pricklypear

pricklypear

Telemetry, ICU, Resource Pool, Dialysis

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All Content by pricklypear

  1. BSN vs ADN Education?????

    pricklypear replied to Traumatized's topic in General Nursing

    You make some really good points. However, what about the practical side of this issue. You compare nurses to PTs and Dental hygeinists. The sheer number of nurses needed to keep the healthcare...

  2. They didn't teach me this in nursing school and I could have killed someone!

    pricklypear replied to Roland's topic in General Nursing

    Yes. I agree, we will also sometimes have to stop the TPN long enough to run meds if we have only a single lumen and no other access. Never had a problem doing

  3. They didn't teach me this in nursing school and I could have killed someone!

    pricklypear replied to Roland's topic in General Nursing

    Our policy is never to run anything with TPN (we usually have lipids piggybacked into it anyway) in the same line. Compatibility should not be an issue with multiple ports of any central line or...

  4. There was a full moon last night. Can you usually tell when you're at work?

    pricklypear replied to JennInColumbus's topic in General Nursing

    I think things definitely go a little crazy during a full

  5. Aspiration Question

    pricklypear replied to harley_fan's topic in General Nursing

    Aside from all the immediate interventions mentioned already : Get a swallowing evaluation. If you get the go-ahead for thickened liquids, make sure you use the chin-down method and don't use

  6. An ICU nurse manager told my wife that her Med/surg experience was hurting her!?

    pricklypear replied to Roland's topic in MICU, SICU

    I learned a framework for critical thinking skills in school. I learned how to think critically in the REAL world of nursing. I started out in tele, and the things I learned there have helped me...

  7. An ICU nurse manager told my wife that her Med/surg experience was hurting her!?

    pricklypear replied to Roland's topic in MICU, SICU

    All I have to say is....what the????? I simply cannot see how experience in any acute setting can possible DEGRADE critical thinking skills. Critical thinking skills are critical thinking skills....

  8. What would you do?

    pricklypear replied to Nurseinthemaking's topic in General Nursing

    I've never heard of a pulmonary ICU! That's interesting. There seem to be ICUs for just about everything these days! I agree with everybody else. That hospital is asking you to take on a RN...

  9. What would you do?

    pricklypear replied to Nurseinthemaking's topic in General Nursing

    Doesn't make any sense. Are you sure it's a PICU? I mean Peds ICU? Or some kind of step-down unit. Stents are one thing, but fresh CABG is another. LVNs pushing cardiac meds?? Better check your...

  10. Ever had a family overdramatic with dying patient?

    pricklypear replied to rn-jane's topic in General Nursing

    How 'bout "Pro patient-centered death experience"?? PCloudy - I want to add my admiration of all you did for your patient. We put so much into making the birth experience memorable and comfortable...

  11. Ever had a family overdramatic with dying patient?

    pricklypear replied to rn-jane's topic in General Nursing

    Exactly. Grief is, to me, the ultimate emotion. I don't think it should ever be "modified" by bystanders - except to do what we can to unobtrusively contain it. Nobody should ever be made to feel...

  12. Ever had a family overdramatic with dying patient?

    pricklypear replied to rn-jane's topic in General Nursing

    I don't think anybody disagrees that loud displays may disturb other patients or families. I don't see anything wrong with quietly containing the greiving family in the room or a quiet room. I also...

  13. Ever had a family overdramatic with dying patient?

    pricklypear replied to rn-jane's topic in General Nursing

    Why would anybody be offended by someone's loud expression of grief?? I have been fortunate not to have been in that situation myself, but I can tell you now that I won't give a rat's a** about how...

  14. Ever had a family overdramatic with dying patient?

    pricklypear replied to rn-jane's topic in General Nursing

    I agree with the other posters who wondered whether the family really knew what was going on. After re-reading the OP, this is the feeling I get. If I didn't know any medical terminology, and...

  15. Cabg, Iabp, Crrt

    pricklypear replied to sway's topic in MICU, SICU

    I agree that experience is very necessary before taking fresh hearts. There are too many variables involved in caring for them that go beyond basic skills. I'm not sure that "many years" is...

  16. Cabg, Iabp, Crrt

    pricklypear replied to sway's topic in MICU, SICU

    IMO, you should have been trained already. I can't believe you can't get your manager to tell you why. If there is some reason, you obviously have the right to know so you can correct it. I was...

  17. RN intubating in the ED

    pricklypear replied to matt033174's topic in Emergency

    I just don't see why such a big deal is being made out of this. It's well within a RN's scope to intubate if properly trained. There seem to be some people here who seem to think you have to have...

  18. RN vs. BSN

    pricklypear replied to shingo333's topic in California Nursing

    My BSN program was only one semester longer (only the actual nursing program) than the local com. college ASN program. I had several additional prereqs though. I decided to just get it over with....

  19. RN vs. BSN

    pricklypear replied to shingo333's topic in California Nursing

    Hi sky5403! Nice to meet you and welcome to allnurses.:) Here's a link to a really good thread regarding your issue... https://allnurses.com/forums/showthread.php?t=108114&page=1&pp=10...

  20. hippa question

    pricklypear replied to tangerine's topic in HIPAA Challenges

    I don't think you violated anything. I'm sure she already knew he had a history of CVA. So, worst case scenario, now she thinks he had another on. A misunderstanding which needs to be cleared up....

  21. Would 2 years in small ICU provide enough experience to get into Trauma/Neuro ICU?

    pricklypear replied to AKav8trix's topic in Nursing Career

    Thank you - I hope you have a safe and fun weekend, too. I'm sure your time will not be wasted in the ICU. 8 beds is big enough to have some pretty critical patients. I bet you will handle a lot of...

  22. Please help new grad - situation with pt (long)

    pricklypear replied to mstigerlily's topic in Ob/Gyn

    I'm just curious - how do you define stable? I guess I have learned to step back and see the big picture in my practice. I still don't think a trip to the OR is a good thing during off hours unless...

  23. Please help new grad - situation with pt (long)

    pricklypear replied to mstigerlily's topic in Ob/Gyn

    Let me assure you... you did NOT let that pt down. She was assessed by her doctor at the beginning of your shift. You were instructed to continue with pain meds AS ORDERED, which you did. It's not...

  24. Please help new grad - situation with pt (long)

    pricklypear replied to mstigerlily's topic in Ob/Gyn

    OK...deep breath!! I think you did FINE. Let me get this straight...did the pt's condition change overnight after the doc saw her in the evening? I know she got dizzy, but did the pain increase...

  25. Aides giving the "new nurse" problems

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

    Debbie - there is another thread around here just started recently by someone with a problem very similar to yours. Lots of good advice there. I'll just say (like everybody else has) that you need to...