Sun0408 ASN, RN

Trauma Surgical ICU

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All Content by Sun0408

  1. The OP's tubing must be different from the ones I am familiar with. Our tubing does not have a clamp above the pump on the primary tubing, only below which would also prevent any secondary from...
  2. She had the NS clamped. We do not know the VTBI she programmed for the dopamine. It normally comes in 250ml so if she programmed 150ml the pump would switch back to the primary after that amount...
  3. DOPAMINE Guidelines for safe administration : Nursing2012 Above is a good article, easy to read and
  4. Dopamine and similar drugs should never be piggybacked as a secondary if I am understanding you correctly. They should be on their own primary tubing and on their own pump for proper titration. With...
  5. If you are scheduled to work 7a-3p then you really need to stick to that or you will crash and burn. Nursing is non stop 24/7, something always needs to be done but that doesn't mean that YOU have to...
  6. Sun0408

    Possible Med Error?

    Im kind of confused.. If the order was written for 0.5mg why would you be worried?? Sounds like the MAR was not updated in time for the earlier dose. If you gave what was ordered, you did nothing...
  7. Sun0408

    Good pop up?? Is it reliable?

    The PVT has nothing to do with your state but quick results do, not all states participate in quick results.. If you got the good pop up, changes are great you passed, I have yet to hear of someone...
  8. Sun0408

    First cpr experience

    CPR is brutal, its hard on the 80 plus to 90 plus year old pts that are terminal but the family refuse to make a DNR. It is not what is seen on tv, and that is a huge misconception. I have felt...
  9. You are still a student, therefore you can't have your "own" pt load. You need supervision to do the things you are doing because you are not 1. licensed 2. an employee. I don't understand why your...
  10. Sun0408

    homosexual patients

    OP, posting to your second question about "how I feel about it".. I feel no different than with a hetero couple. They are people all the same with the same needs as me :) I guess this is just...
  11. Sun0408

    Is nursing that bad?

    Ya know, this is a hard question. I do love what I do, I enjoy going to work each shift. I love the codes, the trauma's, the pts that touch your heart.. I love helping those that can't so it...
  12. Sun0408

    homosexual patients

    Maybe you will get a better response in your area. I have worked in several US facilities and sexual orientation does NOT come up. Oh and I should mention I am from the south or "redneck" country....
  13. Sun0408

    Pregnant and just lost job!

    Apply for medicaid, finish your MSN and after the baby is born job hunt.. Its not easy and it may not be fair but it happens. There is help out there. Good luck to you and the lil one
  14. Sun0408

    Forced wearing of nursing cap.

    I wonder where the OP is and what happened at
  15. Sun0408

    First day off orientation

    You are never alone or totally on your own. You have your co-workers, NM, CNA's, tech, MD's to help you. You will ask a ton of questions and that's a good thing. Not everyone on your unit will be open...
  16. Sun0408

    Fevers In CCU

    Treating fevers is tricky.. The main reason is what the ID doc told you. Many don't want a fever treated. We have one doc that will not order tylenol unless the fever is greater than 103.9. A fever is...
  17. Sun0408

    77 K for BSN in L.A.

    77k for an ADN, that's a ripe off. I would find another
  18. Sun0408

    77 K for BSN in L.A.

    "New" school and that high,
  19. Leaving during orientation may land you in the "do not rehire" list. This could be a problem or maybe not. Larger healthcare systems do buy smaller ones or those in financial trouble do merge. This is...
  20. Sun0408

    witnessing a DNR

    I was thinking the same thing.. Code status is PHI. This might be the way to get the "policy" changed.. HIPAA violations can cost the hospital large amounts of money. I would go to risk management if...
  21. Sun0408

    witnessing a DNR

    That is just crazy and plan stupid.. I can see needing two witnesses outside the hospital setting for a DNR or POA etc but in the hospital. Getting other visitors involved in matters not related to...
  22. Sun0408

    What makes you want to vomit?

    I haven't found anything nursing related but the hospital food is bad enough to make me want to vomit
  23. Sun0408

    Should meds be held before an EGD?

    She sent you an email, that's a little much. The order should have been clarified when it was written not at 4am like you said. It was safest to hold. My point was at 4am the meds would not have hurt...
  24. I travel about 52 miles one way and it is rough but doable. The drive home after a long night shift is the worst and at times dangerous. 90 miles is a bit much but in these times, we do what we have...
  25. Sun0408

    Staging pressure ulcers

    Check with wound care if you have that service or your P&P. Reason being, in the facilities I have worked at, only the trained can actually stage a pressure ulcer. We can document the site,size...