SaltyNurse

SaltyNurse

Critical Care

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All Content by SaltyNurse

  1. NGT Feeds vs Suction

    Injecting an air bubble (or not being able to inject one, for that matter) tests patency. I would still attempt to manually aspirate first to avoid adding more to an already distended stomach. If you...
  2. Do some patients deserve special treatment?

    IMO going extra mile is appropriate, but allowing unreasonable concessions or being a punching bag is not. It's understandable that the patient and his family are angry, but they are definitely coping...
  3. NGT Feeds vs Suction

    Yeah, I read that after I posted my reply. I think the choices are a little misleading. Guess I'm rusty with the NCLEX mentality since it's been 6 years since I've taken
  4. Med Pass Times

    I agree, nothing should rush med pass or report. Plus, that is when people are waking up and also want to go potty. Just not a good time. Nurses still do recorded report? What? I thought JCAHO nixed...
  5. NGT Feeds vs Suction

    Ideally, you could try aspirating first, however, you're right, it's possible that you could get nothing. If that's the case, attempt to confirm by auscultation. If you've confirmed that the tube...
  6. NGT Feeds vs Suction

    The correct first intervention is #4, and then #3, then #2, and then depending on what happens, #1. Except you would use water to irrigate unless you have a specific order to use
  7. NGT Feeds vs Suction

    In this situation, the NG would be to suction. At least it should be. When you separate the indications for either feeding or suction, you can figure out which best fits the scenario. Suction is used...
  8. How much does your hospital ceo make?

    didn't have enough time before work to follow and reply so here is some catch up. note: i am truncating some posts that i am quoting. i will also place commentary within quotes using red text. very...
  9. CRNA or ACNP? or both???

    Take a close look at the curriculum for both types of programs as well as try to find shadowing opportunities for both. I've heard (don't know the particulars) that neither degree is cheap. It makes...
  10. Good grief! Are there any studies to demonstrate that this "miracle" soap is more efficacious than plain soap? And does it magically shield the areas of your body that you don't suds up with between...
  11. Are nurse's and physician's colleagues?

    I wouldn't say that nurses and physicians are colleagues per se. And I wouldn't say that a CNA or a pharmacist, or occuptional therapist are colleagues either. I'm not implying that it is like a caste...
  12. Nurses Get No Respect

    Your experience is certainly different than some of the others that have posted here, including the OP. It doesn't make their experience and opinion invalid. Clearly, there are positve characteristics...
  13. How much does your hospital ceo make?

    The middle management that creates budgets does so keeping in mind that meeting or coming under budget is rewarded with bonuses and consistently going over budget means getting
  14. How much does your hospital ceo make?

    Out of curiosity, what are the qualifications of a CEO that merit a million dollar salary? True, simply looking at dollars, nursing staff is huge chunk of the budget. However, is there any singular...
  15. A nurse by any other name...

    The nurses have spoken. Leave the complex behind and be the change that you want to
  16. What would you do?

    Yes, there are going to be bad days and stressful situations in nursing no matter where you go. However, there are healthy environments and toxic ones. I actually have left a bad unit while I was 6...
  17. Why Didn't You Go To Med School?

    regarding morphed's posts- i didn't say you think that nursing school is for those who can't get into med school. let me try to be more clear. when someone asks a nurse, "why didn't you go to med...
  18. A patient flat out lied about me

    "Lady, people aren't chocolates. Do you know what they are, mostly? Bastards. Bastard-coated bastards with bastard filling..." Dr. Cox (Scrubs) Okay, I'll admit that is a tad extreme, but you get the...
  19. Caring for a COPD patient

    To the OP- With time, you'll get more comfortable and you won't have so much tunnel vision. And learning never ends. In fact, I think it's great that you're are making such a point of it. Get yourself...
  20. What is your biggest nursing pet peeve?

    Dealing with the miserable Rotorest
  21. Why Didn't You Go To Med School?

    You may think that the answers you cited are hokey, however, that doesn't make them untrue. The corollary would be that nursing is filled with medskool rejects- and that's not the case. Not by a long...
  22. Why Didn't You Go To Med School?

    Agreed. One of the most obnoxious questions, ever. Particularly since what really makes or breaks a patient's recovery and comfort is the quality of nursing care. Of course correct diagnosis and...
  23. Caring for a COPD patient

    The dec. in LOC has more to do with the fact that he was on the nonrebreather mask than that his level of oxygen was too high. Even if he was on a O2 mask with vents, with the severity of air-trapping...
  24. Are ER nurses burnt out or just uncaring??

    It's very weird to be left on a backboard after the secondary trauma survey. I would not have been surprised that a C-collar was left on, of course. In fact I would have been surprised if it hadn't-...
  25. Gah! What a f'cking creep!