Sun0408 ASN, RN

Trauma Surgical ICU

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All Content by Sun0408

  1. Sun0408

    Strep...2nd time in a month for me

    Don't forget to change your toothbrush. Kids can give us some nasty bugs can't they
  2. Sun0408

    Night shift nurses: tips on sleeping AT NIGHT

    I flip back to "normal" sleeping patterns when Im off, this is what works for me. I don't live on the NOC schedule lol.. I go to bed with the rest of my family when Im off and wake about 10am the next...
  3. If I'm not mistaking, WGU requires you to be employed before doing the RN-BSN. i would call and ask. Chamberlain was very expensive the last time I checked.. Good luck to you
  4. Sun0408

    home care physician's orders

    I've never done HH but I can tell you, lotion is part of our (nursing/CNA) care after a bath or PRN. We have no such orders but for anything medicated, yes, we get an order. We do not apply lotions...
  5. Sun0408

    Heparin Drip!

    I'm sorry but that nurse and this issue needs to be reported to your supervisor or nurse manager. This is a pt safety issue. If you have any bullying issues or retaliation, time to get your NM and...
  6. Haven't went any further as of yet but plan too. I love nursing; now don't get me wrong, there are many things I dislike but I refuse to dwell on
  7. I graduated Dec 09, took boards Fed 10 and was working in a large hospital system Mar 10. So for me, it wasn't an issue. I do have a but, there are not many schools in my area or surrounding areas...
  8. Sun0408

    Verbal job offer but no formal letter...

    My experience has been what marshmallow described above. I have never received a letter but specific communication from
  9. Sun0408

    Coding patient without paging code overhead?

    We don't call codes overhead at all. The ED handles their own codes, floor codes are called and a page goes out to the rapid response nurse and code team. ICU codes are handled the same, a page goes...
  10. Sun0408

    dosage questions

    What have you done OP to solve these very basic
  11. Sun0408

    Verbal job offer but no formal letter...

    I've never received an offer letter from my current employer or previous employer. Both are large well known
  12. Sun0408

    What course was most difficult for you?

    For me, it was English during my pre-req classes and pharmacology for my nursing classes.. Go figure
  13. Sometimes I have found after expelling many syringes full of air, I start to get residual. Did you pull back on the syringe once or did you keep
  14. Sun0408

    morphine drip for "comfort"

    I've had AAO pts on dilaudid 3mg/h and 3mg/q6minutes via PCA. This person is very much alive and tolerating the PCA very well sitting up in bed eating and talking..This person is not on comfort...
  15. Sun0408

    morphine drip for "comfort"

    If you were assisting in his death, he would have been gone long before you hit 74mg/h. Morphine has no ceiling dose. It does much more than just decrease pain, it also decreases the "air hunger"...
  16. Sun0408

    Offering money to switch clinical sites? Ethical?

    How is asking to switch clinical sites an ethical issue?? When I was in school, switching was allowed if the student found another student willing to switch. It was allowed by the school but the...
  17. Sun0408

    Sleeping with HMEs (Trach noses) safe?

    Is this pt on the vent?? Every vented pt I have ever had via ETT or trach had a HME attached. I don't work HH or peds so maybe someone has some more
  18. Sun0408

    conscious pt terminal wean

    He still supported his wife, no one "wants" to let their spouse,mother, father go but sometimes, it's not up to them. This IS what she wanted and she has that right. Take comfort in that, as you move...
  19. Sun0408

    conscious pt terminal wean

    .This should give you comfort, it was her decision and her family supported her. Her nurse and the MD supported her, there are worse things than death and death is not a scary or bad
  20. Sun0408

    Holding Antihypertiensives

    That is what I am saying, the MD needs to be aware.. Refusing to give meds after the MD is aware is a totally different
  21. Sun0408

    Holding Antihypertiensives

    I am talking legally, of course we have nursing judgement but that does not equal "practicing medicine" which is by many states what we are doing when we hold meds that do NOT have parameters OR...
  22. Sun0408

    Max dose on drips

    My current facility is 200 on neo but my last facility was 300. Go by your facilities max
  23. Sun0408

    Holding Antihypertiensives

    Legally, you can't hold a med with a MD order. Tricky but I would have called the MD. I love parameters for this very reason, many cardiologist will want to continue meds unless BP is less than 80 or...
  24. Sun0408

    A nurse in a wheelchair?

    I honesty have no clue, hope others can help. I would imagine it would be very difficult to get through
  25. Sun0408

    NG residuals

    Yep yep, now for a NGT that is connected to suction, we tend to replace the volume with NS via IV if it is a large