Sun0408 ASN, RN

Trauma Surgical ICU

Member
  • Content

    1,761
  • Visitors

    38,659
  • Followers

    0
  • Likes

    39

All Content by Sun0408

  1. Sun0408

    I got "hired" at a HH agency

    Sounds very scary as well as unsafe. I don't do HH but from others that I know and from reading on here; they did get a least some orientation not just for the computer. I would be very careful,...
  2. The danger is when they come off their meds, miss doses or mix them with other drugs and/or ETOH.. The effects you speak about with anti-depressants is when the person now has the energy to commit...
  3. Sun0408

    Preceptor Advice...

    I would take the ICU.. I agree with Ashley in this, you know the OR, learn something new. See the other side of the OR, many critical care pts come from the OR, see how they are managed, cared for...
  4. Sun0408

    When parents should keep their child home.

    As a parent and a nurse, I see both sides. Many children should not be at school but with the limited number of days each student is allowed to miss; it doesn't help. I know when my children should...
  5. Sun0408

    Do you have a set schedule?

    I work 7p-7a three nights a week. Thats about as routine as my schedule gets. The schedule comes out a month in advance so I can plan around my schedule
  6. Sun0408

    Out of Scope of Practice?

    I don't see the problem... The nurse did not DX nor did she overstep her SOP. Many facilities allow nurses LPN/RN to get consults for hospice care. Nursing consults are allowed in my
  7. Sun0408

    New hospital RN...hating it

    What you feel is normal.. All new grads including myself left this same way. It is a shock.. I would hate for you to give up so soon only to fine the same problems elsewhere.. Read what many new grads...
  8. Sun0408

    Elevated PT and INR

    AKD will lengthen the time it takes for the medication to be excreted, this is one reason dialysis is a reversal for pradaxa. But HD is used for active bleeding, uncontrolled by other interventions...
  9. Sun0408

    Hourly wage with "normal" hours (South)

    Don't go into the hospital if you want "normal" hours. And the quick answer is No. I work in the south, work hospital and do all nights with some weekends. 12 hour shifts and no where near 100,000....
  10. Sun0408

    Elevated PT and INR

    This will help... http://healthcare.utah.edu/thrombosis/newagents/TS.Dabi_Bleeding.pdf Please check out other sources also
  11. Sun0408

    Elevated PT and INR

    My questions are only to get you to think :) Now my next set of questions.. What is the antidote to Pradaxa? Will vit K help? Will the PT/INR give true results for a pt on pradaxa therapy? This is a...
  12. Sun0408

    My first death

    A life is lost, it will always be hard to one extent or another. I always feel for the family left behind. Some deaths are a joyous occasion for the pt; they are no longer in pain, suffering, or being...
  13. Sounds like over-sedated to me. Narcan treats over-sedation not allergic reaction.. All safety information re: this med states to watch for resp depression :) Many people do list meds as "allergies"...
  14. Sun0408

    Elevated PT and INR

    How elevated and were the levels therapeutic?? People with A-Fib need anti-coagulation.. why, what is the therapeutic range. They are on the meds for a reason. If the levels are above therapeutic,...
  15. Sun0408

    heparin bolus and continous infusion

    Bolus, start gtt then 6 hours later a PTT is drawn per our policy.. Each facility is different, one hospital I worked for did not draw a PTT prior to the bolus while the other one did.. Check your...
  16. Sun0408

    Bathing Pts Question

    It drives me insane as well.. Forget the fact the pt is not stable or AAOx3 and refuses; you better get that bath done... We do foley care qsomanyhours and that drives me insane as well.. Most of...
  17. Sun0408

    What is happening?

    Nursing tests are not 2+2=4.. It is concepts. So if you are going over resp like a previous poster, you will never learn everything you need to before a test and you will not be able to master every...
  18. Sun0408

    Comfort or death?

    My question to you was not to be snarky, its to show the other side. I prefer a peaceful death when all possible. I think as nurses and other PCP somethings get lost and a peaceful death is one of...
  19. Sun0408

    Comfort or death?

    Would you rather they die in agony?? I have had my fair share of comfort care only, I have also had several family members with met CA everywhere die a very peaceful death with the help of...
  20. Sun0408

    Why nursing hits home.....

    I wish you lots of luck during nursing school.. It will be tough but sounds as tho you will over come it. I have known many students that went into nursing because of what we as a profession did for...
  21. OP, I understand where you are coming from but just be glad you have the kind that will listen. We have the type that will code,intubate and shock a DNR/DNI 5 times. This same one was the "admitting"...
  22. Does this PICC only have one lumen?? I have paused the TPN,flushed, gave med,flushed again, then restarted the TPN. If the pt is getting a lot of IVP meds or piggy backs, I would start a new
  23. Going the LPN route first might be a bump in the road, many hospitals in SC no longer hire LPN's and rarely do you see them in the ICU. I am in SC also. I work in florence county but live in Horry...
  24. Sun0408

    Pain management

    Simple answer No.. I already explained IV is fast acting and doesn't last long. PO takes a while to become effect but lasts much longer.. So a little IV now with PO keeps the pain at a tolerable level...
  25. Sun0408

    Patient fx hip after family refused alarm

    While that is true; the flip side is the family will sue for grandpa's injuries and claim