Sun0408 ASN, RN

Trauma Surgical ICU

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All Content by Sun0408

  1. You would return the residual and resume the TF and recheck for residuals again in 4 hours.. Residual checks are standard q4h in most places.. The hold/not hold is a specific question that is facility...
  2. Sun0408

    who can sign patient informed consent?

    In your original question you asked if a 16 year old child could sign the consent for his/her parent.. that answer would be No. Someone 18 or older is not a child and can sign.. Did you mean to say 18...
  3. Sun0408

    titrating FIO2

    We titrate down over several hours but usually we go down by 10 each time if the pt tolerates it. RT does the titrating and setting changes based on ABG's. Nursing really does very little with the...
  4. Sun0408

    New job--charting issue?

    What that CNA did was incorrect and could land her in big trouble with her facility as well as the board. She falsified documentation. While it does happen, it is not good practice. Chart what you see...
  5. Sun0408

    IV Benadryl

    Give it very slow. For the elderly, I give it even slower. I also dilute in 10 cc. The flushed,crazed feeling is not
  6. Sun0408

    Things You Didn't Learn in Nursing School

    Oh where to begin
  7. Sun0408

    Today I screwed up...

    Several lessons learned today.. Pt safety is number one.. Always make sure the bed is locked in all your rooms, make this a part of your safety sweep. Number two... anyone that is unstable, uses a...
  8. It will take months. You will become more comfortable with the things you see most often much quicker of course but for the most part; it takes time to get the hang of being a nurse. School helped you...
  9. Sun0408

    Airway Or Circulation

    The MI pt, the asthmatic pt is still
  10. In the scenario above, of coorifice. Many of us "pull" meds for our co-worker that are in rooms or dealing with situations and can't leave the
  11. Step down is NOT 6 pts and not 6 pts on gtts. Step down has been 4 pts tops in both facilities I worked. They are still fragile and need close monitoring. That is crazy.. I would run. 7-9 pts, little...
  12. If you haven't spoken with her/him re: a start date, you can just call her up and state you have previous obligations and you need to honor them. Ask what can be done to satisfy both obligations or...
  13. Sun0408

    directions needed pls help pls pls pls

    I'm not talking about palliative care nursing as in hands on care/HH.. More intake, assisting MD with care plans, pt teaching, helping the family understand the process etc.. We have several. They...
  14. Sun0408

    New nurse / new to HH / tons of questions

    I would leave like YESTERDAY.. You are a new grad with no experience. You need training and the lack of it will not protect you if/when something goes wrong because A.. you did not receive the proper...
  15. Sun0408

    directions needed pls help pls pls pls

    Have you thought about inpatient palliative care.. That is a lot of evaluation and teaching with no bedside aspect... Check area hospital's web sites for listings that do not require pt
  16. Sun0408

    stressful situations in dialysis

    Wow, impressive :) Before going to the ICU, I was a floor nurse on a renal floor but they were "stable" came in for the usual missed HD, fluid overload, HTN crisis etc but no gtts or vents on the...
  17. I am small but have no issues with my scrubs.. Different cuts and brands fit better than others. Try them on and find what works best for you. You can also have the scrub shop order your size.. Two of...
  18. Sun0408

    stressful situations in dialysis

    In-patient or out-patient HD clinic?? In-patient, you will see more codes, sicker pts, resp distress etc.. Out-patient, I'm not sure about.. I work ICU so we get several pts from HD that
  19. Sun0408

    Failed 1st Fundamentals Test

    First test is a shocker, getting used to the types of questions etc.. Sounds about right from my program. As far as things on the test that were not supposed to be, yep that happened too. During...
  20. Sun0408

    Did I ruin my chances?

    Sounds like a CNA or tech position. Please be careful, they may mistakenly think you have nursing experience as in RN or LPN because of the "bedside nurse program" and what you put on the application....
  21. Sun0408

    SICK of BSN Pedestal

    You are mistaken. Yes they do. I know several nurse managers as well as other's that hold management type positions that ONLY have a ADN, yes even in very well known
  22. Sun0408

    4 weeks notice?

    If anyone believes that they will be able to go back to an old employer and work again even with the "stellar" review, in this day and age where jobs are scarce, you are being had. Quoted from...
  23. Sun0408

    4 weeks notice?

    The last two hospitals I worked for require 4 weeks notice. Yes, even for bedside/staff nurses. Both are very large and if you become ineligible for rehire at one of their facilities you become...
  24. Sun0408

    Can i still be a nurse if i am too emotional?

    I agree with the last two posters.. Work is much different than home but at the same time, if you are crying over everything even something re a stranger half way around the world;this may not be the...
  25. Sun0408

    Overwhelmed to say the least...

    If you haven't already.. check out this site. Its funny and goes through a lot of the basics. index Its a clicky to