turnforthenurse MSN, NP

ER, progressive care

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All Content by turnforthenurse

  1. turnforthenurse

    Whats the best thing you like about the ER? Whats the least you like?

    turnforthenurse replied to KittyinNj's topic in Emergency

    I work on a PCU, but I am thinking about transitioning to the ER. I have been floating down there recently and I really enjoy it. I worked down there before, but that was ages ago, it seems. Love:...
  2. turnforthenurse

    Still carrying books around

    turnforthenurse replied to trulyblessed2's topic in Medical-Surgical

    We have Lexicomp built into our computers. We can access it directly from the EMAR to get reference information (as well as patient education on medications!) and we also have calculators and IV...
  3. turnforthenurse

    You know its a seeker when . . .

    turnforthenurse replied to BostonTerrierLover's topic in Emergency

    When they claim they have allergies to Tylenol, ASA, Motrin, Lortab, Darvocet, Morphine, Toradol and Tramadol and the ONLY thing that works for them is Dilaudid. And they claim, "last time I was here...
  4. turnforthenurse

    if a hematoma is beginning to form in the groin after a cath.....

    turnforthenurse replied to raindrop's topic in Cardiac

    I have been taught (and it is also our policy) that we apply pressure 1" above the insertion site, forming your hand into a "C" so that your four fingers are on top holding pressure with your thumb...
  5. turnforthenurse

    Bedside Reporting

    turnforthenurse replied to trottytotty90's topic in Medical-Surgical

    I thought bedside reporting was a JCAHO requirement? No one likes at my hospital. No one really does report at the bedside, either. It is too time-consuming. I would much rather give report at...
  6. turnforthenurse

    critical vanco level, infused anyway

    turnforthenurse replied to monchis_rn's topic in Medical-Surgical

    Pharmacy manages Vanc at my hospital, too, along with all of the protocols. Sometimes nurses do not check when a vanc trough will be due...so they hang the vanc and then the trough is done. Lab then...
  7. turnforthenurse

    Failed 7th time NCLEX RN. Am I a really a failure?

    turnforthenurse replied to Sakshi's topic in NCLEX Exam, Programs

    How have you been studying? Have you been doing a lot of practice questions? Doing practice questions is key to studying for the NCLEX, IMO. There are a lot of great NCLEX books out there, but I...
  8. turnforthenurse

    gtn

    turnforthenurse replied to betty113's topic in CCU, Coronary, Cardiac

    Patient's having a right sided MI will really look sick...like they're in shock. These patients are preload-dependent, so preload reduces such as nitro are contraindicated. Also with a TRUE right...
  9. turnforthenurse

    MD refuses to sign a telephone order.

    turnforthenurse replied to modernhippie_'s topic in Critical Care

    and heparin (obviously). Unfortunately not everyone checks their labs like they should. I was floated to ICU one night and had a patient receiving SQ heparin. They were already there for a few days...
  10. turnforthenurse

    how to make it clear when call doctor

    turnforthenurse replied to neurontin's topic in CCU, Coronary, Cardiac

    If you're ever in doubt you should call, I would much rather call than not. Who cares if the MD gets crabby with you...better for you to call than not and potentially end up in a lawsuit. Was the...
  11. turnforthenurse

    Soiled Scrubs Mid-Shift

    turnforthenurse replied to TheBlackDogWaits's topic in General Nursing

    After I ended up soiling my scrubs midshift, I now keep a spare set in my locker just in case. Luckily it was just my scrub top, so I took it off and I had a white longsleeve thermal underneath, so I...
  12. turnforthenurse

    IV push medications - nursing students

    turnforthenurse replied to Lev's topic in Patient Medications

    We were allowed to give IVP medications under direct supervision, either from our instructor or from another RN. We were never to give IVP medications
  13. turnforthenurse

    What is the highest regular dose of Oxy that you have seen

    turnforthenurse replied to ~Mi Vida Loca~RN's topic in Patient Medications

    The highest dose I have ever given was 80mg
  14. turnforthenurse

    need perspective- rapid administration of potassium

    turnforthenurse replied to VegRN's topic in Patient Medications

    That is way too fast. Potassium should be given at a MAX of 10mEq/hr through a peripheral line and 20mEq/hr through a central line. PO administration is actually the best way to give potassium,...
  15. turnforthenurse

    What to expect in patient's "Progress Notes"?

    turnforthenurse replied to nurs1ng's topic in General Nursing

    There have been times where I have read a physician's progress notes and something is mentioned in the plan but the order was never written. It is definitely a good idea to read the progress
  16. turnforthenurse

    Insulin and Levophed drips on cardiovascular unit

    turnforthenurse replied to heartnurse2012's topic in Cardiac

    Insulin could be done with the ratio on your floor, but it can be difficult. Blood sugar checks need to be done at least Q1H, sometimes Q30min. Levophed would be unsafe at that ratio, IMO. There's...
  17. turnforthenurse

    Patient ratios progressive care units

    turnforthenurse replied to kaylasmommy's topic in Cardiac

    not all PCUs are created equal. I work on a PCU and the ratio is 1:4 but for awhile we were going to 1:5-6 because of staffing. A ratio of 1:3-4 seems to be common. I did my preceptorship my senior...
  18. turnforthenurse

    witnessing a DNR

    turnforthenurse posted a topic in General Nursing

    We had a patient who was actively dying. The MD spoke with the family and they were deciding whether or not to make this patient a DNR. I went into the patient's room with the primary RN to see the...
  19. turnforthenurse

    witnessing a DNR

    turnforthenurse replied to turnforthenurse's topic in General Nursing

    The story is told exactly as it happened. No details were omitted, as much as some would like to think, it seems :/ Thanks for everyone's
  20. turnforthenurse

    witnessing a DNR

    turnforthenurse replied to turnforthenurse's topic in General Nursing

    Trust me, I am NOT okay with the policy. I agree, there are a lot of issues with it and I think it is wrong, but for whatever reason no one has ever said anything about it. Perhaps I can take the...
  21. turnforthenurse

    witnessing a DNR

    turnforthenurse replied to turnforthenurse's topic in General Nursing

    I'm not entirely sure why we are not allowed to witness a DNR. It makes sense because we witness for everything else. That is just our hospital policy. Apparently it isn't like this everywhere.......
  22. turnforthenurse

    What's the weirdest thing management has said to you?

    turnforthenurse replied to monkeybug's topic in Patient, Colleague Relations

    We will never get an unstable pediatric patient on my floor... ANY patient can go unstable at any time, and I know peds can turn quickly on
  23. turnforthenurse

    So nervous! CCRN time!

    turnforthenurse replied to Maevish's topic in CCU, Coronary, Cardiac

    Congratulations!!!
  24. turnforthenurse

    Avoiding inadvertent IV injection of oral liquids

    turnforthenurse replied to NRSKarenRN's topic in Patient Safety Issues

    I still do not understand how a nurse can inadvertently inject oral meds as IV. That reminds me of that nurse or student or whoever it was who injected a patient with
  25. turnforthenurse

    witnessing a DNR

    turnforthenurse replied to turnforthenurse's topic in General Nursing

    This patient used to be a DNR, then they were agreed to be a full code (WHY, I'm not entirely sure)...then once the MD told the family the patient was not doing well, it was agreed to make the patient...