psu_213 BSN, RN

Emergency, Telemetry, Transplant

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All Content by psu_213

  1. psu_213

    Love Hate Relationship with CHF

    psu_213 replied to hkRN83's topic in Case Management

    The day after Easter, we had a pt who knows he has CHF, has had ICU admits before for the issue, and he went and ate ham and all the other Easter fare. He ended on BiPAP, NTG drip, and back in the...
  2. psu_213

    Calling yourself an RN

    psu_213 replied to MadpeysRN's topic in Patient, Colleague Relations

    What is going on up
  3. psu_213

    Calling yourself an RN

    psu_213 replied to MadpeysRN's topic in Patient, Colleague Relations

    In order to be able to get a license as a physician, an individual must pass all 3 parts of the United States Medical Licensing Examination (USMLE). Usually medical students will take Steps 1 and 2...
  4. psu_213

    Doctors want Dr. Oz off Columbia medical faculty

    psu_213 replied to NRSKarenRN's topic in Activism, Healthcare

    Yes, I know this is from Wikipedia, but I figure one questionable source of information deserves another: Mehmet Oz - Wikipedia, the free
  5. psu_213

    Doctors want Dr. Oz off Columbia medical faculty

    psu_213 replied to NRSKarenRN's topic in Activism, Healthcare

    Yes! I really do not care how Columbia chooses/manages their faculty. I would really to see him stop spreading his twisted agenda to unsuspecting folks who think he has pure
  6. psu_213

    Calling yourself an RN

    psu_213 replied to MadpeysRN's topic in Patient, Colleague Relations

    Even if this "pretend nurse" sees the post, she may not even make the connection that the OP is directing at her….or, if she does realize that it's directed at her, she may not
  7. psu_213

    Was my professor out of line?

    psu_213 replied to kimmyanne02's topic in General Students

    Which is exactly why she had a meeting with you…and then you turn around and call her inappropriate! Yes, the Catholic comment was minority inappropriate, but she was trying to help you and...
  8. psu_213

    500 cc of Vanco/Ns over 2 hours via pump via picc line

    psu_213 replied to lumbarpain's topic in Patient Medications

    Does your unit do any education about IV therapy and PICCs? Part of the reason I ask--there was a long thread on here recently that focused on a nurse being disciplined for not doing PICC dressings....
  9. psu_213

    Doctors want Dr. Oz off Columbia medical faculty

    psu_213 replied to NRSKarenRN's topic in Activism, Healthcare

    When an ED patient starts their CC with "I heard on Dr. Oz…" a little part of me dies. I worry about the idea that individuals will get their medical advice based on the half truths Dr. Oz...
  10. psu_213

    Do you need a tb and an x-ray as part of your physical?

    psu_213 replied to WE~DO~CARE's topic in General Nursing

    OK, I was (somewhat) with you until this. I can certainly see why your friend is concerned about unnecessary radiation exposure given her childhood experiences near Chernobyl. However, it makes zero...
  11. psu_213

    Higher Calling

    psu_213 replied to guest449786's topic in Patient, Colleague Relations

  12. psu_213

    Higher Calling

    psu_213 replied to guest449786's topic in Patient, Colleague Relations

    Love the post! But I'm not sure I'd call Gilbert Gottfried's voice
  13. psu_213

    Higher Calling

    psu_213 replied to guest449786's topic in Patient, Colleague Relations

    Professional athletics? For me, no, nursing is not a "higher calling," and I have never had a single professor, male or female, refer to it as such. I could be totally wrong, but I sense that perhaps...
  14. psu_213

    Bundle Branch Blocks in Tennessee

    psu_213 replied to oceansunw's topic in General Nursing

    I too don't see any reason why a tech or RN could not determine/chart a BBB on a rhythm strip. I have to say, when I saw the title of the thread, I was thinking it was a BBB in combination with S3 or...
  15. psu_213

    should we hold the insulin or not

    psu_213 replied to NurseP1988's topic in NCLEX Exam, Programs

    There should be a specific doctor's order regarding insulin while a pt is NPO for a procedure. If there isn't one, you should call the
  16. psu_213

    Was my professor out of line?

    psu_213 replied to kimmyanne02's topic in General Students

    The "belly up" part was misread by me--I apologize. However, the idea that you can sue because of her comment still makes no
  17. psu_213

    To tell or not to tell!

    psu_213 replied to XNavyCorpsman's topic in Patient, Colleague Relations

    Did I ever say not to say anything? Did I ever say not to ask a nurse why he/she did not wear a gown? I would definitely ask the nurse about a stage II on someone's sacrum. And shame on that nurse...
  18. psu_213

    Documenting "Falls"

    psu_213 replied to HehLPN's topic in Geriatric, LTC

    I would chart exactly what you see. "Resident observed in a sitting position on the floor. Alert…" etc. for an unwitnessed incident. If it is witness chart "Resident states 'I don't want to...
  19. psu_213

    Clearing lines for pump.

    psu_213 replied to OwlieO.O's topic in Nursing Student Assistance

    With IV ABX, set up a piggyback with your ABX as a secondary--back prime that line and you won't waste any of the ABX. Also, don't fret too much over one small bubble. No, you should not have a large...
  20. psu_213

    Would you send this patient to the unit?

    psu_213 replied to Birdy2's topic in Patient Safety Issues

    Whoa! Hypertonic saline is reserved for the worst of hyponatremia cases. What about a fluid restriction…maybe some salt tabs. Hypertonic NaCl has some pretty serious side effects, which is...
  21. psu_213

    Would you send this patient to the unit?

    psu_213 replied to Birdy2's topic in Patient Safety Issues

    In my hospital, based on the initial Na they would have gone to a floor (likely telemetry). Na of 109 would almost certainly go to an ICU. Also, if the pt has a H/O A fib, they may not be on a...
  22. psu_213

    To tell or not to tell!

    psu_213 replied to XNavyCorpsman's topic in Patient, Colleague Relations

    What the OP describes is definitely sloppy practice on the parts of the nurses on his unit. I certainly do not advocate turing a blind eye to the situation. However, making it in the world of...
  23. psu_213

    Was my professor out of line?

    psu_213 replied to kimmyanne02's topic in General Students

    Are you serious in trying to equate the two questions or is my sarcasm meter broken? Anyway, you can't sue for discrimination for a single insensitive remark. You would have to prove that you were...
  24. psu_213

    do you drink coffee during your shift?

    psu_213 replied to aname's topic in General Nursing

    I drink a cup of coffee in the morning--I need it to wake up "completely." If it's covered, we can have it at the nurses station. I've never seen a situation when someone needs to use the restroom...
  25. psu_213

    How do you sign your name?

    psu_213 replied to ohiobobcat's topic in General Nursing

    I go with first initial, last initial follow by a wavy line. I figure if docs can sign prescriptions totally illegibly, I can sign discharge papers