limabean

limabean

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All Content by limabean

  1. pccn

    hello...I am taking the PCCN in May also. I wish I could offer us both some advice. I was hoping there would be some responses to your question, but I dont think many people have taken the exam. Have...
  2. Atheist or Agnostic?

    caroladybelle, I purposely never did say "If we are wrong and there is no God it will not make a difference" for the very reasons you stated. I do not believe there is a "faith faucet" that can be...
  3. Atheist or Agnostic?

    Sorry you feel that way, I will keep my mouth
  4. Atheist or Agnostic?

    What if the atheists are wrong? What if there really is a God, a heaven and a hell and those who do not believe in Jesus really do go to hell? If what the "religious fanatics" say is true, what will...
  5. Help...what is going on with this patient?

    no..she was afebrile. We figured out today what was going on. She had a retroperitoneal bleed. They did a stat ct scan this am b/c her H&H had dropped from 10.3 and 30 to 25 and 8. The pt got 2...
  6. holding BP/HR meds

    Just curious... if you do not give a scheduled medicine due to say HR or BP issues do you legally have to call the doc to let him/her know? For example, on my cardiac floor we are often holding a...
  7. Atheist or Agnostic?

    I definitely do not think you will feel like a fish out of water. I am a Christian, and I have not met many other Christians in the workplace. (And I live in the bible belt.) I actually meet more...
  8. Charting

    I'm glad you brought this subject up Tweety....I'm paranoid about not charting enough. I looked at the webpage SweetOldWorld posted for the book by Patricia Iyer. It looks great! I went to Amazon to...
  9. Can I give half a dose?

    can you give less than the physicians order? for example, i had a patient the other day who wanted only half of his xanax. i said that i could only give him what was ordered (which i thought was...
  10. Valium and Ativan?

    I had a patient going through alcohol withdrawal...currently about 1 1/2 days into it. She was very shaky, unstable on her feet, headaches, occas. confusion, abd pain, HTN (160/111), with anxiety and...
  11. Feeling like a failure (long)

    You should not feel like a failure. I too have made stupid mistakes like this...we would not be human if we didn't. I'm very glad everything turned out okay for your patient. I felt exactly like you...
  12. Patient Almost Coded

    That poor patient. That situation could have probably been caught much earlier if the previous nurse had been paying more attention to the patient. One really important part of this to remember is to...
  13. I work on a cardiac/pulm/renal floor in my hospital. The normal nurse to patient ratio is max 6:1. Which I am normally okay with. Well an LPN has been hired to work on our floor recently and we have...
  14. Responsibility for LPN's actions?

    hrtprncss, I am in the process of trying to decide how I feel about team nursing. The posters here have answered my question about med admin. I mistakenly always thought that the RN was responsible...
  15. Responsibility for LPN's actions?

    Colter517, I dont walk beside her and administer the meds. That's what I was asking. I was asking if I was responsible for the meds she gives. And thanks everybody for the
  16. Did anyone here NOT get the HepB shot series?

    I did choose to receive the Hep B series before I became a nurse. I agree with another poster who said it hurt a lot more than some of the other vaccines I have received. Also I got a huge knot (about...
  17. HIPPA question

    I have a question about HIPPA rules. Is there a generalized HIPPA rule about a patient accessing their medical records? More specifically, if a patient wants to get a copy of their medical records...
  18. needlestick question

    Hey guys. I had a pt the other day that I had to give Lovenox to. It was one of the prefilled Lovenox injection needles so it did not have a safety device. When I went to put it in the sharps box...
  19. oops?

    I have always heard to never hook anything up with TPN also. However, the other day I had a patient who had a triple lumen with TPN in one line then I had to start Amiodarone and Cardizem thru the...
  20. physician compliance

    This is a sore subject with me. At my hospital, physicians are not supposed to write "continue home meds." However, there are only maybe two or three who comply with this. The nurses are educated...
  21. I feel for you. I felt the same way. When I first graduated I was working in the ICU in a critical care intern program. I felt extremely overwhelmed....it's hard just learning how to be a nurse on...
  22. Obtaining/verifying consent

    We recently went through a JCAHO inspection at our hospital, and I learned some interesting things I did not know. They require that the doctors document in the progress notes or on the consultation...
  23. What to do if a pt. aspirates???

    The patient had the feeding going b/c the family did not want to "starve" him. I know so many families who find this to be one of the hardest parts of letting someone go. He was a DNR, but they were...
  24. What to do if a pt. aspirates???

    No I did not get a stat CXR. However, I did call the doctor 2 minutes after the incident, and he only wanted the Zofran given. I dont really know what the policy is for that at my hospital. But they...
  25. I am a relatively new nurse working on a cardiac floor (with lots of other types of patients also). I have been trying so hard to think critically and be able to process the multiple health issues...