurse22

    So why even bother with getting an RN?

    pmabraham, It's wrong because the term "nurse" is a protected title in many states, and even if it isn't protected, being an MA vs. an RN/LPN is a totally different profession with (what SHOULD be)...
  14. SoldierNurse22

    Oncology Powerchart

    That's correct. We used electronic charting for oncology as well and the other nurse has to sign using his/her username and password to show that they verified the chemo with
  15. SoldierNurse22

    Nurses Talk To Nurses. Doctors Talk To Doctors

    That is INSANE. INSANE that a physician can speak to a nurse like that and have an ENTIRE ROOM of people just sit back and allow it. If a patient or family member had acted that way, someone would...
  16. SoldierNurse22

    what disorder would this be?

    Interesting point. I suppose the suicidal ideations would make sense with schizo, but with Bipolar, suidical ideations could occur in the depressive phase as well. I suppose I was assuming that the...
  17. SoldierNurse22

    So why even bother with getting an RN?

    I'd have to agree. I know in my state of licensure, we're not allowed to delegate assessments and patient education, regardless of how willing we might be to accept responsibility for the delegate's...
  18. SoldierNurse22

    So why even bother with getting an RN?

    Not true. While they aren't regulated, that doesn't mean that they're just able to do anything and
  19. SoldierNurse22

    did the md's pen go into v-fib??

    Awesome. Paging the coffee clean up crew to my office
  20. SoldierNurse22

    Culturally insensitive patients

    Like most people have said, I wouldn't take it offensively unless your patients are being intentionally rude. Seems like good old-fashioned curiosity, and that isn't limited to one race or another....
  21. SoldierNurse22

    what disorder would this be?

    It's possible, but agitation is the only real symptom that would suggest childhood onset schizophrenia based on the list of symptoms here: Childhood schizophrenia: Symptoms - MayoClinic.com. Extreme...
  22. We were taught how to do this, but it was very general. Basically, we were told to ask if they had any religious preference. If so, we could then offer them 1) the services provided at the hospital...
  23. SoldierNurse22

    New Onco RN struggling to adjust

    Hey RNewbie, how are things
  24. SoldierNurse22

    Emotions- helping patient open up

    I understand where you're coming from, but you can't make her open up to you. If she's having difficulty coping and refusing resources/obvious help, all you can do is be an ear for her to talk to and...
  25. SoldierNurse22

    Mitomycin extravasation question

    Were there previous IV attempts in her forearm that failed? Did the nurse not see any veins that were useable in her forearm? Are her veins poor from previous chemo, thus decreasing the availability...