Where. I work we start with toradol 30mg, zofran 4mg, a liter of NS, and Morphine 4mg q5m x 3 doses. I give the toradol, zofran, fluid, and 1 dose of morphine. Then send them off to CT. The morphine starts to work faster that the toradol and tends to...
Gabby-RN replied to EricaRN2015's topic in Medications
From the information you providex, I would have given the prn ultram and passed on to the day nurse that you did so. It is up to that nurse to decide if they will give the scheduled ultram, hold the ultram and to document why. The patient requested a...
Patients in the ED often tell me their IV hurts...hurts when they bend their arm, hurts when they touch it, hurts when they look at it. Usually they just hate IV's. If I cant find an actual problem with the line to indicate a need to change out the l...
25% is just the Federal tax. I pay state taxes as well, mine are 6% I believe. Maybe some states pay a higher state tax, not sure. Between Federal, State, Medicare and SSI, net pay could be close to 40% less than gross pay when it is all said and don...
Gabby-RN replied to martymoose's topic in Medications
Where I work, gabapentin administration also generates a pain assessment field and 1 hour re-assessment. So does 81mg of aspirin and Tylenol given for fever. We have been told if the medicine is not given for pain to put "0" in the pain scale field ...
Gabby-RN replied to PlentyOfMurses's topic in Union
When I was hired at a union facility there was no option to not join. Being in the union was a requirement. Unions have many great advantages but also some disadvantages. I have been passed up for a promotion because someone with more seniority bid o...
Gabby-RN replied to MsPebbles's topic in Relations
You should not feel bad for saying no ever as long as you are polite and have a valid reason. If appropriate I would tell the nurse you are in the middle of cleaning up another patient and will be done in xx minutes. I think she was rude regardless ...
Gabby-RN replied to MountainBikeChick's topic in General Students
I was induced at 39 weeks with my 2nd child. (cervidil no pitocin) There were no complications, I had the baby without pain meds in less than 5 minutes of pushing. Sounds like she wouldn't want a medical induction anyway but I just wanted to say no...
The hospital where I work does not allow staff to use their own O2 sat because it would mot be calibrated and its accuracy can't be determined. Definitely do not waste your money, they aren't cheap either! Congrats on the job.
That is certainly not the case everywhere. I feel like we over treat pain. Sometimes it seems like everyone except migraine sufferers get morphine or dilaudid.
We are not allowed to use lotion from home where I work, the hospital provides fragrant free lotion made by the same company as the sanitizer. According to infection control, we cant use our own lotion because it could interact with the hand sanitize...
What is your hospital's policy on removing the ET tube during post-mortem care? We can remove it as long as the medical examiner is not taking the case, otherwise we have to cut it at the lip line. I personally prefer to cut the tube rather than lea...
Working in the ED I see a lot of patients that are brought in for things related to their noncompliance with dialysis. They just don't want to go and in that moment feel like they would rather die happy than suffer with the long treatments and side e...
The other day I called to give report to the intercare nurse, the patient had been pretty stable for a couple of hours, downgraded to nasal cannula, talking, etc. After giving report, I put the patient on the transport board. The orderlies were a lit...
Gabby-RN replied to WannaBNursey's topic in Job Hunt
The other day a family member asked me if I could come change her mothers IV site now because it was hurting her when she moved. I was extremely busy and behind and I kind of blurted out I'm really busy right now I can't as as I rushed by. The family...
Attorneys are not told which suits they are required to wear. Physicians are not told specifically down to the brand and style what professional dress means. I dress professionally every day. Nobody needs to dictate where I shop, what brand I buy, a...
Its not just being told what to wear, the OP is also being told where they are required to shop. If you had to buy your own clothes for work and ruined a uniform wouldn't you be a little upset if you were forbidden from purchasing a new one at your ...