turnforthenurse MSN, NP

ER, progressive care

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All Content by turnforthenurse

  1. turnforthenurse

    Do you do assessments after a patient is discharged?

    I always do an
  2. turnforthenurse

    BP situation

    Sometimes doctors still decide to give a medication if the benefits outweigh the risks. You notified the MD of the patient's VS and yet they still wanted the dig to be given. YOU DID THE RIGHT...
  3. turnforthenurse

    SHOES!

    I personally love
  4. turnforthenurse

    Lantus vs. Levemir

    That makes sense, even though this patient had a low at less than 20 hours. This patient was admitted for hypoglycemia (along with some other admitting diagnoses). They were on Q2H blood sugar checks...
  5. turnforthenurse

    Lantus vs. Levemir

    Why would a prescriber prefer Lantus over Levemir or vice versa? I know that they are both long-acting insulins. I remember asking a pharmacist about it awhile ago and the only answer they provided me...
  6. turnforthenurse

    burning bridges?

    My advice: never burn your bridges because the grass is not always greener on the other side. What if you don't like the other hospital system? It may be hard to go back to your med-surg position....
  7. turnforthenurse

    Do you like your long commute?

    I have an 8 mile commute to work, about 10-15 minutes depending on
  8. turnforthenurse

    Which Stethoscope should I get?

    I think the Littmann Classic II S.E. is perfect for nursing students. The price isn't too bad imo but you can at least hear with it. Cheaper stethoscopes do not have good acoustics. Same with the...
  9. turnforthenurse

    Is pain still the "5th Vital Sign"?

    I've noticed this too. I had a patient go into non-sustained v tach, so I went to check. The patient was awake but sleepy. They said they are okay, but as soon as I asked if they are experiencing...
  10. You are at risk for having stipulations against your license at ANY point in your career, not just during your new grad period. Do you have malpractice insurance? If not, I highly suggest getting it....
  11. turnforthenurse

    Black - The New White For Nurses?

    It actually seems like blue (whether it is navy, royal or galaxy blue) is the "new white" for nurses. OR nurses ALWAYS seem to wear ceil blue. Our respiratory therapists wear black. It seems like...
  12. turnforthenurse

    Practicum in PCU (progressive care unit)

    On a PCU you will see a wide variety of things. Chances are your patients will all be on telemetry, so know your cardiac rhythms and know your cardiac drugs. Know some drips, too. On my PCU, we can...
  13. turnforthenurse

    Help communicating with my nurses.

    Just get involved. I find that I got more out of my clinical experience by helping out on the floor. In nursing school you generally only have one patient to care for...when everything was done for...
  14. turnforthenurse

    New Grad job in Austin, Texas

    As a new grad, I highly suggest a residency program if you can get into one. The new grad market is tough anywhere you go, but I think it's harder in city compared to a hospital in the suburbs....
  15. turnforthenurse

    I hate what's happening to nursing...

    Scripting has been introduced at my place of employment. We implemented hourly rounding awhile ago but it's all scripted. Saying things like "I have the time" (but really I don't...), "it would be...
  16. turnforthenurse

    Do you cut corners in your daily nursing practice?

    I cut corners. I think all nurses cut at least some corners. I feel like you have to. I have left pills untaken before, but they were things like Os-cal. I have taken care of terminally ill...
  17. My workplace has first and last name. I used a label machine to cover it up, though, so only my first name is visible on my badge. I once had a patient tell me he was going to come find me after he...
  18. turnforthenurse

    Is this cheating?

    But you don't necessarily know that. There is a potential for these students with test questions and answers to share with students that are coming into the
  19. turnforthenurse

    What makes you want to vomit?

    Anybody here watch The Walking Dead? Suctioning those secretions reminds me of the same sounds those walkers
  20. turnforthenurse

    What makes you want to vomit?

    Ileostomies with a GI bleed. Worst smell I have ever experienced!!! And the ileostomy had a lot of output, too, so I had to empty that thing multiple times... Mouth care on patients who have not...
  21. turnforthenurse

    Questions about IV Meds

    The lumens of the PICC line have different exit openings. There is enough circulation going so that you may end up giving two meds through two different lumens that may be incompatible, but given...
  22. turnforthenurse

    why did you pick the speciality you are in?

    Because I was offered a job in PCU! I always wanted to work in ICU or an ICU step-down,
  23. turnforthenurse

    Post Fall Neuro Checks

    Neuro checks immediately s/p fall. MD notified immediately and the patient goes down for a head CT. Neuro check frequency is usually Q4H afterwards, but for how long is at the MD's
  24. turnforthenurse

    Favorite Nursing Sayings, Quotes, Jokes.....

    Some quotes: "To do what nobody else will do, in a way that nobody else can do, in spite of all we go through; is to be a nurse." -unknown "To know even one life has breathed easier because you have...
  25. turnforthenurse

    Gaining skills. What is important?

    At six months, a new nurse may be just starting to get comfortable in their role. On average it takes anywhere from six months to a year until a new nurse becomes comfortable. I'm not trying to...