OleMissRN

OleMissRN

Pulmonary/MedicalICU

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All Content by OleMissRN

  1. Favorite "Lay Terms" For Diagnoses

    OleMissRN posted a topic in General Nursing

    Some of my favorite mispronunciations or "shortening" of a diagnosis by patients and/or family members: The Gouch - Gout The High Blood/Low Blood - Hypertension/Hypotension The High...

  2. What's the most dangerous thing that's happened to you while working?

    OleMissRN replied to Aly529's topic in General Nursing

    Interns and Residents...for anyone at a "teaching" hospital, this is more than

  3. Do you give meds without seeing the MDs order if he MAR has been checked?

    OleMissRN replied to canadianRNeducator's topic in Patient Medications

    If your chart has been thinned, as per a doctors order (Required), then you should also have an updated Med Reconciliation Form with all of the current medications, checked yes or no, with a doctor's...

  4. Do you give meds without seeing the MDs order if he MAR has been checked?

    OleMissRN replied to canadianRNeducator's topic in Patient Medications

    According to nursing standards, YES, you are supposed to check the chart for medication orders each shift to make sure that the MAR is correct. Does this happen every time, everywhere? Absolutely...

  5. Night vs Day shift

    OleMissRN replied to swaffy's topic in General Nursing

    I've worked nights and days, and you couldn't pay me enough to go back to nights. I'm in the ICU so it is a little different than on the floor. I like all the night people, but having a regular...

  6. Is taking diuretics equals having CHF?

    OleMissRN replied to Blackheartednurse's topic in General Nursing

    No, CHF is diagnosed via ECHO or PA cath readings. Those are the only two ways that you can reliably diagnose

  7. New Grad- Spinal Cord Injury or Telemetry-want to move into ICU after experience

    OleMissRN replied to lkk78's topic in First Year After Licensure

    Telemetry will probably be more "intensive" patients (due to needing telemetry). It will also teach you more about abnormal EKGs. SCI floor will probably teach you more about trachs, log-rolling, and...

  8. Levophed shortage

    OleMissRN replied to silentRN's topic in General Nursing

    Levophed....leave 'em dead. (toes and fingers, that is) I know, I know, that's an OLLLLLDDDD quote. For those of you out of neo and/or dopamine as well....YEEEESH! Using epi as a first line? That...

  9. first time ms/icu what to expect

    OleMissRN replied to sar415's topic in General Nursing

    As a student you will learn more in-depth information about patho, pharm, and everything else working in the ICU, especially a MICU. If you want to learn more about systems and how they interact, I'd...

  10. Secondary IV med (piggyback)

    OleMissRN replied to flip/flop's topic in Patient Medications

    I've been doing this since I started out of school. Its what I was taught as a student during rotations. As iluvivt said, if you back-prime properly, there shouldn't be any issues. There are some...

  11. Fired from my first job today......Feeling like a failure.

    OleMissRN replied to HeatherGurl84's topic in First Year After Licensure

    I went through something similar...was fired from my first job. Keep your head up, this obviously wasn't where you were meant to be to have an impact. You'll find the right place...I

  12. Should new grads start in ICU?

    OleMissRN replied to optimusRN's topic in First Year After Licensure

    I did....been there, done that. For you floor nurses (especially telemetry) that think that ICU isn't busy, get back to me when you have one patient getting intubated/extubated and/or lined out (TLC,...

  13. Should new grads start in ICU?

    OleMissRN replied to optimusRN's topic in First Year After Licensure

    OP: It depends on the person. Everyone is different and, unfortunately, its really hard to tell if you will get it or you won't. Do you have any experience in an ICU, such as an externship? That would...

  14. Almost a year in and more scared than before

    OleMissRN replied to aerorunner80's topic in First Year After Licensure

    It gets better, but look out if you transfer to a different level of care or a different type of unit (say, to the ER or to an adult floor or ICU). Some of that will start to creep back, but you will...

  15. question about CF??

    OleMissRN replied to mentalhealthRN's topic in General Nursing

    CF patients often have colonized pseudomonas (p. aeruginosa [sp?]). If you think about someone getting a transplant, they take loads of immunosuppresants so as to decrease the chance of rejection of...

  16. Electrolyte Imbalance and Clinical Question(?)

    OleMissRN replied to sw122500's topic in General Nursing

    Don't know on the IV, I guess your best option (if you're answering a question) would be to address the patency of the IV and the need for a new one. As for the renal failure, you are probably right...

  17. Electrolyte Imbalance and Clinical Question(?)

    OleMissRN replied to sw122500's topic in General Nursing

    If CL is Chloride, its not high, its low. 95-105 (some use 108). He definitely needs some K...probably hypovolemic as you noted (BP, Urine spec grav, oliguria, etc.). Dehydration is related to...

  18. wrong i.v.f

    OleMissRN replied to NewlyGradBSN's topic in Patient Safety Issues

    We all make mistakes. As long as you learn from your mistakes, you'll be fine (and, of course, don't kill the

  19. Help! Need advise! I just resigned!

    OleMissRN replied to NrsKyssez's topic in General Nursing

    I had a similar experience at my first job and then moved up to an ICU job. What I would recommend is keeping that to yourself unless your time and experience is brought up in an exit interview or...