pricklypear

pricklypear

Telemetry, ICU, Resource Pool, Dialysis

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All Content by pricklypear

  1. ACLS In outpt HDUs??

    pricklypear replied to traumaRUs's topic in Dialysis, Renal, Urology

    It isn't required at my clinic. Our crash cart doesn't even have ACLS meds on

  2. what is the difference between AVF and patient 's own vascular ?

    pricklypear replied to rain888's topic in Dialysis, Renal, Urology

    babykitty - you work in a dialysis clinic that allows you to cannulate and perform dialysis through a native vein? I wouldn't think any of the major dialysis providers would have a policy like

  3. bfr return rate for hypotensive episode

    pricklypear replied to dbeckner222's topic in Dialysis, Renal, Urology

    A. the tech shouldn't have done anything except turn the pt to her side to allow her to vomit without your instruction. B. look up your policy on BFR with catheters. I'm pretty sure it's 350-400....

  4. How often do you draw Troponins at your hospital?

    pricklypear replied to RNcDreams's topic in Cardiac

    My experience has been either 6 or 8 hours, usually in sets of 3. I've never had them ordered every

  5. the correct way to Sunction

    pricklypear replied to 2bnurse_it's topic in Medical-Surgical

    NT suctioning definitely requires skill! Performing it incorrectly or unnecessarily can cause considerable harm and distress to your patient. Please read up on the technique or ask your facility's...

  6. Rhythm Analysis

    pricklypear replied to heaverboo's topic in General Nursing

    Give yourself some time. If you have some good monitor techs, learn from them - they've seen

  7. Shift Assignments - Who bugs you the most?

    pricklypear replied to Tait's topic in General Nursing

    Hey! What's wrong with the "Mellow Drifter?" When I worked resource pool, I always tried to be that. Maybe you're misinterpreting the "she will make you feel like she doesn't care what you saying"...

  8. Wearing masks

    pricklypear replied to CNAmonica65's topic in Medical Assistant, CNA/MA

    Geez, calm down...no need to get yourself so worked up and defensive. If you feel like you need to wear a mask because you can't deal with odors, be my guest. I still think it's unprofessional, and...

  9. Wearing masks

    pricklypear replied to CNAmonica65's topic in Medical Assistant, CNA/MA

    Sorry, Mochabean, I just totally disagree. I've seen and smelled some really, really bad stuff - and never seen a team of health care providers wear masks because of any "intolerable" smell. As...

  10. Wearing masks

    pricklypear replied to CNAmonica65's topic in Medical Assistant, CNA/MA

    I have never worn a mask because of odor. I have never made a patient feel bad because of something they have absolutely no control over. Yeah, stuff stinks. And there are even worse things than...

  11. Wearing masks

    pricklypear replied to CNAmonica65's topic in Medical Assistant, CNA/MA

    Maybe you should find another line of work if you can't deal with the smells of health care. Believe me, there are much worse smells and sights than a soaked

  12. incontinent NH pts

    pricklypear replied to 3cdn1usa's topic in Dialysis, Renal, Urology

    Kind of an unnecessary comment. Have you ever worked in an outpatient HD unit? If you had, you would understand the frustration of having an incontinent patient in a RECLINER who probably cannot...

  13. Please define "bedside" Nursing.

    pricklypear replied to Di Deanna's topic in General Nursing

    I'd add in office/clinic nursing, possibly dialysis, school nursing, home health, case management... Most nursing jobs do involve "direct" patient care, in other words, "having contact with...

  14. What would you have said to this CNA

    pricklypear replied to zofran's topic in Patient, Colleague Relations

    I'm not sure how a short note with a few tasks is improper delegating. I receive written orders all day from doctors, I can't just not do them because I feel that I was treated unfairly. It doesn't...

  15. Why did I go to school to be a nurse?

    pricklypear replied to JB2007's topic in General Nursing

    (((((((JB2007))))))) I'm sorry. Sometimes I wish I had gone into archeology. I have felt like I was banging my head against a wall for most of the 9 years I've been

  16. What would you have said to this CNA

    pricklypear replied to zofran's topic in Patient, Colleague Relations

    Saude - Please don't be so hostile and defensive. The thread has nothing to do with time management. That could be a new thread that you could start since you feel so passionately about the...

  17. Boy, Did I Feel Stupid!

    pricklypear replied to tishirajan's topic in Nursing Humor

    Yep, the joys of working nights and being totally screwed up in the sleep department. I never had anything THAT dramatic () happen, but I did wake up totally confused many times - thinking I had...

  18. What would you have said to this CNA

    pricklypear replied to zofran's topic in Patient, Colleague Relations

    No, the point is that the CNA behaved inappropriately. And that the OP did nothing to bring it on herself by "being too busy to take a pee break." I take exception to the tone of the bolded portion...

  19. no more NS at chairside!

    pricklypear replied to GeauxNursing's topic in Dialysis, Renal, Urology

    I`m glad you guys did well in your inspection! It just baffles me that these state surveyors don`t know even what they are looking at. That`s like me going into a machine shop and making up rules on...

  20. no more NS at chairside!

    pricklypear replied to GeauxNursing's topic in Dialysis, Renal, Urology

    OMG. Where do they FIND these people? Do they even really know what they`re talking

  21. What would you have said to this CNA

    pricklypear replied to zofran's topic in Patient, Colleague Relations

    Did I miss something? Since when does it matter WHY the OP left the floor for a few minutes on a break? The POINT is that she left instructions for the CNA to perform a couple very simple tasks well...

  22. patient consent issues

    pricklypear replied to J.R.theR.N2b's topic in General Nursing

    I guess I'm just so disheartened because I've seen such disregard for individual wishes. I've seen such disregard for the need for pain relief. Or, I should say, patients with extensive...

  23. patient consent issues

    pricklypear replied to J.R.theR.N2b's topic in General Nursing

    The downside is, that once narcotics are introduced, "incompetency" can be

  24. patient consent issues

    pricklypear replied to J.R.theR.N2b's topic in General Nursing

    When I worked ICU, we had a patient who basically had a dead body but a living brain who constantly asked (he mouthed words since he was vented) to be allowed to die. This was a previously very...

  25. Did you learn how to do a manual BP in your CNA class?

    pricklypear replied to BreatheFree's topic in Medical Assistant, CNA/MA

    That's ridiculous. There will always be times when you may need to get a manual. When I took my state certification (in AZ) many years ago, manual BPs were one of the skills you were expected to...