Sun0408 ASN, RN

Trauma Surgical ICU

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All Content by Sun0408

  1. Sun0408

    Are LPN's allowed to draw blood from PICC lines?

    Sun0408 replied to Blackcat99's topic in Geriatric, LTC

    SC is a
  2. Sun0408

    Do you ever hold Lantus?

    Sun0408 replied to SleeepyRN's topic in Diabetes, Endocrine Nursing

    Generally speaking, no I don't hold lantus. However, the 126 was after treating from a previous low level. This would have me asking, is the lantus too much, how often are they dropping, are they...
  3. Sun0408

    Please, someone tell me how to stay out of trouble and keep my job.

    Sun0408 replied to NurseCard's topic in Geriatric, LTC

    54 residents to watch over... You have lasted 6 months, pat yourself on the back and find a new
  4. Sun0408

    Any ICU's ambulating vented patients?

    Sun0408 replied to hodgieRN's topic in MICU, SICU

    We don't do it in our dept, obviously trauma's aren't gonna walk all that soon, however, they do walk vented pts in the CCU. They have a portable vent on wheels or they just bag the pt. I have yet to...
  5. Sun0408

    leaving my job gave a 2 weeks manager very rude.

    Sun0408 replied to purpleRN6163's topic in Patient, Colleague Relations

    Two weeks notice will land you in the "do not hire list" fast depending on the policy. We are required to give 4 weeks notice. This is at my current facility as well as my last. Both are very large...
  6. Sun0408

    Hospital diets

    Sun0408 replied to mandaaRN's topic in General Nursing

    Renal pts should not have brown soda in addition to excessive fluids period. Renal pts should also avoid OJ because of the potassium. Break out your nutrition book and freshin up on these diets as...
  7. Sun0408

    leaving my job gave a 2 weeks manager very rude.

    Sun0408 replied to purpleRN6163's topic in Patient, Colleague Relations

    Always give proper notice. I do say "don't burn bridges" why because nursing is a small world. You old NM may be your new one in a new facility. Hospitals do buy others facilities and you will be...
  8. Sun0408

    Read this email my NM sent to all the nurses.

    Sun0408 replied to GummibearsRN's topic in General Nursing

    For a NM to send a mass email, sounds like the unit has some issues. E mail is a great way to get the message to everyone. Morning meetings only reach a selected number of staff. I have no issues with...
  9. Sun0408

    water pitcher mix ups in the hospital, how to avoid?

    Sun0408 replied to Tholi's topic in Patient Safety Issues

    I have seen CNA's/techs push a cart filled with fresh ice and water from room to room for refills several times a day at fixed times. If a pt needs it outside the time frame, the nurse or tech will...
  10. Sun0408

    RN rounding for Doctors?

    Sun0408 replied to traumasurgRN's topic in MICU, SICU

    They are very common at my facility. The RN is not a staff RN, they work with the MD and round on all their pts before the MD does.. The PCP still rounds on their pts. All complex issues the RN is...
  11. Sun0408

    Heads Up: Only Hiring Nursing Grads from NLNAC or CCNE Accredited Programs

    Sun0408 replied to mindlor's topic in General Nursing

    Every listing from HH to hospital states the same in my area.. Sad to fork out all the money and not get hired. I do hope the program is at least approved by the state BON. If it is, OP there is still...
  12. Sun0408

    Very high BGL .... thoughts?

    Sun0408 replied to KitkatPRN's topic in Diabetes, Endocrine Nursing

    I have only seen something like this once so far. The pt was in the ICU on an insulin gtt and no matter how many units we went up he was still in the 500 range and climbing. I think before he died he...
  13. Sun0408

    Are clinicals flexible?

    Sun0408 replied to mee9mee9's topic in General Students

    Make things easy on yourself and buy a car. It doesn't have to be a brand new
  14. Sun0408

    What to do about refusing Dr. orders?

    Sun0408 replied to nancynurse0828's topic in General Nursing

    It is true you are responsible for your actions and practice. However, if the order is safe and the pt does not have a known allergy to it, you are not at fault nor is the MD unless you did nothing...
  15. Sun0408

    leaving in iv needle

    Sun0408 replied to miragal's topic in Infusion, Intravenous

    Not sure how you hooked up the fluids with the needle still in place. Either way, it sounds as though the fluid went into the tissue instead of the vein.. Every IV cath I have used, the needle must be...
  16. Sun0408

    reporting a med error

    Sun0408 replied to wiley6coyote's topic in Patient Medications

    I have written myself up for med errors.. I am honest and didn't want it to be found later. Did I get in trouble no, because our med error reports are to improve the process not to blame.. Is this how...
  17. Sun0408

    150 Questions on NCLEX??

    Sun0408 replied to mommynurse11's topic in NCLEX Exam, Programs

    The number of questions do not matter.. You can pass or fail with any number of questions ranging from 75- 265 questions.. If you did the PVT and got the good pop up, I would not worry. I can tell you...
  18. Sun0408

    What to do about refusing Dr. orders?

    Sun0408 replied to nancynurse0828's topic in General Nursing

    Holy cow, 30 mg IV.. Must have been thinking about toradol... That is a crazy
  19. Sun0408

    Oral intubation kiddos in a home setting?

    Sun0408 replied to dirtyhippiegirl's topic in Private Duty

    I have no experience in home health but in the ICU many of our pts are trached after 2 weeks if they are not able to wean, some go home some go to LTCF that take trachs. I have never seen or heard of...
  20. Sun0408

    I think I made a mistake

    Sun0408 replied to RNikkiF's topic in General Nursing

    Keeping the BP higher will help the brain tissue that is damaged. More pressure more blood flow to the area as well as the much needed O2. With TBI we like to keep the pressure higher. CVA with a...
  21. Sun0408

    homework help? gate theory...

    Sun0408 replied to MedTrans68's topic in LPN, LVN Students

    What does your book say?? I remember it clearly from my nursing textbook several years
  22. Sun0408

    *PLEASE HELP* Is this considered patient abandonment in IL??

    Sun0408 replied to JRN6311's topic in General Nursing

    What did the union rep
  23. Sun0408

    Chest Pain and DNR status

    Sun0408 replied to MissRN7's topic in Geriatric, LTC

    You don't need to call anyone to reverse the code status, you treat the CP.. DNR does not mean "do not treat". The DNR comes into play if and when they stop breathing or their heart stops. A comfort...
  24. Sun0408

    insulin per sliding scale

    Sun0408 replied to kirschbalb's topic in Medical-Surgical

    I give the SS even when NPO. With a BS of 300, they will likely not bottom out. If they were borderline, I may hold the insulin. Most pts that take metformin at home are held in the hospital...
  25. Sun0408

    is 25-30 too late to want to pursue a nursing degree?

    Sun0408 replied to mee9mee9's topic in Pre-Nursing Students

    No, that's the age I went back to school.. My kids were all in school so it was the perfect time for me to start school :) I graduated nursing school in my