Sun0408 ASN, RN

Trauma Surgical ICU

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All Content by Sun0408

  1. Sun0408

    Incompatible medications and IV tubing, IV's.

    Sun0408 replied to MunoRN's topic in Patient Medications

    This is how I have always done it, however, the facility I now work at has a secondary set of tubing for each medication. Waste of money and multiple breaks in the system open the pt up for...
  2. Sun0408

    Saw a nurse yelling at a patient in ICU

    Sun0408 replied to inspiredbynavy's topic in Patient Safety Issues

    Can I like that post 1000 times
  3. Sun0408

    What's considered a "current TB test result"?

    Sun0408 replied to KJ87's topic in General Nursing

    We have to have one yearly. When I switched jobs, my last PPD was accepted because it was still
  4. Sun0408

    Clinical question

    Sun0408 replied to lepew's topic in Nursing Educators, Faculty

    I don't teach but when I was in school they stopped it a few semester before I started for the same reasons you stated as well as HIPAA.. To help us get prepared for the day, we arrived 30 minutes...
  5. Sun0408

    Do you do the full head to toe patient assessment?

    Sun0408 replied to aywl's topic in Canada

    How would you know there isn't an issue unless you listen?? Yes, lung sounds on all pts, heart tones as well as bowel sounds.. It takes what, less than 5 minutes to listen to all three.. In LTC...
  6. Sun0408

    tucking scrub pants in shoes

    Sun0408 replied to dudemursebrah2b's topic in General Students

    I'm not understanding the point..In school as well as on the job, I had/have more important things to worry
  7. Sun0408

    How much time per test question?

    Sun0408 replied to WineCountryRN's topic in Nursing Educators, Faculty

    We never had a time limit per question. Each test we had 90 minutes.. Those that finished early went outside, eat, etc and we had a set time to be back in class. For our math quiz we had like 30...
  8. Sun0408

    Do you do the full head to toe patient assessment?

    Sun0408 replied to aywl's topic in Canada

    Depends on the setting. In LTC you can't do a full head to toe assessment on 20-40+ pts. When I was a M/S nurse, I did focused assessment but listened to each pts heart and lung sounds, did a quick...
  9. Sun0408

    Protocol vs. Standing Order

    Sun0408 replied to seahawksfanguy's topic in Nursing Student Assistance

    From my facility protocols are facility based set of orders that can be done without the MD's signature. Ex: Chest xray after intubation or KUB after NG tube placement.. Rapid response is ran with...
  10. Sun0408

    Snowed a patient

    Sun0408 replied to 0.adamantite's topic in Patient Safety Issues

    The OP didn't set out to "snow" the pt.. If the medication she gave was ordered, appropriate and within range, she did nothing wrong. She spaced the meds out as a precaution and re-assessed...
  11. Sun0408

    Snowed a patient

    Sun0408 replied to 0.adamantite's topic in Patient Safety Issues

    Something similar happened to me a few years back in the ICU. Pt continues to c/o pain so I medicate.. She was "sleepy" but woke and answered questions etc.. By morning she wouldn't/couldn't wake....
  12. Sun0408

    How do you update families in your ICU?

    Sun0408 replied to psu4hld's topic in Critical Care

    We set up a password on admission with the next of kin at the time they are brought to the ICU. The password allows for updates over the phone. Calls are allowed at anytime but if the nurse is busy,...
  13. Sun0408

    Saw a nurse yelling at a patient in ICU

    Sun0408 replied to inspiredbynavy's topic in Patient Safety Issues

    Ain't no body got time for that :) famous words of Sweet Brown
  14. Sun0408

    ACLS/BLS cards are so flimsy...?

    Sun0408 replied to renardeau's topic in General Nursing

    Once your employer has a copy, you can put it up.. No need to carry it around. I wouldn't laminate it LOL, some might not take it
  15. Sun0408

    First Exam...am I being too hard on myself

    Sun0408 replied to Larry2016's topic in General Students

    This
  16. Sun0408

    First Exam...am I being too hard on myself

    Sun0408 replied to Larry2016's topic in General Students

    Nursing classes are a different ball game, its not as simple as memorize and answer.. You are being too hard on yourself..Just an FYI, rarely does anyone passes nursing school with all A's.. Highest...
  17. Sun0408

    Infection control question...

    Sun0408 replied to luvmy2angels's topic in General Nursing

    I feel the same as the other posters.. It's not like you are giving baths, doing personal care, or wound dressing changes in the dinning
  18. Sun0408

    Graduation, First ever RN job, And Fired within 2 Months?

    Sun0408 replied to eereiche19's topic in Nursing Career

    Depending on what state you live in; what they did could be very illegal. They hired you as a GN but used you as a RN including passing meds etc. Do you also hold a LPN/LVN license?? Who signed your...
  19. Sun0408

    How much is too much morphine?

    Sun0408 replied to Neomikeyboy's topic in Hospice, Palliative

    There is no ceiling for morphine. You give as much as the pts needs. Sometimes no amount of meds will stop the moaning. Besides the moaning, did the pt show any other signs of distress, pain,...
  20. Sun0408

    Bullied for reporting a med error by another nurse

    Sun0408 replied to StaffNurseMcS's topic in Patient Safety Issues

    I'm confused, are you and StaffNurseMcS the same
  21. Sun0408

    ICU Nurse needs advice

    Sun0408 replied to Socrates12358's topic in Nursing Career

    You've been there 8 weeks, this is really normal to not feel comfortable with everything yet. Are you still in orientation, do you have the support you need working the unit?? It takes time. Acute...
  22. Sun0408

    Fluid bolus for patient with end stage renal disease?

    Sun0408 replied to lovin's topic in Dialysis, Renal, Urology

    With ESRD, I would not expect must urine, if any at all unless the pt made urine on a regular basic.. As for the worsening condition, that is expected with ammonia levels that high.. Only so much we...
  23. Sun0408

    does anyone else working night shift have to take call?

    Sun0408 replied to gwendiva8's topic in General Nursing

    We do call but its one weekend every 3 months or so.. The call is on your weekend off and it is for the shift you normally work.. You can't be on call if you are already working Who comes up with...
  24. Sun0408

    Is 2 weeks enough orientation new grad?

    Sun0408 replied to eelise11's topic in Geriatric, LTC

    I personally don't think it is but from the many treads I have read here, 2 weeks is longer that what some got in LTC facilities..I've read as few as one shift and the new grad was on their own the...
  25. Sun0408

    Nail care

    Sun0408 replied to its_meee's topic in General Students

    You don't need an order to GIVE a bath... Clipping is not good practice due to cutting the person and risk of infection, DM pts are of the highest at risk.. Filing is ok and no order needed, depending...