ObtundedRN

ObtundedRN BSN, RN

Critical Care

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All Content by ObtundedRN

  1. What do you say to depressed/anxious patients?

    The suggestions above sound good. Silence can also be considered a therapeutic response. Maybe some physical contact, hold their hand, give them a hug. They know there is nothing you can say to fix...
  2. Aspirin and ibuprofen bad combo?

    I don't see any use for ASA except for the cardiac reasons. I don't think it does anything for pain. And if your patient is on Mobic, I would also question why he is taking another
  3. Where do CNA's work (other than the hospital)?

    Not all hospitals or units are on 12 hours shifts. Many offer 8 hours shifts. And to answer your question, many CNAs work in long term care facilities. You might also see some in other residential...
  4. ADN or BSN

    To the OP, I would go with the ADN program if you can get in now, and still can't do the BSN. Yes, hospitals are going towards magnet status. But that doesn't mean they don't hire any ADNs. Besides,...
  5. ADN or BSN

    What ADN program only does one seven hour class per semester??? Mine was far more than that! lol. I think my last semester was 16 credit hours
  6. is this an allergic reaction? or something else?

    OP, from what you described, angioedema is what it sounds like to me. I've seen angioedema that only causes the tongue to swell and nothing
  7. Stealing stethescopes

    I have a Magna Fortis. They have tons of different colors to pick from. You can also get the tubing in one color, and the binaural headset in another color. Mine is all one color, pretty common color....
  8. Does anyone know...

    The in-house nurses were probably avoiding coming in because you are a student, and they didn't want to do the work they could get you to do, lol. And the MDs never spend much time in the patient's...
  9. (1) Do you have phones/voceras/ walkie talkies as RN/LPNs? Yes, we all have our own phone. (2) Do your techs/aides have phones or walkie talkies? (if not, how do you find/get a hold of your techs at...
  10. What do lpns do in urgent care facilities?

    I would assume many of the same things you would see in a MD office. Urine screens, Blood draws, injections. Probably even some 12-leads and chest pain treatment meds while waiting for EMS to...
  11. New Grads who have signed a contract for new grad program

    My hospital has a new grad program for new grads going into critical care. It's a 2 year contract as well, but the cost of breaking your contract is only $3,000, and that is prorated based on the time...
  12. hemothorax (traumatic)

    I can think of two reasons for the bedrest. First, it can be a little difficult for a patient with a chest tube to walk around. You have an increased risk of pulling it out; although, stable patients...
  13. Anyone have Kathy White Fast Facts for Iphone?

    I don't have it for the iPhone, but I have the book. I actually just got an email this morning from their website, letting me know that they just released an updated electronic version. I personally...
  14. What to Expect?

    I also have Quick Reference for Critical Care http://www.amazon.com/Quick-Reference-Critical-Nancy-Diepenbrock/dp/0781747171 And I'm not sure exactly why type of patients you may see in your unit....
  15. What to Expect?

    Fast Facts for Critical Care by Kathy White is good.
  16. What to Expect?

    Lol, don't worry about it. It is a great place, especially as a new grad. Lots of stuff to learn, and usually prepares nurses to transfer into being a great ICU nurse. Consider joining AACN. They...
  17. What to Expect?

    Lots of learning. But part of that will be determined by the acuity of your unit. Not all progressive units are the same. The Prog unit at my hospital is about equal to the ICU of many other...
  18. Emergency Education

    One of the many education strategies my unit does, it having an education book. It is a three ringed binder, with education material in it. Each month, a new education topic is placed in the book. It...
  19. How does your nursing unit do scheduling?

    We do self scheduleing, and have requirements for the amount of weekends
  20. RN thinking of going back to school for dental hygeine?

    They always seem happy when I get my teeth cleaned, lol. But I'd imagine it gets boring from being so
  21. Lung sounds and breasts

    When trying to listen to the anterior bases, I usually just listen just lateral of the breast. You will be hearing the same segment of the lung as if you placed the stethescope under the breast...
  22. Here, check out this site http://www.aafp.org/fpm/2005/0900/p52.html. It may help a little. Like I said, I don't know much about billing and reimbursment. I'm a nurse, I don't care how much it cost if...
  23. This is what I was referring to. I always wondered what the 1-5 code was when they circle the severity of your visit. So when I looked it up, that is what I found out. Its based on things such as how...
  24. Actually, this sounds correct to me. The yearly physical is strictly that. Anything other then a physical is in addition, and billed that way. I know they also grade the severity of your...
  25. Pet Peeve

    I live in the south too, and hear people do this often. But I personally can't stand it. I get irritated by it when someone says it to me, and I am young. In fact, I just had someone this morning call...