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A.Brook

A.Brook

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  1. A.Brook

    Best prep to become a camp nurse?

    At my camp we have 2 nurses; one is a school nurse and I am in the ER. It seems like this is a pretty good combination because I am more familiar with wounds/emergencies and she has more experience in getting the kids to take their meds. Our camp is for special needs kids so I appreciate her tremendously.
  2. A.Brook

    Best prep to become a camp nurse?

    Hey Kfran I am a camp nurse myself and I am interested in what you did for these kids.
  3. A.Brook

    New lpn. Should I take the camp nurse job if offered?

    I agree with the previous two posters. With your lack of experience it's a risk to not only the campers/staff but also yourself if anything were to happen. Camps/businesses will typically do what it takes to keep the doors open, and that might mean placing the blame on you and your license depending on the situation. So just make sure you are ready for issues/problems that might occur during camp (emergencies, illness, fractures, etc.).
  4. A.Brook

    Tech vs. RN

    Wow..really? Things must be different where I live.
  5. A.Brook

    annoying little thing some of our docs are doing

    No that would be unacceptable. We treat the patient based on current symptoms, not past medical history when situations like this present.
  6. A.Brook

    I screwed up

    If we have any reason to believe cultures might be ordered we draw 1 set in a 10cc syringe from the new IV when inserting then draw another set from another site before hanging the abx. If its a stat type of thing I get one of the techs to come draw the 2nd set while I hang the abx.
  7. A.Brook

    Why do we use insulin drips?

    I hope you can take a little bit of what everyone has said, because most have valid points. To answer your question about why the patient was on the drip would take a little more history that what you supplied, but obviously the infection, TPN, and the NPO status would all lead to a fluctuation in the patients blood sugar level. Like many people stated above tight control around or slightly above the normal limits decreases infection risks, which is a huge concern in the hospital setting (especially long-term). As to why not use oral meds...Is the pancreas functioning well enough to make any insulin at all? If not there goes the oral meds. And like others have said SC would not provide adequate control because it doesn't act as quickly as the IV and the FSBS checks would probably only be done Q4H. I guess I didn't really add anything, but maybe I summed it up a bit.
  8. A.Brook

    Calcium Gluconate

    In my reading from our online pharmacy system it says minimum 5 minutes, but patients still tend to have slight reactions like you said. These patients tend to be the renal folks who can live another 5-10 minutes with their K of 7 (because that's what it is once a week) while you push it through a 20/22 because they have absolutely no veins left....Even though they are only 25. (This is my jaded experience) :)
  9. I have always been amazed by how many people are "bitten by spiders" and never see the arachnid. I always laugh when I see that complaint and go ahead and get the I&D kit...
  10. A.Brook

    Sorian

    In my hospital we use Soarian as a facility wide system. Before we got our new ER system, Picis Pulsecheck (which is awesome), we had Soarian in the ER. I did not like Soarian for our purposes, mainly related to charting as there are much better and focused ER systems out there. However, as a med-surg/unit application I have found Soarian to be pretty damn good and easy to use.
  11. A.Brook

    Tips for becoming an ER nurse

    I also work in the local ER as a tech. I started with no healthcare experience whatsoever, but was able to become certified to do just about any procedure short of giving meds and starting IVs. Where I live the techs only start at about $8/hr though. :smackingf
  12. A.Brook

    Patient Care Tech in the Emergency Room

    It really depends on your facility. At our hospital our ER techs usually don't have any license whatsoever, but are in nursing school. We can actually do more than the CNAs and PCTs on the floors are allowed to do. The only procedures we don't do are IV starts and anything dealing with medications. Like tech1000 said, almost anything else is fair game. Tons of patient transports and EKGs; fewer blood draws because nurses can usually draw blood when inserting IVs. Catheters per HCP order only.
  13. A.Brook

    How do you do school and work?

    Although I do not have as many responsibilities as you do, my time is no longer my time anymore. I just decided to suck it up for a while. What I mean is that I devote my time to work, school, and family and enjoy my hobbies, etc. only after tests to keep my sanity. School is not an indefinite task; remember to be as productive as possible and use your time as well as possible. Don't forget to get plenty of sleep because you will enjoy your time much more.
  14. A.Brook

    Nursing isn't what I thought it'd be...any advice?

    Wiping butts isn't that bad..better than being a respiratory therapist and dealing with their secretions. Although rectal bleeds do have quite a distinct smell. :uhoh21:
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