alyca

alyca

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All Content by alyca

  1. Kardexes - - Are They Out Of Date?? Do You Use Them In Your Facility??

    alyca replied to passing thru's topic in General Nursing

    We totally still use kardex's. Each pt has a kardex that has their diagnosis, diet, allergies, precautions, medical history, IVF ordered, weightbearing restrictions, lab orders, therapy instructions,...

  2. I put myself in a bad situation.

    alyca replied to Foxfour's topic in Washington Nursing

    Try Harborview. They have a program for nurses who are not new grads, but need training--its basically the same program as our new grad training, just shorter, since you will pick up on things faster...

  3. Trauma Orthopedics in Seattle poetry

    alyca replied to alyca's topic in General Nursing

    Yes, I work at Harborview on

  4. Trauma Orthopedics in Seattle poetry

    alyca posted a topic in General Nursing

    At work last week, after a really hectic and crazy day, one of the nurses wrote a long, funny and try poem about life at work. We have decided to try to get people to write some funny poetry about...

  5. What's you highest...?

    alyca replied to talaxandra's topic in General Nursing

    We get tons of ETOH w/d patients. ALmost 1/2 of all trauma pts have some sort of ETOH connection (them, the person that ran over them, the driver, etc). Highest BAL I have seen is a chronic ETOH pt...

  6. "VIP" pts

    alyca replied to nursie nurse's topic in General Nursing

    I work at a public level 1 trauma center on the trauma/orthopedics unit. We have some private rooms and some doubles, and the private rooms are the closest thing to VIP room that there is--same...

  7. What do you use for pain control

    alyca replied to alyca's topic in Orthopedic

    International/non-english speaking pts are one of our target populations, so we get a wide variety of different cultures. Different cultures express pain differently. Some are stoic and try to keep...

  8. What do you use for pain control

    alyca replied to alyca's topic in Orthopedic

    And, the pain relief service is not a clinic. They are on call, available to us 24 hours a day every day. We don't let pain slide. The first thing I ask each patient each morning when I arrive is...

  9. What do you use for pain control

    alyca replied to alyca's topic in Orthopedic

    Let me just reply that most of our patients have really fairly good pain control. We are not having people lying in agony not being treated, and there is not, in my opinion a huge problem at...

  10. What do you use for pain control

    alyca replied to alyca's topic in Orthopedic

    Is this the On-Q system?? We use that on a rare basis, but have found that it is only useful in pt's with incision-related pain. It doesn't help with bone pain from fractures. It helps with the...

  11. What do you use for pain control

    alyca replied to alyca's topic in Orthopedic

    Harborview Medical Center, Seattle Washington. We are a level 1 trauma center serving the Pacific

  12. What do you use for pain control

    alyca replied to alyca's topic in Orthopedic

  13. Does this seem right to you?? Induction

    alyca posted a topic in Ob/Gyn

    Okay, my sister is at 40 weeks as of yesterday, has gestational diabetes (borderline), and they decided to induce on Thursday because they didn't want her going past her due date with the GD. So at...

  14. Does this seem right to you?? Induction

    alyca replied to alyca's topic in Ob/Gyn

    I appreciate all the responses. I totally understand the staffing issues. I am an RN (trauma/orthopedics), and see short staffing all the time. I guess the lack of pt education from the MD...

  15. Does this seem right to you?? Induction

    alyca replied to alyca's topic in Ob/Gyn

    No, she has had the edema for the past 3 weeks or so. Our big issue is that they were told they MUST come in to be induced, it was UNSAFE for her to go any further past her due date with the...

  16. Does this seem right to you?? Induction

    alyca replied to alyca's topic in Ob/Gyn

    I know that family is really not a consideration. Just mentioned it. My upset-ness is that the Dr insisted that she must come in to be induced if she did not go naturally by this past Thursday. My...

  17. Acute Rhabdomyolysis?

    alyca replied to adidas99's topic in General Nursing

    We had a kid who was a bodybuilder, taking lots of creatine to build muscle (4x the recommended dose on the label). He also had been dabbling in some steroids. After a month or so on the big doses of...

  18. Funniest injury you have ever seen.....

    alyca replied to MrsWampthang's topic in Emergency

    A few years ago, my dad was up late on Christmas eve putting the final touches on some gifts from 'santa claus' for my 9-year-old sister. This involved using super glue to attach various things...

  19. Sun burn joke

    alyca posted a topic in Nursing Humor

    THE SUN BURN!! A guy falls asleep on the beach for several hours and gets a horrible sunburn. He goes to the hospital and is promptly admitted after being diagnosed with second-degree burns. He was...