ObtundedRN

ObtundedRN BSN, RN

Critical Care

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All Content by ObtundedRN

  1. Care Plan for Postpartum C-Section PT

    If that's the case then what you listed as r/t needs to be changed. It doesn't support the Dx. The easiest is to change the Dx to the correct one. Opiates and cesarean deliveries aren't a contributing...
  2. Need Help With Care Plan Assignment

    How about a knowledge deficit. He has new onset of AFib. He will need teaching about what complications AFib puts him at risk for (and those complications can be added to your risk for injury Dx)....
  3. CRNA usually gets to sit for long periods since they are in the OR monitoring vitals and pushing meds. But that requires a few years experience as an ICU nurse prior to CRNA school. And ICU nurses...
  4. Care Plan for Postpartum C-Section PT

    You need to change your Dx for #4, Impaired Gas Exchange. Impaired Gas Exchange isn't appropriate. You could use Ineffective breathing pattern instead. Impaired gas exchange is used when there is...
  5. I'm just happy when doctors recognize I exist. And I'm thrilled when they actually treat me for the intelligent healthcare provider that I am. Most of the docs at my hospital are good, and pay...
  6. Need medical experience...moving to ft. Lauderdale

    I was going to suggest the same thing. And trust me that it will teach you much more, and better prepare you for PA school. EMT school will teach you patient assessment and how to deal with some...
  7. *Easy* things I just hate doing

    Considering most of the patients on my unit are on isolation, I hate it as well. I have to say, giving meds it becoming more annoying each day, LOL! While I believe its important that a nurse gives...
  8. Standing orders (Please explain)

    I'm sure some of the previous post already state something similar to mine here. My unit has a set of standing orders that are implemented for all patients on arrival to my unit. As mentioned before,...
  9. How to Deal With Ignorant Medical Professionals

    Sorry to hear about this. I don't work in hospice, but working in critical care, I fully support hospice and palliative care. I'm in a large city, with many hospitals. I'm at a large teaching...
  10. Patients who are too unstable to turn

    I was about to post the same thing. It is only for pulmonary function. Also helps decrease urinary stasis and prevent fever. But I suppose it is better then
  11. Anyone with any information about Gaston College

    I didn't go to Gaston College, but I went to a different school in Charlotte. I've heard plenty about all of the schools in Charlotte, but not much about Gaston. They do all of their clinicals out...
  12. Our new hire, new grad charge nurse

    To the OP: Just how many RNs does your unit have? Perhaps they did it because they are so short on RNs, they had to throw the new grad RN into the role of charge nurse, so they can get her trained to...
  13. Day in the life of a new RN Nursing student?

    Sounds similar to my situation. I always had lots of interest in the sciences, and had originally planned to major in biochemistry. But I soon realized I enjoyed the medical aspects of science and...
  14. Patients who are too unstable to turn

    Scopolamine is an anticholinergic, just like atropine. That is why it had some effect for you. Anticholinergics are also used to decrease secretions. Which is why atropine is also used for...
  15. At my hospital, all of the ICUs are 2:1. The only unit that does 1:1 is our CVRU, and they do it for new open hearts, and other specific CV surgeries. And they mostly do this because of their very...
  16. pharm question

    Holding this med wouldn't be "practicing medicine," it would be called practicing nursing and using "professional nursing judgement." The way I would personally handle this would be to hold the med...
  17. Day in the life of a new RN Nursing student?

    OMG! My school tried making us do that ATI crap. It is the biggest waste of money out there. If anyone's school suggests it, or even requires it, you should fight to save your money. The program is...
  18. Nurse-initiated interventions

    If you were making the decision to permanently turn up the O2 and leave it, then yes you should get an order. But if you need to turn up the O2 because your patient is in distress, then for the sake...
  19. Non-pitting edema and rating

    Non-pitting edema has no rating to it. Although, it seems to me that there are sooo many nurses our there that think it can be rated. I've had patients that I'm charting on, and see a previous nurse...
  20. RN-EMT conflict?

    I agree, you would function in the scope of the EMT while on the ambulance. If you were in court, its possible for them to hold you to the highest level which is your RN. But as long as you function...
  21. Kinda Nervous!

    I've never heard of a nurse tech III. We only call them NA's and they are an NAI or NAII, which is based on your level of
  22. Do give up your seat for a doctor?

    No. Actually, my issue is when they see I've got my stuff sitting in front of a computer I'm using and logged into, and I walk over to look at a red alarm on the central monitors, then I turn back...
  23. In NC they can. All CNA 2's can, and facilities are allowed to select up to 3 tasks from the CNA 2 skills that can be taught to the CNA 1's. So the CNA's of either level can perform
  24. Legitimate Pain or no?

    Pain IS what the patient says it is. And it was wrong for the nurse to pass judgement on that patient. It wasn't her place to do this. From the history you posted, I would expect the patient to be in...
  25. State CNA test

    I'm in NC too. Back when I challenged the CNA test, I got the results back that day. I don't remember all of the fail points. I know that drying out the wash basin isn't a fail, not sure about the not...