SaltyNurse

SaltyNurse

Critical Care

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All Content by SaltyNurse

  1. ER nurses are the best!

    SaltyNurse replied to motivated2nurse's topic in Emergency

    I guess the radiology department would have to be satisfied with wherever else you could get access in a pinch

  2. ER nurses are the best!

    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...

  3. ER nurses are the best!

    SaltyNurse replied to motivated2nurse's topic in Emergency

    You can't argue too much with policy. However, policies do need to be re-examined from time to time in light of current, well-researched

  4. Paying for priority

    SaltyNurse replied to HamsterRN's topic in General Nursing

    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...

  5. ER nurses are the best!

    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...

  6. Pharmacology Question

    SaltyNurse replied to Tinknurse2B's topic in Nursing Student Assistance

    First convert your patient's weight from pounds to kgs. Start there, and then see if you can take it from

  7. Certifications? Do you have any?

    SaltyNurse replied to Sl1011's topic in General Nursing

    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...

  8. Emotion

    SaltyNurse replied to ttpurtee's topic in General Nursing

    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

  9. Paying for priority

    SaltyNurse replied to HamsterRN's topic in General Nursing

    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...

  10. Age of a Nurse

    SaltyNurse replied to ttpurtee's topic in General Nursing

    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...

  11. Paying for priority

    SaltyNurse replied to HamsterRN's topic in General Nursing

    I threw up a little bit in my mouth when I read

  12. Cherry Ames (Nurse) Stories

    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...

  13. FREEDOM! I Quit my med-surge job!

    SaltyNurse replied to zofran's topic in General Nursing

    Nope! They'll just flog the remaining staff harder. The beatings will continue until morale

  14. Who's responsibility is it?

    SaltyNurse replied to PEBBLES1's topic in General Nursing

    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...

  15. Fiber and how it effects the GI Tract

    SaltyNurse replied to bd4411sa's topic in General Nursing

    Not many feel moved to go out of their way to help someone with a poor attitude. Keep that in mind, nursing

  16. Med-Surg and the Old Folks

    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...

  17. Airborne Precautions

    SaltyNurse replied to 6mostogo's topic in General Nursing

    Unacceptable. OSHA requires properly fitting N95 masks to protect staff. And no negative pressure? I'm at a loss for words other than

  18. You know you're a neuro nurse if.....

    SaltyNurse replied to Elenaster's topic in Neuro Intensive Care, ICU

    Atropine don't work on the brain dead

  19. do you care about your patients?

    SaltyNurse replied to Rhee's topic in General Nursing

    :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...

  20. DVT and Homan's sign

    SaltyNurse replied to HarmonyW's topic in General Nursing

  21. Aspiration: Help request

    SaltyNurse replied to catlvr's topic in Geriatric, LTC

    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...

  22. Aspiration: Help request

    SaltyNurse replied to catlvr's topic in Geriatric, LTC

    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...

  23. Aspiration: Help request

    SaltyNurse replied to catlvr's topic in Geriatric, LTC

    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...

  24. How often do pain meds cause vomitting?

    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...

  25. Pharmacy said no, conventional practice said yes

    SaltyNurse replied to anon456's topic in General Nursing

    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...