SaltyNurse replied to motivated2nurse's topic in Emergency
I wouldn't place an EJ just for the purpose of giving CT contrast, but if that's all you have, are you not allowed to use it for contrast? If so, why not? (In the context that this is a truly emergent...
Yes, money does talk. And if a patient wants to have "nicer" amenities (i.e. lush bathrobe, slippers, 5 star meals, a private nurse, etc.) then s/he can simply purchase them independently. I would...
SaltyNurse replied to motivated2nurse's topic in Emergency
I understand the reasons why in the ER, the AC is often the "go-to vein", plus you truly have to go with what you have. However, it is overutilized; it should not be the first place you look. A very...
I have CCRN and TNCC. Employers do value certification because it helps with Magnet status and that sort of thing. Many hospitals will pay for or contribute to the prep costs, test costs, and/or...
What was that commercial? Something along the lines of..... "Do the Walton's take a ridiculously long time saying goodnight?...." Nursing is a rollercoaster. The lows suck but the highs are
Donations should just be donations- no strings attached. The tax writeoff is plenty. "VIP" type status is ethically wrong because it allows for different standards of care and therefore violates the...
We definitely have nurses in their 50's, maybe one or two early 60's. It's such a tough environment, the wear and tear will eventually slow even the healthiest, most robust nurse eventually. When you...
SaltyNurse replied to Guest717236's topic in General Nursing
My mom loved Cherry Ames. I read one Cherry Ames book (I was already an RN in my mid-twenties). I feel like kind of a party pooper saying so, but jeez..... I couldn't seem to keep my eyes from...
I'll echo that the responsible thing to do is both go. You, because you know the patient (even if s/he is the patient that's been around the block a few times with everybody or not) and it is bad form...
SaltyNurse replied to Iheartadvice's topic in Geriatric, LTC
I've so, so been there. One option is to have a heart-to-heart discussion with your manager about the grave disparity between how patients are treated and basic humane standards, what you've done to...
:grn:Geesh, maybe your friend should do her patients, colleagues, and ancillary staff a favor and go into administration. Nurses are put in an increasingly tighter spot between a rock and a hard...
I hesitate to make a judgment call about whether death by starvation or death by sepsis and/or ARDS on a vent is worse. From a license standpoint, I can defend my decision not to orally feed a patient...
At this time, I'm not able to look up the study you cited earlier in the thread. I do have access to CINAHL and Pubmed at work, but do not have the time during my shift and due to family...
The problem with continuing to feed this patient is that he is aspirating and inevitably the resulting pneumonia is going to cause severe enough respiratory failure to require intubation (per the...
SaltyNurse replied to Blackheartednurse's topic in General Nursing
I'd definitely ask the physician to consider ruling out ileus/bowel obstruction. Went to a RRT call for a patient with a similar diagnosis (had a hx of n/v over the past few days and was now...
This is completely right on. A lot of compatibilities have to do with concentration. We use Micromedex as well and it's a godsend. I also want to second dispelling the worry about bolusing K+ when the...