Sun0408 ASN, RN

Trauma Surgical ICU

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All Content by Sun0408

  1. Sun0408

    Blood Stream Infections (BSI) in your unit

    My current trauma unit hasn't had a BSI in more than a year. We wash all pts with soap and water daily. The dressing to all central lines are changed 24 hours post insertion and a bio batch is applied...
  2. Sun0408

    New Trauma forums...

    So happy, gonna check it out
  3. Sun0408

    Delegation

    In my facility the answer to all three would be
  4. Sun0408

    After 1 Year I am SICK of Dialysis

    I hear ya, that's why I left the renal floor more than a year ago. Same pts every other
  5. Sun0408

    1:1 to patient on airborne precations

    1:1 is not needed and the mask is to protect you no matter how uncomfortable it is. This pt should also be in a isolation room and not be roomed with any other pts until
  6. Sun0408

    Nurse with a therapy dog?

    Bad idea, it sounds as though you are using the term "therapy" dog as a way to keep you pup looked after while you
  7. Sun0408

    Epidural + Hypoglycemia

    Not OB here but if they can't eat or drink, we push dextrose then start D5 or
  8. mindlor, a foley bag hooked to the peg is a great trick for excessive stomach contents without suction.. I used it a few times, the last guy I pulled 2100 and then asked the doc if I could just hook...
  9. I have pulled that much and more from a peg or NG. It really depends on your facilities policy. My current hospital; anything over 250 is thrown away and the tube feeds are stopped, residual is then...
  10. CA takes forever sometimes.. Countless people on here have posted the same re:
  11. Well I love it !!! Thank you OP.. Writing on a napkin is me to a T. My co-workers get a kick out of all my notes on a napkin.. They have learned NOT to throw them away
  12. Sun0408

    Please advice

    In the states, I wouldn't do it without a MD order. If he is at great risk for aspiration; 200ml/h sounds way too high. I have many many pts on TF and none at that high of a rate. Anyone else
  13. Your sexual orientation is not important. When asked just state that is an inappropriate question and continue with your work. Even in psych, personal questions are not advised. Yes, you should be...
  14. Sun0408

    Flushing PICC lines

    For general information, your text book will be just fine, however, for specifics you will need to follow your facilities P&P manual. As you will find, each hospital, TLC, home health, etc will...
  15. Sun0408

    No needle nursing?

    In clinicals it is very hard not to deal with needles. That is part of your check offs and skills that you must master. However, even if you could get through all the years of nursing school and...
  16. Sun0408

    DNR/DNI Status

    I couldn't agree more. Yes, there are worse things than death and I find myself saying the same things. If it was binding, I would have DNR ,DNI and no peg tattooed across my
  17. From the title I thought you were gonna talk about pts having sex. in that case; send them home.. If they are well enough to have sex, they are well enough to go
  18. Sun0408

    Flushing PICC lines

    I never used sterile saline and heparin flushes vs NS flushes are per facility. My last hospital used heparin, my current, just NS. This is not a always or never answer except with cleaning the ports...
  19. Sun0408

    DNR/DNI Status

    If they are a DNR and their heart stops of they stop breathing; we do NOTHING.. If they are a DNI, we do compression's and push drugs, we just don't intubate. The pts can state what they want and...
  20. Sun0408

    Working while in school

    You do what you have to do. I worked 3 part-time jobs while in nursing school plus had a husband and 3 children. I managed just fine. Somethings took a back seat, the house wasn't as clean and dinners...
  21. Sun0408

    MRSA screening of staff....

    Oh and I hope that one surgeon will swab him or herself with the rest of the
  22. Sun0408

    MRSA screening of staff....

    If you don't test all pre-op pts how do you know they didn't have MRSA before the surgery ?? Sounds like staff is being blamed for something the pts themselves could already have. Im not sure but I...
  23. All of you have done a fantastic job at trying to educate the OP on MRSA, sadly the information has fallen on deaf ears. So sad for the her residents and future pts. Sadly in the this case, knowledge...
  24. This is still new to you and you still have much to learn, hang in there.. First, know your states scope of practice. In many states a LPN can not hang IVF or push IV drugs. Second, when you come to...
  25. Sun0408

    drug test

    Take your RX with you.. you will be fine. Relax