pricklypear

pricklypear

Telemetry, ICU, Resource Pool, Dialysis

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All Content by pricklypear

  1. Any tips for reducing fever?

    pricklypear replied to noclpn's topic in Pediatric

    I'm all for the Motrin/Tylenol alternating. My daughter had out of control fevers when she was little - 104 was typical for her. It wasn't until Motrin started being used for kids that I could get...

  2. Is Lasix dangerous??

    pricklypear replied to AllyRN82's topic in General Nursing

    I have no idea how it causes ototoxicity, but it is one of the #1 side effects of IV lasix given too fast. I'm not sure if po lasix would have the same

  3. I saw something new and scary

    pricklypear replied to teeituptom's topic in Emergency

    Good point. For some reason that story stuck in my mind from way back when it happened when I was a kid. We lived in the desert, and were taught from an early age about carrying water, and where to...

  4. Is it wise for a new grad to start in ICU?

    pricklypear replied to Kolt19's topic in MICU, SICU

    I'll just reinforce what everybody else here mentioned about a good new grad program for ICU. Make sure the hospital has one. Also, ask around for nurses who started there as new grads, and get...

  5. Pulmonary Edema and Morphine

    pricklypear replied to SouthernLPN2RN's topic in General Nursing

    The first thing that comes to my mind is the vasodilator effects of morphine. Allows more blood flow, lowering pressures -> Allows the heart to work more effectively -> less fluid gets stuck in...

  6. I'm a big chicken

    pricklypear replied to Helovesme!'s topic in First Year After Licensure

    Hi, Helovesme! Congratulations on passing NCLEX!! First off, it's totally OK that you are aprehensive. That's a good thing, and will keep you out of trouble. Remember, you know way more than you...

  7. Going home from night shift

    pricklypear replied to promises's topic in First Year After Licensure

    When I first started nights, I had a 30 mile (each way) commute. I did everything everybody else mentioned. I also listened to NPR sometimes. Strange as it sounds, I had to focus on listening to...

  8. Midline PICCs

    pricklypear replied to ghostcat's topic in Infusion, Intravenous

    In our hospital, nurses start all midlines. If they can't get one, the patient goes to radiology and a PICC is actually put in by the radiologist himself. We have a certification class, and them you...

  9. I saw something new and scary

    pricklypear replied to teeituptom's topic in Emergency

    Nutrition for crops is not the same nutrition a human body needs to function. So, just because something may or may not be used as fertilizer does not mean it is nutritious to the animal who...

  10. ICU RN's responsible for CRRT or CVVH

    pricklypear replied to graciev's topic in MICU, SICU

    Our nurses set it up and maintain it. We seem to go in spurts using it, but we have a new nephrologist who seems to utilize it frequently. We kind of just pass competency on from nurse to nurse. We...

  11. I saw something new and scary

    pricklypear replied to teeituptom's topic in Emergency

    There is? Animals (primarily dogs) eat their own feces for other reasons than nutrition. Usually because they've been raised in a cage or kennel and eating the feces was preferable to lying in it....

  12. Holidays - deciding who works??

    pricklypear replied to PJMommy's topic in General Nursing

    We have an A and B holiday schedule. Half of us are A, half B. I don't remember exactly, but A works Thanksgiving, off Xmas, on New years, off next holiday (can't remember which one it is)....

  13. I saw something new and scary

    pricklypear replied to teeituptom's topic in Emergency

    Several years ago (like maybe 25) there was a group of Mexicans trying to cross the border into Arizona who got lost, ran out of water, and resorted to drinking their own urine. Every single one of...

  14. to tell or not to tell?

    pricklypear replied to ablynn's topic in Patient Safety Issues

    This scenario is different than the original problem. The difference is, in your story, the SN was directly responsible for the safety of that patient at the time. Licensed or not, nobody leaves any...

  15. Good care, but...no handwashing?

    pricklypear replied to lovingtheunloved's topic in General Nursing

    That's what I was thinking. Our unit has tiny, very impractical sinks in the room - your face is pressed up against the suction canisters (yum) when you use them. We have alcohol gel dispensers just...

  16. Could really use some input....

    pricklypear replied to Hopeful in Ohio's topic in Nursing Career

    If that's really what you want to do, do it! I understand your feelings of guilt about your boss, but it's YOUR life. You seem confidant that you'll be able to keep your job while you're in school,...

  17. HIPPA violation or not?

    pricklypear replied to ezaryski's topic in Activism, Healthcare

    I totally agree, it would be a definite HIPAA violation. Doesn't matter who the patient is, or what they do for a

  18. Tpn

    pricklypear replied to EricTAMUCC-BSN's topic in MICU, SICU

    I'm not sure, but I think it's based on the individual's caloric needs over a 24 hour period. Not a set amount, but unique to each

  19. Hasten end so wife won't doubt DNR decision????

    pricklypear replied to markm739's topic in First Year After Licensure

    I think there are too many misconceptions regarding the use of narcotics for dying patients. It takes much more morphine than people think to actually depress respirations enough to cause or hasten...

  20. Is it selfish not to get a Flu Shot?

    pricklypear replied to Tweety's topic in General Nursing

    Tweety - I'm by no means an expert on infectious disease, but, to my limited knowledge, I have NEVER heard of anyone being a carrier of the Flu virus, without being symptomatic. I think some people...

  21. Hasten end so wife won't doubt DNR decision????

    pricklypear replied to markm739's topic in First Year After Licensure

    What a great thread!! NRSKarenRN - What a wonderful post, and great references. To the OP - I just have 1 thing to add and 1 thing to reinforce. First, I have only seen one family reverse their...

  22. is it really worth it???

    pricklypear replied to billlee2's topic in Nursing Career

    I accumulated more debt than I'm comfortable with during school. But, I justify it by reminding myself that there are few degrees you can get, or professions you can enter where you can be sure of a...

  23. Worst information given in shift report!!!

    pricklypear replied to AMARTIN1's topic in General Nursing

    I agree here, 100% - and then some. ALL of this information better be charted, or there is a huge problem on the unit in general. All I need is a brief history of the current problem, recent...

  24. Nursing student, but scared of nursing?!

    pricklypear replied to NS_Iowa83's topic in General Students

    Well, first of all, why do you think you may not want to be a nurse? Is it because now that you see what nurses do, it does not appeal to you? Or is it that you're scared by the unfamiliar...

  25. associate or bachelor degree?! HELP!!!

    pricklypear replied to daniellenichole's topic in Pre-Nursing Students

    If it's simply a matter of time, most bachelor's programs are 5 semesters, while the core ADN program is 4. What's 1 more semester when it's all said and done? When I was in school, I only had 3 or...