Sun0408 ASN, RN

Trauma Surgical ICU

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All Content by Sun0408

  1. Sun0408

    Frequent flier narc users

    I don't mean come to the ED for RX refill. If their drug of choice is hydrocodone 10's and they are out, what is stopping them from coming to the ED to get more of them because they used up their...
  2. Sun0408

    Frequent flier narc users

    Sounds a lot like policing to me. How are you to do your job if you have to look up approved medications. Will you also verify they didn't get a rx earlier from the clinic and are now out. I don't...
  3. Sun0408

    Do techs deliver babies in L and D???

    I highly doubt any MD would let a tech deliver a baby. L&D has some of the highest premiums for insurance and the liability is huge. Things can go bad quick. No respecting OB or nurse would allow...
  4. Sun0408

    end of life care.. how could I have done better?

    Without seeing the pt myself I can't comment on "how comfortable" he was. I know with end of life it is hard sometimes to find the right things to say. I tend to educate the family on what to expect,...
  5. Sun0408

    Call light abuse. What to do???

    I like the psych consult idea and I would let the pt know. Something is off to hit the call light just say they are turning the tv on and then again to say they are watching a tv show.. If this person...
  6. I don't know,just a thought here but why not just give it q6h if it is safe to do so. Who knows maybe after a few days her "neediness" and on the call light 6-8 times an hour will decrease. Of course...
  7. Sun0408

    Ethical dilemma

    See your last few posts gives us a better understanding of your question. I must say, you need to research this medication AND find out why the pt is taking it. You "believe" it is for depression but...
  8. Have you called your NM and spoken to her/him. They may have your schedule and HR or whom ever will call you to reschedule the "group thing" at a later
  9. Sun0408

    Ethical dilemma

    Have you researched the medication and the dosage? 60mg is the typical dose. Providers start at 30mg allowing time for the pt to adjust to the medication before increasing to the "recommended" dose. I...
  10. Sun0408

    Question on chest tubes!

    google atrium chest tube systems.. It goes into detail on the video's
  11. Sun0408

    Off the clock

    I wouldn't worry about
  12. Sun0408

    Subq Heparin

    I would not talk my pts out of getting the shot, that is putting you at risk should something happen. The pts may get up to go to the bathroom but that is not a lot of movement since most hospitalized...
  13. Sun0408

    How far would you commute to an OB job?

    With the additional information you added.. I wouldn't take it. 4.00 less is a lot when you account for the mileage and increased gas prices. I do drive an hour for my job but the pay is 4.00 more...
  14. Sun0408

    INSULIN DRIPS

    For gtts, I have only seen them in the ICU where the ratio is 2:1 unless the pt is really unstable. We have had to check q15min up to
  15. Sun0408

    Insulin gtt rates

    75 units and hour. I think that was the most before he died. No matter the amount he was on, his blood sugars kept going up.. I think his last BS was in the 600
  16. I'm sorry but this is incorrect. You can take the test anywhere. The testing center site has nothing to do with that states BON. NCLEX will send your information to the state you applied to not the...
  17. I wore the mask for 2 shifts and it sucked.. I had the flu shot at my former facility but until my current facility had my records I had to wear it. Pts look at you like you are contagious and you can...
  18. Sun0408

    How *not* to draw up morphine

    Yep, done that one myself.. I don't put any air in those. I just insert the needle and pull it out
  19. Sun0408

    BP

    Make sure the bell is "on".. Some can turn and if it is turned the wrong way, you will not hear anything. To check put your stethoscope on and tap, if you don't hear it loudly, turn the bell until you...
  20. Sun0408

    Am I Incompetent?

    Sorry but I have to ask, do you check placement if the pt has a NG tube? Maybe reading through your P&P manual will help.. Skim over the things you see on your
  21. Sun0408

    Am I Incompetent?

    Residual checks should be q4h or what ever your policy states. Checking for residuals is done to make sure the pt is tolerating TF.. Too much TF = the pt is not tolerating/digesting the TF and can...
  22. Sun0408

    Am I Incompetent?

    Sounds like a bad day made worse with the in-service.. You have never had a pt on TF, have you ever check residual?? These are basic but understandable if you have never dealt with it.. Check your...
  23. Yes, you do the best you can. Speed comes with time. Don't let what others say bother you, people talk and you can't please everyone. As long as you are safe and do your job, let them talk. My...
  24. Plan and simple.. practice. You have to have the hands on training to get all the skills down. The more you do it, the better and faster you will become.. "Book smarts" is fine, I'm sure I could read...
  25. Sun0408

    ICU RN in need of less physically demanding unit, PACU?

    A friend of mine left the ICU for NICU for the very same reason.. Major back issues.. She misses the unit but loves the lil