divaRN*

divaRN*

ICU, medsurg/tele

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All Content by divaRN*

  1. Compression Hose - What compression gradient is best? Do any come in petite?

    divaRN* replied to mibbycat's topic in General Nursing

    Loveee them! I do not have any circulation problems but I wear Teds every shift and the one time i didnt wear them i was so uncomfortable. I even wear them when flying (DVT prevention!) :) (not sure...

  2. Single Use Leads

    divaRN* replied to nikkicoliCCRN's topic in MICU, SICU

    we use single use BP cuffs and pulse ox which i think is a good idea. Not sure why we do not have single use EKG cables. But I would love to have them! I always think about how dirty everything is...

  3. How do you measure temperatures?

    divaRN* replied to EMSnut45's topic in MICU, SICU

    We use temporal temps. I have never seen a bladder temp used. Will also use rectal temp if on a cooling blanket or temp off a swan if they have one. Personally I do not a fan of temporal temps mainly...

  4. IV weight based heparin

    divaRN* replied to dmds's topic in General Nursing

    keep original weight. if you keep changing the weight you will be changing the dosing which will mess up the

  5. WOW! The public really doesn't like us, huh?

    divaRN* replied to Mrs. SnowStormRN's topic in General Nursing

    sadly healthcare is becoming more customer serviced based and the actual healthcare is being put on the back burner. press ganey places too much emphasis on the customer service aspect. "was your pain...

  6. One Lesson

    divaRN* replied to futurenurse913's topic in General Nursing

    NEVER underestimate a frail old woman. you will be shocked how strong she can

  7. Death and Dying in the ICU

    divaRN* replied to nikkicoliCCRN's topic in MICU, SICU

    I work in an ICU in the north. Once a patient is a DNR/ DNI or CMO that is what they are unless condtiion changes then the MD will readdress code status with the family. Until the point of DNR/DNI our...

  8. TPN thru a peripheral line?

    divaRN* replied to ripcurl1's topic in General Nursing

    At my hospital we only give TPN through a dedicated TPN port of a central line. This means medication or IVF NEVER go through this line. Also, we do not draw blood off a TPN port. NS flushes ONLY. IF...

  9. Trach suctioning. Bullet vs. no bullet

    divaRN* posted a topic in Pulmonary

    I know in the past NS bullets have been used to help clear thick secretions in trached/ vented pts. I know that EBP says we should NOT do this. I personally will not do it as an RN. If RT wants to do...

  10. CBIs

    divaRN* posted a topic in General Nursing

    Can someone please make a larger foley drainage bag for CBIs so I do not have to be in the room every 30 minutes to empty 2L out of the bag as it is about to burst?

  11. What HAVE you said to patients???

    divaRN* replied to jessi1106's topic in General Nursing

    I had a pt who had not urinated in 24 hrs and was not going to urinate anytime soon . Bladder scan showed 775cc. Pt refusing a foley because "it will hurt" and in his mind if he doesnt pee he doesnt...

  12. Reference book

    divaRN* posted a topic in MICU, SICU

    I am transfering to MICU in 3 weeks. Looking for a good reference book to prepare me for my first day! Any suggestions? Thank

  13. Did any of you NOT take a NCLEX prep course??

    divaRN* replied to Zookeeper44's topic in General Nursing

    I did not take a course for a few reasons. I do not like being lectured. I got high grades in school and I would rarely attend class. Mostly because I found the classes moved too slow, too much down...

  14. IV Pumps--have you used Baxter's Sigma Spectrum??

    divaRN* replied to AKav8trix's topic in Emergency

    I am not sure what is different about the tubing but sometimes to fluid will not flow through it no matter what you do. I have had this problem with primary tubing and secondary tubing. I have also...

  15. Heparin Flush for CVC

    divaRN* replied to astudentnurse10's topic in General Nursing

    we recently stopped using heparin flushes for PICC and CVC lines. The only line we use them for is a chest wall port. All of our PICC and CVC lines have a special coating on them to prevent

  16. IV Pumps--have you used Baxter's Sigma Spectrum??

    divaRN* replied to AKav8trix's topic in Emergency

    My hospital recently switched to these. I do not like them. Mainly because the tubing is cheap. I brought up problems I was having with priming the tubing to the rep and her response was "yea that...

  17. IM and SC injections

    divaRN* posted a topic in Patient Medications

    I have seen the SC heparin syringes being used to administer IM injections in very thin patients. I understand they are thin and using a normal size IM needle will hit bone and is unncessary. However...

  18. Nurse-Patient Ratios on East Coast

    divaRN* replied to shhhh's topic in General Nursing

    yes sadly that is true. the med surg floor i work on has a max pt assignment of 8 on nights. its a CVA and respiratory floor with a lot of ICU transfers. VERY unsafe. Way too many unstable

  19. Compassion or reality for obese patients?

    divaRN* replied to stefanyjoy's topic in General Nursing

    there are some patients that i am sooo tempted to say ' loose 100 lbs. save your back and save my back' but i bite my tongue. smile. boost and strain my back night after night. even with proper body...

  20. iv dilaudid

    divaRN* replied to cupcake25's topic in General Nursing

    I would just like to clear something up. I do not automatically label patients who ask for pain meds as addicts. In fact I do the opposite. I have taken care of patients who have been admitted with a...

  21. Pushing Dilaudid?

    divaRN* replied to chacmool's topic in Patient Medications

    how is leaving a bag with 4mg dilaudid any different than leaving a morphine gtt? morphine gtts are not locked where i work. only

  22. iv dilaudid

    divaRN* replied to cupcake25's topic in General Nursing

    I understand that we are not going to change anyone who is med seeking and "pain is subjective". I get it and I have absolutely no problem being in a patients room Q2 to give pain medication when they...

  23. No raise for us

    divaRN* replied to bjaeram's topic in General Nursing

    I understand that this economy isnt the best right now and a lot of people are not getting raises, are getting pay cuts or getting laid off. However, NOTHING aggrivates me more than not getting a...

  24. Posting pictures to facebook

    divaRN* posted a topic in General Nursing

    I was just browsing facebook and came across an album of a newborn baby. cute right? looking through the pictures i was appalled that the person was even photographing this with their iphone nevermind...

  25. Posting pictures to facebook

    divaRN* replied to divaRN*'s topic in General Nursing

    sorry i forgot to mention the person posting the pics is not in the medical field. not sure on the relation to the mother of the baby either but she was clearly there for the entire delivery. she had...