ObtundedRN

ObtundedRN BSN, RN

Critical Care

Member

  • Content

    428

  • Visitors

    8,988

  • Followers

    0

  • Likes

    10

All Content by ObtundedRN

  1. Saline flush without a physician order?

    ObtundedRN replied to stephenfnielsen's topic in General Nursing

    At my hospital the saline flushes are POLICY, so no order is needed. And the flushes are not scanned either. For any type of central access (including implanted ports) or PICCS, the order set for...

  2. You Might Be An "old" School Nurse

    ObtundedRN replied to DoGoodThenGo's topic in General Nursing

    Versed at the bedside??? OMG, now I'm really jealous. I wish I had that at most of my patient's bedsides, or at least mine,

  3. "I'm a Nurse Practitioner!"

    ObtundedRN replied to Anna Flaxis's topic in Emergency

    These kind of people are annoying. A few months ago I had a patient who has an MD for a sister. When she came to visit the patient, instead of introducing herself as "Hi, I'm so and so, the patient's...

  4. CNA blunder!?...should have thought ahead!

    ObtundedRN replied to RKRobbins's topic in General Nursing

    There is just 2. The CNA2 can do a few more skills that a CNA1 can't. But, the board allows facilities to pick 4 CNA2 skills to train to their CNA1's. If you're going to work in a hospital, its almost...

  5. New grad interview questions

    ObtundedRN replied to smiggers's topic in General Nursing

    Ask them questions about their facility and their unit. You should already know a little about the facility before going in. If they are not already a magnet hospital, ask what they are currently...

  6. when the day shift arrives

    ObtundedRN replied to nightengalegoddess's topic in General Nursing

    I work ICU, and have done both day and night shift. I currently work nights because I enjoy it more. As far as meds, most of our patients don't have many if any daily meds, everything is at least...

  7. Nitrous Oxide in the ED...

    ObtundedRN replied to miss81's topic in General Nursing

    Our EMS agency uses it. It is patient controlled with a hand held mouth piece. They figure if the patient gets too much, they won't be able to get it in their mouth to inhale

  8. post op and renal failure

    ObtundedRN replied to isthatso?'s topic in General Nursing

    Anything that causes decreased perfusion to the kidneys during surgery can cause it. As many have stated, hypotension could be one cause. Or with cardiac/vascular surgery where they need to cross...

  9. How fast does dopamine work?

    ObtundedRN replied to ornurse25's topic in General Nursing

    I agree too. May not of started it for a patient with that BP unless symptomatic, and then would probably start at 5. I'm just curious why you were transporting and starting that drug if you're...

  10. Immunizations & nursing school

    ObtundedRN replied to determined09's topic in General Nursing

    Yes, not being vaccinated doesn't just endanger yourself, it is a danger to your patients. Think about if you are doing your maternity rotation, and you are starting to come down with something...

  11. o2 @ 2L

    ObtundedRN replied to Cat_RN's topic in General Nursing

    If the CO2 on a BMP/CMP is rising, you can't say that you know they are retaining. CO2 on your BMP/CMP is different from your PaCO2 on your ABG. On your BMP/CMP, this is really more of an indication...

  12. What do you think of Clinical Nurse Leaders (CNL)?

    ObtundedRN replied to onedayitllbeme's topic in General Specialties

    I've never worked with one, but a few units in my hospital has them. I've briefly talked to a one. My understanding (at least in my hospital) they are assigned to work on a unit like any other nurse....

  13. Helping patients with migraines

    ObtundedRN replied to Vtachy1's topic in Ob/Gyn

    I just found it funny that you consider acupuncture to be "new age." Ancient medicine would be a better term. :) I don't know about premarin induced migraines, but I do sometimes get a random...

  14. Please explain what an ELECTROCARDIOLOGY RN does?

    ObtundedRN replied to Nack's topic in General Nursing

    My hospital has techs that do the EKGs. They wouldn't waste their money on an RN to do it if they can pay a tech less. Then again, maybe it would be nice to have an RN doing it so I don't get EKGs...

  15. Pre-spiking IVF

    ObtundedRN replied to StarfishCC's topic in General Nursing

    All of our hospital's TPN and PPN comes up pre-spiked from pharmacy. And I've seen one department that does outpatient endo procedures use prespiked NS. And that is because that department is run...

  16. what is considered high acuity?

    ObtundedRN replied to yelnikmcwawa's topic in General Nursing

    Where I work, I'm not aware of any unit using a scoreing system. If the patient is appropriate for your unit, then you take them. And the patient:nurse ratio depends on the level of care for that...

  17. topics about fundamental in nursing

    ObtundedRN replied to alisha2's topic in General Nursing

    Fundamentals was more about nursing history, nursing process, how to do a care plan and use nursing Dx, and the hands on skills of injections, foley's, enemas, how to put on sterile gloves, that kind...

  18. Having trouble with IV's! Can't get them to thread...

    ObtundedRN replied to avidhunter3's topic in General Nursing

    My hospital's policy is to rotate IV sites every 72-96 hours, EXCEPT for those of us in the ICUs. Our standing orders state NOT to rotate sites. To keep them in for as long as they are free of s/sx of...

  19. What paraphernalias a nurse must always have?

    ObtundedRN replied to NurseMich.Elle's topic in General Nursing

    My hospital doesn't supply the injector. I got it from the EMS agency I used to work for. They had both injectors for our narcs and I liked the tubex better, so I kept one, lol. The carpujects feel so...

  20. What paraphernalias a nurse must always have?

    ObtundedRN replied to NurseMich.Elle's topic in General Nursing

    I hate it when i forget my hair clip . From my EMS training: "The most important tools are your brain, hands, and stethoscope." And for working in the hospital I like to add, good scissors (I like my...

  21. ACLS/PALS

    ObtundedRN replied to RI Nurse's topic in General Nursing

    Before I answer this, I should probably state: 1. This question is asked very frequently and you could search for it on here for more info. 2. If you get a job on a unit that requires either ACLS or...

  22. Need help to convince parents!

    ObtundedRN replied to NateH's topic in General Nursing

    If your parents are going to pay for the 4 year college, then do that. Many places are going towards primarily hiring BSNs, making ADNs harder to get jobs. Plus, you never know if you'll change your...

  23. when do you declare a specialty

    ObtundedRN replied to bs98241's topic in General Nursing

    Just thought I'd answer this, yes, ADN and diploma programs do an internship too. And for the OP: You can say that your specialty is whatever type of nursing you work in. Med/surg, ICU, telemetry,...

  24. Any Remedies for Foot Pain?

    ObtundedRN replied to westieluv's topic in Geriatric, LTC

    I would see a doctor ASAP. In the meantime, have you tried any kind of compression socks? They may help add a little support and help? Maybe? Or try picking up some Kinesiology Therapeutic Tape (name...

  25. Did your nursing program cover 12 lead EKG?

    ObtundedRN replied to 2011NursingStudent's topic in General Nursing

    My school covered it in the last semester. We did 2 full days of EKGs. You need to start out with basic EKG rhythm interpretation, and after you know it well, then you can move to 12-leads. 12 leads...