squatmunkie_RN

squatmunkie_RN

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All Content by squatmunkie_RN

  1. Running PRBC concurrently with NS?!

    If you have a large catheter line I'm not sure what you did wrong...NS is ran with blood all the time. But assuming that the blood is ran at 125ml/hr and the NS at 70, that's a lot of fluid for 1...
  2. Corporate "doesn't believe in" Nurses Week

    Nurses Week is just used by the hospital big wigs to make the facility look good on paper. You're not missing out on anything. We got free t-shirts (with the hospital's name) that we can wear once...
  3. Has anyone ever reported SSI fraud on a patient?

    Hell no. That's none of my business, it's only going to create conflict and stress for you. Don't do that.. Clock in, take care of your patients to the best of your ability and clock out. Unless they...
  4. What exactly do physicians do again?

    Wow...The ER doc never comes during rapid response in my hospital, but always makes it to a Code Blue quickly. I remember once when we had a code blue (v-fib) there was a cardiologist on the floor...
  5. ESBL vs E Coli contact precautions

    Why wouldn't you isolate e-coli in the urine? What if they are incontinent? The sheets...ugh. Or have a
  6. Burned....

    Not everyone has the benefit of a union or a manger that gives a
  7. Staffing during hurricanes?

    At my hospital. There are certain teams. A B and C. Team C leaves immediately when the mandatory evac is ordered. Team B leaves 24 hrs after the evac is ordered, they also help with the massive...
  8. Help! At my wit's end with reconstituting a med

    What's the big deal in saying what the real name of the medication is? The pt Mr. X is taking ____. That is pretty
  9. Double Fluid mess ups

    I had a patient in his 50s with a torn esophagus. He was being fed through a g-tube on a pump with water flushes. He was still slightly dehydrated, labs showed Na+ of 147. It would've been appropriate...
  10. I'm tired of screwing up at work

    I agree with Roma. This sounds like an ICU patient, why stay in PACU for the time it takes to do 3-4 handoffs? But I guess that's beside the point.... Don't worry about it. Seems like the pt got the...
  11. Any tips for a new grad??

    Meh...you sound so excited. That'll wear off around the 2-3rd day of orientation. My advice?
  12. did the md's pen go into v-fib??

    As time goes on you'll learn the frequent doctor's hand writing. We have a doc who's signature looks exactly like a vfib, but it is very distinct. I love the ones that use an entire 8 1/2 x11 sheet...
  13. Three weeks into my new job and I get sick...Again

    It's probably not stress related more so the fact that you have "left over
  14. Core Measure Responsibility

    All that happened because a doc didn't reconcile discharge meds? This is routine at my hospital. I am so thankful for the docs that do it but, so many don't. It's accepted from management that they...
  15. Core Measure Responsibility

    How about the PHYSICIAN take responsibility for the medication HE prescribes to his patient? There's a concept! How is it that me as a RN ends up calling a doctor at a patient's discharge and to say...
  16. Hourly Rounding

    We do the same. I just throw the rounding sheet away when the pt is discharged. Solves a lot of problems. Oddly no one has questioned this yet, as the norm is to put the paper in the managers
  17. I lady I work with got in legal trouble, didn't report it to the board when renewing her license and now is on probation with the board. According to the files on the board's website she isn't allowed...
  18. I don't think she can pull narcs from the Pyxis. But I've seen other illegal things she's done on the floor relating to narcs. The NM and I are not on good terms, she most likely wouldn't believe me....
  19. Wow that's kinda harsh punishment. I've told a pt that I'm giving pain medicine when in fact I was just pushing 5cc of NS. But that was because the MD didn't want to order iv pain medicine. It was a...
  20. Wow. Does your manager have a twin that also works as a NM at my hospital? I had an incident sort of like this where the NM believed another nurse over me without out giving me any benefit of the...
  21. Would Like Input - CABG

    Your patient souds like it could be a twin of my pt. She ended up dying about 1 month after surgery. This was after several intuabtions/extubations, chest tube removals/insertions, making it to the...
  22. Nurse Calling In Scripts to Pharmacy Illegally

    She picked up the abo?!? Wow. You are so involved now. Go to the nursing board and report everything about your case specifically. Only report other times she did this if you have names/dates. That is...
  23. I'm about 99% sure a RN should not be doing that....I've never scene anyone but a MD intubate a
  24. Failed NCLEX RN 3 times, the max in my state

    Take a Hurst Review. I did and passed NCLEX the 1st time with 75 questions. It was the best thing I could've done. Well worth the $$ I paid for it. Study the book cover to cover, answer a TON of...
  25. How has becoming a nurse changed your life?

    Follow a nurse for a day, before you say all that. A job is a job. Politics are everything in the hospital. I can promise you, that no floor nurse will ever agree with what you just said. I am by no...