CNL2B

CNL2B

multispecialty ICU, SICU including CV

Member

  • Content

    516

  • Visitors

    7,992

  • Followers

    0

  • Likes

    7

All Content by CNL2B

  1. Recognizing achievement

    CNL2B replied to Otessa's topic in General Nursing

    I personally don't feel that a person's co-workers have any duty to recognize their achievements -- meaning those that you are lateral with. Maybe it makes them mad. Maybe they are jealous. Maybe...

  2. What is your opinion on this matter?

    CNL2B replied to happy2learn's topic in General Nursing

    What city is this? There has to be some media/local news coverage it would be helpful to link if you have any. Have politicians wanted to pull funds in part citing changes from health care reform?...

  3. microteaching on temporary pacemaker

    CNL2B replied to igsoon's topic in General Nursing

    What's microteaching? Were you asked to identify where the knowledge gaps were and bridge them? I work in an area with extensive use of temporary pacemakers and I think it varies from facility to...

  4. What do you do when you come across a...

    CNL2B replied to Despareux's topic in General Nursing

    OP, I think you are doing the right thing, and I think you would be doing the right thing to report it if you had a strong suspicion this person was drinking/impaired. NO ONE in health care should be...

  5. New adventure or Big Mistake? Need advice please

    CNL2B replied to Strontium's topic in General Nursing

    An FYI with that -- many schools don't let you CLEP an infinite number of credits. The schools I have attended will take about 12 credits that way, and that's

  6. Pharmacy said no, conventional practice said yes

    CNL2B replied to anon456's topic in General Nursing

    Micromedex 2.0 has a specific tab called Trissel's IV compatibilities. You need to go there. I typed in "metronidazole" and "potassium chloride" and got 5-6 hits for different concentrations. None...

  7. Paramedic to RN

    CNL2B replied to ilmedic's topic in General Nursing

    I would do a lot more research before committing to Excelsior's program. Illinois isn't the only state that won't accept Excelsior grads for licensure, and there are some states out there that...

  8. New adventure or Big Mistake? Need advice please

    CNL2B replied to Strontium's topic in General Nursing

    OP, many community college ADN programs have gone this route with the 1,000,000 prereqs because they have tons of applicants and need to weed people out. I, too, think it's ridiculous. With all those...

  9. What do you do when you come across a...

    CNL2B replied to Despareux's topic in General Nursing

    LOL. Do you drink? I'm thinking you don't. Haven't you ever had a drunk patient? Yes, the distinct smell of a distillery is .... odorless. No, I don't think so. Drunk people smell like booze,...

  10. Odd rituals at work

    CNL2B replied to abbaking's topic in General Nursing

    I think this is borderline OCD-type behavior. Do you have a lot of anxiety? Ever thought about seeing a psychiatrist? Just something to think

  11. Pharmacy said no, conventional practice said yes

    CNL2B replied to anon456's topic in General Nursing

    This is fine in theory IF the MIVF and the Flagyl were incompatible. They are not. You can run it as a piggyback. Check your compatibility resources for yourself. Whoever this pharmacist was in...

  12. Pharmacy said no, conventional practice said yes

    CNL2B replied to anon456's topic in General Nursing

    wrong drug. we are talking about metronidazole (flagyl), not metoclopramide

  13. Pharmacy said no, conventional practice said yes

    CNL2B replied to anon456's topic in General Nursing

    Looked this up on my lunch break and my online drug guide at work (Micromedex 2.0) says that metronidazole in a 5mg/ml concentration and potassium in a 10mEq/100ml concentration (a lot more...

  14. staffing

    CNL2B replied to icunurse1955's topic in General Nursing

    I see this as unsafe for a variety of reasons. 1. You can't run a unit with ICU level patients with only two nurses regardless of how many beds are there (even if there are only 4 beds.) This is...

  15. Do some patients deserve special treatment?

    CNL2B posted a topic in General Nursing

    Patient some time ago in my SICU was admitted after what was supposed to be an anterior approach back surgery of some type. Orthopedic surgeons made a horrific technical error (blamed it on a...

  16. Do some patients deserve special treatment?

    CNL2B replied to CNL2B's topic in General Nursing

    i didn't say he didn't deserve going the extra mile. i was asking for opinions. as far as transferring to another hospital, i don't think that was a possibility due to reimbursement reasons,...

  17. Time to hang up my tourniquet????

    CNL2B replied to snoopy29's topic in General Nursing

    You're cooked. Read your own post. You said it best yourself. You still love parts of your job -- but it sounds to me like you are at the point where the bad may outweigh the good. Look into...

  18. Med Pass Times

    CNL2B replied to gentlegiver's topic in General Nursing

    OP is talking about passing meds in LTC at shift change. She is probably talking about a whole hallway's worth of people. It's a lot different than doing scheduled meds on 2, 4, or even 6 patients....

  19. NGT Feeds vs Suction

    CNL2B replied to Ashley_RN's topic in General Nursing

    I think this is a crummy question and confusing. From the choices of answers, it looks obvious to me that the NG tube is to suction, although I believe they should have stated that in the question...

  20. Med Pass Times

    CNL2B replied to gentlegiver's topic in General Nursing

    I hate the 0700 med times. We don't have many, thankfully. There are a few meds that are supposed to be given on an empty stomach before breakfast (PPIs) that are timed for 0700. Occasionally we...

  21. NGT Feeds vs Suction

    CNL2B replied to Ashley_RN's topic in General Nursing

    It would be helpful if you gave the answers to the NCLEX question above. We could help you sift through what is incorrect and the rationale as to why. I would not make any assumptions that this tube...

  22. Does this follow ACLS guidelines?

    CNL2B replied to aCRNAhopeful's topic in CCU, Coronary, Cardiac

    I think in an emergency, if you think you have a differential that supports atropine, you can give it first. I have done this on a few occasions and averted a full arrest situation and have not...

  23. have an interview and am pregnant

    CNL2B replied to melmarie23's topic in General Nursing

    I had to do this -- moved in the middle of a pregnancy and needed the income until I had the baby. I was about 5 months so it was obvious when I was interviewing and we didn't talk about it. I would...

  24. Most ridiculous patient requests?

    CNL2B replied to AOx1's topic in Patient, Colleague Relations

    I had a very obese lady a number of years ago at a very prestigious hospital nearing discharge from CABG surgery (patient was likely very wealthy, didn't live in the area, had flown in for the...

  25. Secret to successfully inserting an NG tube?

    CNL2B replied to Nurseinprocess's topic in General Nursing

    I insert NGTs and small bore FTs all the time in the ICU. It's a blind insertion and should not be difficult if you get your technique right. Measure, insert to nasopharynx, head down and get the...