opensesame

opensesame

acute/critical care

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All Content by opensesame

  1. Did i do something wrong? CPR question

    opensesame replied to Chixie's topic in Emergency

    Look at it this way -- your patient was DEAD if you were doing CPR. You were trying to resucitate him. If it was successful, a few broken ribs are a small price to pay for having someone save your...

  2. Missed diagnosis - just a vent

    opensesame replied to Nascar nurse's topic in General Nursing

    I had a serious surgical error occur when I was in the hospital after I had my last child during a tubal ligation. My physician took complete responsibility for it, and everybody makes mistakes, but...

  3. So what would you do in this situation?

    opensesame replied to NurseCard's topic in General Nursing

    You know, it might seem like this is a good situation for you to go into, but I would be pretty wary if they won't at least give you two weeks before your start date. This is pretty much the minimum...

  4. A question about college and RNs who got their GED.

    opensesame replied to LeeyuhRae's topic in General Nursing

    God bless you, Leeyuh. You sound like you have been through a lot in your young life. The bare-bones basics -- a BSN is a 4-year college degree. Most if not all BSN programs require you to do one to...

  5. On-call and pt acuity

    opensesame replied to nurse nessie's topic in General Nursing

    Yes, I think most places do this. It's a courtesy. Float nurses usually don't know the floor as well as the regular staff and usually appreciate a somewhat lighter assignment if staffing allows. It...

  6. How to turn a patient???

    opensesame replied to Ted D's topic in Nursing Student Assistance

    OP -- definitely get another student to help you turn. If you haven't had any information in your programs on moving/lifting patients and body mechanics, please do some research yourself on the best...

  7. Scope of Practice Question

    opensesame replied to Virgo_RN's topic in General Nursing

    I think doing both of those things independently could be construed as diagnosing and treating, which is out of the scope of practice of an RN (other than an APRN) in all states. I could see it being...

  8. Recommendation for scrubs?

    opensesame replied to Nomijen's topic in Scrubs, Uniforms, Gear

    Hey, this is a little off topic, but if you have to wear the white scrub pants for two years, invest in some nude/flesh-colored underwear. White panties under white pants, especially if they are...

  9. Veteran nurses give your opinion of the new grad job situation

    opensesame replied to RachH's topic in General Nursing

    Ain't that the

  10. Veteran nurses give your opinion of the new grad job situation

    opensesame replied to RachH's topic in General Nursing

    Get a job -- any job you can find. Any nursing experience at all is better than nothing to a nurse recruiter. If you can't find a hospital position for 4-6-8 months or more, I can almost guarantee...

  11. NG Tube Leaking, Tips?

    opensesame replied to CharmedJ7's topic in General Nursing

    You could cap the vent off. You will want to make sure this is okay according to your facility's policy. Some places I have worked this is done all the time, others say it is a big no-no. FWIW,...

  12. Frustrated

    opensesame replied to sillyang's topic in General Nursing

    But didn't the OP do exactly what "Ms. Frustrating" did? It sounds to me like she went behind her and had the order changed back. Looks to me like she is handling it exactly the same way. If that is...

  13. Frustrated

    opensesame replied to sillyang's topic in General Nursing

    I am not a CWOCN but I have sat on my hospital-wide skincare committee for 6 years. It is my understanding that Tegaderm is generally not used anymore even for small, superficial wounds, with the...

  14. Clumps of fat in blood??

    opensesame replied to Mndy657's topic in Nursing Student Assistance

    Yes, yes, yes, agree with what your nurse told you. This happens to me all the time but I work with a population that has a high incidence of CAD. I pretty regularly will pull blood with some fat...

  15. How would I find RN/LPN childcare opportunities online without an agency?

    opensesame replied to sincerebliss's topic in General Nursing

    I think what you are more or less describing is what is called private duty nursing. You would need your own insurance. I know very little about it (I'm sure someone on here knows more or has worked...

  16. Do all your hospitals do CRRT?

    opensesame posted a topic in MICU, SICU

    My hospital does not offer CRRT in any of our ICUs. It isn't that large of a facility (?300 beds) but I thought this was more or less a modern standard of available care. We have traditional...

  17. Headache: ADN or BSN?

    opensesame replied to Cloudi's topic in Diploma, ADN, BSN

    If your parents are going to cover your costs, do the BSN. It will benefit you in the long run. That semester of chemistry will be long behind you before you know it. Some ADN nurses plan on going...

  18. Frustrated Charge Nurse

    opensesame replied to Caffeine_IV's topic in General Nursing

    I share your frustration. I work in a different setting but we just had probably 1/3 of our staff retire and they were all replaced with less experienced people. Thankfully I am not working with new...

  19. private insurance with certifications

    opensesame replied to ThePeony's topic in General Nursing

    I would add that your insurance policy is likely adequate if they are covering you as an IBCLC. You should call them and let them know this is what you are going to be doing. Your premiums might go...

  20. Policy/Procedures or DON rules?

    opensesame replied to Trubie's topic in Geriatric, LTC

    I was thinking that too. Too high a level of care for long

  21. Dilantin (phenytoin) & food/enteral feedings?

    opensesame replied to iridius's topic in General Nursing

    I have actually had incorrect information regarding infusion compatibilities given to me straight from a pharmacist's mouth. I will call them as a last resort to consult if I have a question I cannot...

  22. School is interfering with my personal relationships

    opensesame replied to TC1087271's topic in General Students

    In defense of your GF -- it sounds like she is young (probably you both are young, early 20s at the latest, if you are traditional 4-year students.) Many, many young women have an inferiority...

  23. Nursing diagnosis HYPOTENSION

    opensesame replied to melly_25's topic in Nursing Student Assistance

    Yes. Altered tissue perfusion R/T hypotension, possibly hx of CHF. Generally the priority nursing dx should be based on the medical dx and patient's medical plan of care. That isn't what your...

  24. DAR Help

    opensesame replied to abak2kab's topic in Nursing Student Assistance

    This actually looks pretty good, I take it your assignment is to write a DAR note? Just a few suggestions: in D: Need to note RR along with labored breathing and O2 sats. Need to note WHAT specific...

  25. What is the difference between anginal pain and pain in myocardial infarct?

    opensesame replied to emilytsay1207's topic in Nursing Student Assistance

    Angina is the name that you give the pain when people have a MI. People can have angina without having an MI. Typically these patients have known CAD and they are to self-treat the angina at home...