Sun0408 ASN, RN

Trauma Surgical ICU

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All Content by Sun0408

  1. Sun0408

    *confused* Sliding Scales and Insulin (particularly Actrapid)

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

    Your post is difficult to follow. Im confused about several things. Did you do a finger stick out of the blue and just decide to give X amount of units on your own or was this a scheduled check......
  2. Sun0408

    Medication Question

    Sun0408 replied to Born2Care4All's topic in Nursing Student Assistance

    Many pts take it for nerve pain.. What is a huge issue re to complications of DM.. that's your connect. If you med book doesn't have much information, might be time for an upgrade.. A quick google...
  3. Sun0408

    Nursing school and working PT???

    Sun0408 replied to xxkmpxx's topic in General Students

    Very possible and doable.. I worked 3 PT jobs, FT nursing school, married with 3
  4. Sun0408

    Does these steps of an IV start sound okay?

    Sun0408 replied to curlsrocck31's topic in Infusion, Intravenous

    I avoid placing the tourniquet and then removing it then replace it again.. I have everything set up, look for a good site without the tourniquet first.. Once I find something, I cleanse, apply...
  5. Sun0408

    Does these steps of an IV start sound okay?

    Sun0408 replied to curlsrocck31's topic in Infusion, Intravenous

    From your instructions you placed the tourniquet to find a vein then removed it and put on clean gloves but never "wrote" to reapply the tourniquet before starting the IV.. Take off tourniquet and...
  6. Sun0408

    Drug Question

    Sun0408 replied to winona09's topic in LPN, LVN Students

    What do you mean by "difficulty breathing". I only ask because in the ICU we have given ativan to pts similar to what you describe minus the weak pulse. If they are desating, RR in the upper 20-40...
  7. Sun0408

    Do you expect the CNA to wash all patients in the day shift?

    Sun0408 replied to crunchytaco's topic in General Nursing

    Each unit is different, on one floor all "walkie-talkies" were washed on days and night shift did the total care pts. My last unit AAO pts were washed on days and the vented and sedated pts were done...
  8. Sun0408

    How to measure foot swelling, not edema

    Sun0408 replied to motyandproudofit's topic in General Nursing

    Yes, it should have been monitored in the past but we can't go back in time now :) How does the foot look, it is red, warm/hot to the touch, are the toes discolored, over sensitive?? How are the...
  9. Sun0408

    med surge floor more stressful than ER?

    Sun0408 replied to ffliper27's topic in Medical-Surgical

    For a new grad, it will all be very stressful no matter where you go.. ED manages just as many pts as med-surg but its not the same 5-6 all night.. They move one out, just to get another in its place...
  10. Sun0408

    Tips for doing well in Med Surg and Pharm

    Sun0408 replied to Tonks57's topic in General Students

    Med surg is a huge amount of information and the foundation to most all other areas of nursing. Know it well, understand the patho.. If you have the course print out, start reading ahead, take notes....
  11. Sun0408

    is this legal

    Sun0408 replied to ProgressiveActivist's topic in MICU, SICU

    No that is NOT what it mean, hospice does not mean kill them as quick as possible either. What it is supposed to mean is allow them to die as pain free as possible, manage other S&S, offer...
  12. Sun0408

    is this legal

    Sun0408 replied to ProgressiveActivist's topic in MICU, SICU

    Wow, that just sounds crazy. I have had my fair share of comfort care only pts but this is way beyond CC. We have stopped tx, pulled the ETT tube and gave morphine and ativan for pain and anxiety but...
  13. Sun0408

    Did I Do the Right Thing?

    Sun0408 replied to westieluv's topic in Cardiac

    Calling the MD when she arrived and converted would have been best choice :) But I do see the rational for your actions, its just nice to have an MD order to back you as it is outside of our scope to...
  14. Sun0408

    Normal nursing grades..

    Sun0408 replied to katestudentnurse's topic in General Students

    Don't place added stress on yourself, nursing school is stressful enough. Some test you will do great, others will be average and yep you might even bomb a few but as long as you have a passing...
  15. Sun0408

    I really don't think I'm cut out for med-surg....

    Sun0408 replied to HippieHealer's topic in Medical-Surgical

    You need one brain sheet to help you keep track of all your pts, needs, meds, dressing changes etc.. Mark them off as you do them. Charting is a must also but once you get the hang of multi-tasking,...
  16. Sun0408

    How does this happen???

    Sun0408 replied to snbonbon's topic in Patient Safety Issues

    Also, I'm thinking this had more to do with his blood sugar than reaction to pain meds. Completely agree with this statement.. The pt received the IV meds on nights and this incident did not happen...
  17. Sun0408

    Is Hurst review enough to pass nclex?

    Sun0408 replied to HelloThere99's topic in NCLEX Exam, Programs

    I used Hurst and Kaplan strategies book. Those were the only two books I used. Hurst for content and that Kaplan book for tips and strategies. Sorry, I don't remember the full name of it but I picked...
  18. Sun0408

    Has anyone ever coded for you at clinical ?

    Sun0408 replied to mchssrn8813's topic in General Students

    3rd semester I had a very sick pt. At the end of the day as we were finishing up to leave for post conference I went in to get my last set of vitals. My pt was still the same as he had been all day,...
  19. Sun0408

    Not a good fit for my family now

    Sun0408 replied to army mommy of three's topic in Nursing Professionalism

    If your goal is to become a nurse one day; why not just start classes and work toward that goal. Just a thought
  20. Sun0408

    chart breakdown

    Sun0408 replied to trulyblessed2's topic in Medical-Surgical

    Ask someone on your unit, what is or isn't kept in the chart after DC or death is facility specific. What it means is the pt is DC'd or died and the chart needs to be broken down and sent to...
  21. Sun0408

    Low census = Crappy staffing, true everywhere?

    Sun0408 replied to KymmD77's topic in MICU, SICU

    This wouldn't be an HCA facility ?? My last unit was like that, hints to why it was my last unit. I left after more than a year of promises. No, it is not like that
  22. Sun0408

    diagnostic tests that require npo

    Sun0408 replied to BacktotheBeach's topic in Medical-Surgical

    MRI's, CT scans as well as ultrasounds do not need to be NPO, even with contrast.. Many MD's/surgeons are very good about writing NPO orders. If you ever have a question about a pt that is going to...
  23. Sun0408

    Home Health IVs w/new grad nurse

    Sun0408 replied to djh123's topic in Home Health

    I was under the impression these pts had PICC lines or porta caths
  24. Sun0408

    Help with Skin Assessment

    Sun0408 replied to studentnurse0987's topic in Nursing Student Assistance

    I have yet to have a pt have issues with skin checks. If I have a walkie talkie I just ask them to turn over so I can assess their skin to make sure they have no issues, its just a matter of fact...
  25. Sun0408

    Rash of A-line dislodgements

    Sun0408 replied to kayern's topic in MICU, SICU

    None of our A-lines are sutured, we also don't use stat locks. We really don't have a problem with them coming out. RT places them at the bedside and tapes them in place like we do a PIV then cover...