psu_213 BSN, RN

Emergency, Telemetry, Transplant

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All Content by psu_213

  1. psu_213

    Nursing

    I have seen confusion over first digit (thumb) and first finger (I've heard both index finger and thumb on this one). I have never, ever heard the middle finger called the index finger. OP, are you...
  2. Take a beep breath. You found 2 unresponsive individuals. Your obligation as a human/upstanding citizien is to call 911. No obligation to assess them, no obligation to provide any sort of...
  3. And it is looking unlikely that we will get clarification on that. Us ********s want to know what was meant with this
  4. psu_213

    What's Your Longest Lasting PIV?

    Replace them while they are in the ER? The first place I worked as an RN required that medic lines and lines from other facilities have to be replaced in 24 hours. Otherwise, in the ED, if they have...
  5. psu_213

    Different ER beds

    Different EDs probably give different names to hold beds, observation beds, overflow beds, etc. I'm not sure exactly how is works from a licensing perspective, but, in my experience, if a hospital is...
  6. Thank you for putting in the hard work for the rest of us:up:. I read 95% of it, didn't see the nepotism, and didn't have the energy to read it again. To the OP, I guess the real question is, can you...
  7. psu_213

    What's Your Longest Lasting PIV?

    My first job as a nurse, there was the 72 hr rule. Since 2010 or so, everywhere I have worked has the "leave it in til it goes bad" rule. Having said that, 40 days for one PIV sounds like a lot....
  8. Yes, it has to be counted in the Pyxis. If it is not in the Pyxis, it needs to be brought up by a pharmacy tech (not tubed up) and signed for by an RN--at least this is the case everywhere I have...
  9. psu_213

    Texting in nursing

    I agree with the frustration on having to text for everything. However, there is a benefit, at times, to texting. Sometimes texting is the most reliable way to get ahold of a doctor in a timely...
  10. Pretty much impossible to answer this since no of us were there, and we did not see/hear the
  11. psu_213

    Leaving tasks for the next shift

    Yes. Very. I'm still interested to know if this is the written policy or just "how we always do it." Either way, it needs to be looked at and changed, especially for people not getting IV
  12. psu_213

    Leaving tasks for the next shift

    As someone else said, you really did not leave something for the next shift in this scenario. Pt said no more sticks, doc said 2nd line isn't necessary. Chart both of those things, and it should not...
  13. psu_213

    New Grad Nurse Arrogance

    My advice would just be to listen to her and let it be. I have seen some new nurses brag about what they saw or done in their new jobs. They occasionally throw in some clinical jewel to try to...
  14. I agree. My guess is management is just happy to have a nurse who will fill in some gaps in the schedule. As long as she provides safe, adequate care to her patients, management probably isn't going...
  15. Or going into their chart to confirm it was them. As mentioned, even though it was not a HIPAA violation, emailing her was probably not the best. Even though she probably would not report the OP, it...
  16. psu_213

    Bradycardia vs Tachycardia

    I am curious to find this out as well. Short answer: both can be not so bad, both can be really bad. It depends on how high or low and on the overall clinical
  17. psu_213

    When they're SO sure they're right...

    True, but this community hospital certainly did not have a portable scanner to bring up to the floor. FWIW, it was a lung CT with "high resolution
  18. psu_213

    Weird actions that are out of nursing scope

    I'm guessing it was the one asking if it was OK to give an OTC to an aide etc. I must say, I find it a bit strange that the teacher used giving OTC to a neighbor's kid as an example. It's up for...
  19. psu_213

    When they're SO sure they're right...

    Sorry for the TMI, but as someone who often wakes up at 4 am with a fullish bladder, how I wish this were
  20. psu_213

    When they're SO sure they're right...

    If I can find a pill splitter. Good luck with that. Then again, I have met nurses who find it acceptable to cut a pill into 3 "pie
  21. psu_213

    Weird actions that are out of nursing scope

    "It is probably something simple and not serious [most of the time, it will not be something serious], but I recommend that you talk to your PCP about it." Obviously if it something like crushing...
  22. psu_213

    When they're SO sure they're right...

    Is she the start of the urban legend of the nurse that gave two Vitamin B 6's since there was no B 12? At least I hope that is urban
  23. psu_213

    When they're SO sure they're right...

    Not really know it all statements, but things I have heard: "Can they come up and do that CT portable?" Call from telemetry to a nurse: "The flipped into fib at 11:25." Call back from the nurse about...
  24. psu_213

    When they're SO sure they're right...

    "What does his hypertension have to do with his kidney function???" (said in a clueless manor, not a rhetorical question manner) and by the same nurse... "They sell potassium supplements...
  25. psu_213

    What made your jaw drop

    Jaw dropping moment: Pt had a fistula placed for dialysis earlier in the day, but now was back on the unit. The nephrologist (who was a real jerk to begin with), comes out of the room and says to me...