psu_213 BSN, RN

Emergency, Telemetry, Transplant

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All Content by psu_213

  1. psu_213

    Too much oxygen?

    I once took care of a patient with pretty severe COPD (an adult), and the doctor wrote an order "ABG before every change in O2 flow rate. Call pulmonology with each change in O2." The patient was...
  2. It is given somewhat frequently IM by medics when a patient is actively vomiting and IV access is not possible (for example, someone who is a difficult stick). If, however, a patient has an IV, I see...
  3. Not sure of the setting/clinical situation of the OP, but In the ED, for example, we give it quite a bit as a "premedication" for someone getting IV opioids…even if they are not nauseated at the...
  4. psu_213

    Spelling Mistake on Application

    We can't tell you how the individual who reviews your app with react. However, I suspect it should not be a big
  5. psu_213

    What does it take to be a good ER nurse?

    (all the other one's listed are quite important also, but this is my
  6. psu_213

    HIPPA violation

    Technically this is not a HIPAA violation, but this is a violation of many facilities' policies. As a side note, at my facility, staff members can look at their own chart, with the exception of...
  7. psu_213

    Leaving a patient foley in

    Not really a treatment, but at my one job, the residents on our service would round sometimes late in the evening. At 2300, they would write an order to "remove foley, notify HO if pt does not void...
  8. psu_213

    New RN texting Dr. advice

    Obviously there is a facility policy that indicates you should be texting the physician. What does the policy state? The policy should spell out what to include and what not to include (like PHI)....
  9. psu_213

    huber needle

    I don't think anyone is trying to suggest that nursing school gives you the skills to access ports--it doesn't. I believe the thought was that a nursing school education is sufficient to make one...
  10. psu_213

    Area of nursing with greatest amount of vomit

    And the ED. Although 38.7% is "finger
  11. psu_213

    huber needle

    Yes, this is what I found strange about the situation. To the OP, don't try and hide what you did. Admit your mistake, apologize for the lapse in judgement, and make assurances that you won't do...
  12. That should be one of the patient placement questions they ask on the NCLEX! (I kid--I realize the issues surrounding this room
  13. psu_213

    Do you carry around your stethoscope?

    My guess it is the former, but what do I
  14. I don't think there is any reason to feel guilty about it. She gave you a hug. To you that was a message that she wanted to know you outside of her work. To her, it was comforting a grieving family...
  15. These seem to be two competing thoughts that don't jive with one another. The former seems more like how it is. Some people are just miserable, rude, etc. My guess is that your other coworkers and...
  16. psu_213

    When did it become OK to treat your nurse like poo?

    It seems our goal (in a US ED) seems to be sandwich within 5 minutes of clearing NPO status. Heck with door to balloon time. It's door to sandwich time that really
  17. psu_213

    When did it become OK to treat your nurse like poo?

    Or when a patient's family member knows where the refrigerator is so that they can get a snack for the patient. And they might as well get themselves a sandwich while they are
  18. psu_213

    Oxygen Therapy

    Yikes! I have my guess as to what happened, but I will hold my tongue and let some others take a stab at
  19. psu_213

    Fear of vomiting and vomit?

    Or for holding snack food (peanuts, M&Ms,
  20. psu_213

    Fear of vomiting and vomit?

    This statement is almost oxymoronic sounding, but it is so true! They are not regularly stocked in our ED rooms anymore, but they make guest appearances here and there. However, I have someone...
  21. psu_213

    Do you carry around your stethoscope?

    Exactly. Believe it or not, doctors are humans too. They miss stuff too. On a particularly busy day in the ED, they may not listen as closely as they should. Even on a not-so-busy day they may...
  22. psu_213

    The other side of the stethoscope.

    I'm sorry you had a poor experience. I certainly don't want to dismiss you issues as nothing; however, please realize that the nurses may have been involved in something that prevented them from...
  23. psu_213

    Do you carry around your stethoscope?

    Exactly what I was thinking. Do they need more albuterol? I've seen/heard people that look much better after a duoneb, but on auscultation they still have some significant wheezing. I also had a...
  24. psu_213

    Fear of vomiting and vomit?

    Vomit is something you just, to some degree, get used to. After 6 years as a nurse, I'm still not 100% unfazed by it, but I'm usually not gagging when I see someone vomit. As for the infectiousness...
  25. psu_213

    HIPAA and Minor Volunteers

    I am interested to hear the answer (I for one do not know). I will say, however, that allowing minors access to PHI could lead to