RescueNinja replied to PediLove2147's topic in General Nursing
I'm really surprised to see people saying you need an order to piggyback something. I have never seen an order for anything other than "IV." You can dilute things as much as you want as long as it meets the minimum as specified in the policy or instr...
So many of these drive me bananas. The worst is O2 Stats. Or the patient is statting at whatever. Those make my skin crawl! Shortly after I started a new job about an hour and a half from where I live (not far, but *very* different culture) I asked a...
RescueNinja replied to nursedelia's topic in General Nursing
I did not read through all the posts so this may have been posted already, but the very first thing I check when I have a trach patient (okay, second thing after code status) is that I have an extra trach at the bedside so that I can pop that sucker ...
I have taken part in many codes including a few hours ago and yesterday too. My first was in my third semester of NS. None of them were my patients and none of them survived, unfortunately. Since I work in the ED, most of the codes I see now are peo...
RescueNinja replied to melissa3333's topic in International
I agree with other posters. I would never wait for an order to put my pt on O2 if I felt it was necessary. You do need to be careful, but you will learn who can tolerate the O2 and who can't. Now I work in Emergency and we have a lot of directives th...
RescueNinja replied to rn_yogi's topic in Critical
We use Propofol almost exclusively, but if BP is an issue and Levophed is not working well enough or if we are unable to wean pts off the Levophed within a day or two, we tend to ask for the Versed/Fentanyl combo also.
http://www.amazon.com/Critical-Care-Nursing-Made-Incredibly/dp/1609136497/ref=sr_1_2?ie=UTF8&qid=1322615881&sr=8-2 I don't have this book in particular, but I have several others from the series and LOVE them. They make everything so easy to ...
RescueNinja replied to cornettclan's topic in General Nursing
We thought this at my facility (LTC) too until one of our local coroners was angry that we hadn't been putting anything in the preliminary cause of death section of our facility's internal paperwork. He told us that it is not a legal diagnosis, but i...
RescueNinja replied to jenfromjersey's topic in Emergency
Not that the orders weren't warranted, but I recently had 2 patients that the EDP saw back to back and ordered a soapsuds enema for both of them...30 minutes before my shift ended. Not fun.
RescueNinja replied to BarefootedSarah's topic in International
You will likely have to upgrade your high school courses AND take a pre-nursing course. I'm from Ontario and tuition at my school was approximately $6,000 per year. Depending on the semester you're in books are an additional $500-$2000 per semester. ...
Yes, it's legal. When the nurse takes a verbal/phone order it is his/her responsibility to ensure s/he transcribes it correctly. I always scribble them on a piece of paper (or paper towel which is usually nearby) and always repeat it back to whoever...
RescueNinja replied to samirish's topic in Stress 101
I believe I clearly stated both professions are stressful. I have never worked in a facility where all patients are assigned to a RT 24/7, but each pt is assigned to a nurse at all times. My comment has absolutely nothing to do with who has it harder...
RescueNinja replied to samirish's topic in Stress 101
Neither. Both are stressful. FYI, RTs are not the only ones working in highly stressful, critical care environments. Nurses are there 24/7 and a lot of non-respiratory crap hits the fan too. RTs arent there for those stressful moments, but the nurse...
I do not take that crap from anyone. Pts, co-workers, people in public, etc. If anyone is rude to me I just say something along the lines of "your behaviour is inappropriate/unprofessional/unacceptable, I do not deserve to be treated this way and I w...
RescueNinja replied to yooperPN's topic in Geriatric
I'm curious as to why the MD did not write an order for no resuscitation?? Maybe it is different in the US, but here they can (and do) write DNR orders in situations like this.
Well, we only cover the pans coming out of isolation rooms (or if it's something really nasty out of respect to those we may pass on the way) and carry them down to the dirty utility room. It's big, but not huge. It's about 3 feet tall and 1.5-2 feet...
We use VernaCare products at both of the hospitals that I work at. Even our wash basins are disposable. I LOVE them. I have never noticed measurement lines, but we have a little scale and weigh the containers for outputs. They will leak if you leave...