Indy

Indy LPN, LVN

ICU, telemetry, LTAC

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All Content by Indy

  1. Hey y'all! I've been a nurse for 4+ years. In this time I've formally precepted two new grads. Informally I teach people all the time, but the new grads are the people I get excited about. Okay so...
  2. preceptor's question(s)

    I work in an LTAC and I can tell you, 8 patients is too many! Holy crap, I can barely handle five with a
  3. The Concerns of My Loving Wife

    I'll try to answer. But you know the answers will vary a lot. 1. I know of one medsurg job in my county that is an 8 hour shift (that is, one floor on one of the hospitals). The rest of the...
  4. Tubal ligation: Me: Watch my breathing... gone. After? 5 hours of trying to wake up, then my mom was there. Lithotripsy, I didn't know how modern that procedure had gotten. The versed was so cool,...
  5. Drug seekers: where's the compassion?

    I have had a lot of belly fistula patients in the last year, along with some recovering from multiple traumas and it seems to me our docs really like to give them dilaudid. Like, REALLY, the patients...
  6. The act of actually doing your job, taking initiative to do your work without having to be told, is a priceless gift in and of itself these days.
  7. Question about job duties as a LTAC RN

    I don't think you should work with a 1:8 ratio. Our loads are 4 to 5 patients nightshift, sometimes 3... It's very hard work and you would not be able to survive long in that environment with eight...
  8. New Years Eve Blue Moon

    I'm working, we'll be short handed, I'm stocking our unit up on
  9. Wildest lab values you've ever seen?

    I've seen a troponin of 131. The dude lived to go home, then died a few months
  10. preceptor's question(s)

    Well I did the "very little help" thing last night- I made myself a resource for the entire unit and helped with questions and did occasionally rescue my orientee from drowning. In my world that...
  11. preceptor's question(s)

    Four is considered full here, five is ouch but sometimes happens. She is right at her 11th week I believe. I have put so much effort into this training that I don't want to screw up the "letting...
  12. There is a doctor in the comments telling the family that patients in rehab with a feeding tube "need" a nissen fundoplication to avoid reflux. Good golly, whatever happened to sitting upright and...
  13. Best Mattress for Heavy Soon-2-B Nurse?

    My nightshift preceptor is a bit fluffy with bad knees. (I like the word fluff when talking about anything less than a true, 400 lb+ bariatric patient.) Anyhow she had a support mattress, forget...
  14. Nursing can be depressing, yes. Night shifts screw with your body in so many ways, making imbalances more likely. It takes more work to be sane and healthy if you're any member of the health...
  15. SC Nursing Board Abuses Power & Authority

    The place to appeal this is twofold: The governor's office and the media. If enough people get excited about it, the governor can fire the actual board and replace it with different people....
  16. Why should a patient void before surgery?

    I've seen a few surgeries, and they don't bleed "all over the table." They bleed, people suction, sponge, etc. There's not usually any puddles of blood just lying around. And if the doc is doing...
  17. texting at work

    I still have yet to send a text message. The cell is for road emergencies, or to carry when my child's at special events in case they need to get ahold of me. I don't care if that makes me a...
  18. My flaw as a patient would be the neverending mouth. The last time I had outpatient surgery, the CRNA doing my preop said she would give me some ativan prior and I came back with "well now I'm...
  19. I don't see OT and ST much but their recommendations come in handy for, say, my guillian barre patients, some of whom never seem to sleep. I have laid eyes on one chaplain and one nun since starting...
  20. Milk and Molasses Enema

    Thanks to the microwave the thing is a lot easier to make nowadays. I had to do this without supplies other than a retention bag, a patient fridge, and an old OB nurse to tell me the process. So...
  21. My facility is only a year old and we just managed to get the N95 masks, so they are in short supply. We are an LTAC so we have some idea of who is contagious with what, when they arrive. That is...
  22. Indeed. I find it funny that people are complaining when there's a nurse coming around with either the mist or the shot, offering it to them; where I'm at there is no shot available yet. However, if...
  23. Things you don't want to hear your Aide say

    I don't wanna hear "you better gown up for this one" on a non-isolation patient. I especially don't want to hear "Who's got the vick's" right after
  24. TPN HELP!!! (please)

    Ok that's a good point about the propofol. But it brings up a question: Why does propofol tubing have to be changed every 12 hours, period, to avoid infection d/t lipid content, when I see lipid...
  25. I did a no-no

    I have to admit this whole question has me a bit muddled. I understand the bit about not taking your own prescription meds, and/or the hospital's meds that belong to patients, and diverting them for...