mariedoreen

mariedoreen

Med-Surg

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All Content by mariedoreen

  1. How do you run K+??

    So the order is to run the K+ (mixed with NS) IV over 2 hours w/ another bag of NS to decrease vein irritation... The patient has one IV access and has a primary fluid already infusing, let's say D5 1/2 NS w/ 20 K at 150... So... I asked the charge a...
  2. Day shift/Night shift rivalry?

    This goes on where I'm at too. I don't let myself get caught up in it, just walk away from any group discussion that turns anti-anyone and if I'm the only one present when this kind of talk starts I do my best to deflect it and then get away. It's ...
  3. Anybody else hate the time change?

    I actually hate the change in the Spring... I think this is my favorite day of the year because I'm "gifted" with an extra hour ; )
  4. Question about CKMBs and Troponins

    I'm a new grad with a R/O MI who has elevated CKMBs on the first three serial draws and normal Troponins. Can you help me understand the relevance of this? Because troponins are neg the view is that he's neg for MI, but my limited education tells m...
  5. It's been my experience that those who complain the loudest about 4.0 students are those who can't pass a test to save their life. Mainly because they are also the one who spends their Friday nights out having fun with their friends and favorite alc...
  6. Question about CKMBs and Troponins

    I'm a new grad with a R/O MI pt who has elevated CKMBs on the first three serial draws and normal Troponins. Can you help me understand the relevance of this? Because troponins are neg the view is that the pt's neg for MI, but my limited education te...
  7. Question about CKMBs and Troponins

    thank you, very helpful! none of my references covered it this well.
  8. A day in the life of a Registered Nurse....

    1) Gather info on my patients 2) Receive report 3) Clarify any abiguous orders that may exist 4) Round to do a quick patient safety check (correct IV hanging, oxygen in use, all ordered equipment in place, etc...) and check on pain levels and/or main...
  9. Favorite clinical instructor....and why?

    LOL! I'd tell you about mine but I'm actively working to repress all memories of nursing school.
  10. I have referred to nursing school as "hell" in the past and will probably forever do so. Why? Because that was my perception of it. Do I mean it literally. Of course not. Do I mean that it was the hardest thing I have ever gone through in my ent...
  11. Is Nursing School more difficult than working?

    I think we have to remember that the first 1-2 years of practice are really an extention of school... where the "real" learning begins if you will. I mean think about other specialties that go out and have an externship for a year (ie radiology tech...
  12. Are you my waitress today?

    I would've laughed and said, "I dunno, is there a tip involved? And do I have to do anything besides bring you something to eat or drink??? If I don't have to start your IV, analyze your labs, change your dressing, listen to your lungs, or check all ...
  13. Should I look for another job - advice needed

    Were you being paid nursing wages when you were working as a CNA? In our state you are only allowed to work within your scope of practice. If you are an RN, you are working as an RN, you have the responsibility of an RN and are not allowed to work i...
  14. Admin Tyl and Vicodin w/ in 4 hr

    You have to watch that the pt doesn't exceed her daily max of APAP... and that doesn't mean that she gets 4000 mg within the first 6 hours either. Personally... I would explain to the pt why tylenol and hydrocodone are combined and how they potenti...
  15. I'm on my 2nd month of flying solo after 3 weeks of orientation (new grad) and every shift I'm amazed I don't quit. I think the only thing keeping me in this job is the 7 years of school it took me to get here. I can't believe it might all be for not...
  16. Freaked me OUT!!!!!!!!

    www.darwinawards.com Sounds like you met a few future winners of this prestigious award...
  17. "Just" a 2-year degree

    Actually nursing is considered to be the most difficult undergraduate degree to obtain in this country. It took me 2 years full time and 5 years part time to complete my ASN. I had a 4.00 the entire time, I did not repeat any classes and I took no s...
  18. Profanity in the Breakroom....???

    I think my eyes would get a little big if I heard another RN say she wished someone would just die... Holy hell. I might say something like that at home, to my husband, who understands what I really mean and don't mean, and would never use such a st...
  19. Sad, sad case today

    Why men should not be the majority body legislating on women's health issues...
  20. Flowers and nursing?

    A flower committee? This is why students feel so unprepared to handle the floor when they graduate. I did my share of this kind of hurdle jumping when I was in school too. It's ridiculous. I know nothing about flowers and as a student would reall...
  21. My first few days, as a new RN

    I'm also a new grad, I had 3 weeks of orientation (which I thought was way too short, but that was another thread...) and usually get 4-5 patients each shift. My aides are often MIA and when I get one that's not, I'm so thankful I almost want to cry...
  22. My first few days, as a new RN

    And how many lawyers do you have?
  23. The Today Show

    Excellent point.
  24. Family in or out during procedures???

    Great points about pt support and I agree with you. I also would not have had a problem with him being present but "out of the line of sight" so to speak. But having him stand at the end of the bed with a full on view and give me verbal instruction...