pricklypear

pricklypear

Telemetry, ICU, Resource Pool, Dialysis

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All Content by pricklypear

  1. Prehospital IV's

    pricklypear replied to DB 1959's topic in Infusion, Intravenous

    I'm not an IV therapy nurse ( although I worshipped the ground they walked on when I worked with them!) but I just don't see the point of removing a perfectly good IV and reinserting another. Unless,...

  2. Tylenol toxicity? How serious?? Please read!

    pricklypear replied to breastfeedingRN's topic in Emergency

    If the GI doc isn't worried, I wouldn't be, either. There are lots of other labs that continue to rise for a few days before resolving. Cardiac enzymes with MI, renal labs with acute insult, etc. I...

  3. Prehospital IV's

    pricklypear replied to DB 1959's topic in Infusion, Intravenous

    To my knowledge, we don't have a specific policy on field IVs. If they're good, we leave them for 3 days. Sometimes we have to move the big 18g in the little old lady's RAC so she can eat, though....

  4. Tylenol toxicity? How serious?? Please read!

    pricklypear replied to breastfeedingRN's topic in Emergency

    Factors like alcohol don't figure into the actual ranking - that is strictly by acuity. But it does figure into getting on the list. I don't know about a tylenol situation,

  5. I Need Advice. May Lose Rn License!!

    pricklypear replied to Shell5's topic in Legal

    Shell5, I just wanted to lend you some support, and wish you well. Hopefully the board will take all circumstances into consideration. I really don't think anything to do with chem. dep. in you past...

  6. Tylenol toxicity? How serious?? Please read!

    pricklypear replied to breastfeedingRN's topic in Emergency

    I'm sorry about the lack of visiting hours in the ICU your sister is in. Hopefully, she will become stable enough to move to a regular room soon, that will improve the situation. We have to try to be...

  7. Tylenol toxicity? How serious?? Please read!

    pricklypear replied to breastfeedingRN's topic in Emergency

    (((((((((((BreastfeedingRN))))))))))))) I'm so sorry about what's going on. It is SO hard to be so far away and feel like your hands are tied. Do you feel that she is in a good hospital? With...

  8. Patients knowing medical lingo

    pricklypear replied to lpnstudentin2010's topic in General Nursing

    It's one thing to know some terminology, or even have some "knowledge", but putting it in context is a totally different thing. Some people who have a little bit of knowledge often have different or...

  9. Nurses Who Shouldn't be Nurses

    pricklypear replied to bobnurse's topic in General Nursing

    I worked for a Catholic hospital, and never ONCE heard anyone there state that suffering was enobling in the context of allowing someone to suffer during the dying process or otherwise suffer...

  10. For Those With Children...

    pricklypear replied to cdietrich404's topic in General Nursing

    My kids were probably 1,2 and 4 when I took my 1st class. Psych 101! I did 1 or 2 classes at a time, here and there, weekends and nights so I didn't need daycare. Took a long time, but I plugged...

  11. Getting the last question right.

    pricklypear replied to ckh23's topic in NCLEX Exam, Programs

    I've heard that, and logically it makes sense - except that the minimum number of questions is 75, so it's possible (I think) to have already failed (percentage wise) by question 74. But the...

  12. Feeling unimportant in my new job.

    pricklypear replied to Keely-FutureRN's topic in General Nursing

    I think you will find something in this new job to take the place of some of your old duties. Aren't many of these patients anxious about surgery, or kind of scared when they wake up? Having someone...

  13. Yelled at by NA for shaving pt.

    pricklypear replied to Nellie Nurse's topic in Medical-Surgical

    This was probably something the NA was very familiar with (being a NA for 15 years on that unit) so I think pt education was appropriate in this situation. I don't agree that pt education is outside...

  14. Yelled at by NA for shaving pt.

    pricklypear replied to Nellie Nurse's topic in Medical-Surgical

    Hey Nellie - we've all been in your shoes! It is hard. Cultivating relationships with staff who do a good job is really important, and will make your job easier in the future. Respect is a 2 way...

  15. Yelled at by NA for shaving pt.

    pricklypear replied to Nellie Nurse's topic in Medical-Surgical

    You're right Mystery. I should have read a little more carefully to realize that the OP is an RN. I agree - the issue is a CNA trying to assert authority over the RN. Which I do think needs to be...

  16. Yelled at by NA for shaving pt.

    pricklypear replied to Nellie Nurse's topic in Medical-Surgical

    Did the person really yell, or just tell the OP? Sounds like maybe the OP just felt threatened by being corrected. I remember once (a loooong time ago!) when I was an aide, before nursing school, a...

  17. numbbrains

    pricklypear replied to Thressa's topic in General Nursing

    Thressa - good luck with your studying! Hopefully you have some kind of book or disc to study with? Just keep answering questions - and reading rationales on all of them. Those rationales will...

  18. Yelled at by NA for shaving pt.

    pricklypear replied to Nellie Nurse's topic in Medical-Surgical

    Not having to monitor INR or PTT with lovenox does not mean it has any less anticoagulation effect. Lovenox acts on different parts of the clotting cascade than coumadin or heparin - and there isn't...

  19. RN & LPN(LVN) Questions

    pricklypear replied to Angela2006's topic in Cardiac

    Angela - just a note - that as an ICU nurse, I don't make 1 cent more than any other RN in the hospital. The ER nurses also don't make any more. But, I do agree that you should bite the bullet and...

  20. What's Your Best Nursing Ghost Story?

    pricklypear replied to steffck's topic in General Nursing

    You guys are freaking me out!! The only thing I've seen is pretty tame. I went in to set up a room for a new patient. I turned off the screensaver on the monitor, and it was showing a resp rate of...

  21. a rant (pts come to hospital for the littlest of things)

    pricklypear replied to babyktchr's topic in Ob/Gyn

    Shoot...we had a guy come in by ambulance with friction burns on his...umm...organ. He "had no idea" how they got there, just that it hurt! Real

  22. Isn't this a joke?

    pricklypear replied to ZZTopRN's topic in General Nursing

    Be looking for your patient satisfaction survey in the mail!! You're being buttered

  23. new Grad wants to quit

    pricklypear replied to jennsana's topic in General Nursing

    jennsana, I've said this so many times...my first year was soooo hard. I felt just like you do, many times. You may feel like you should know more than you do, be able to organize your time...

  24. Nurses Who Shouldn't be Nurses

    pricklypear replied to bobnurse's topic in General Nursing

    This reminds me of a doctor I knew. I was in a pt's room getting her straightened up in bed and he walked in on rounds. Her feet were practically off the end of the bed. I said "let me get someone...

  25. Getting ready for NCLEX-RN

    pricklypear replied to ambercrombie99's topic in General Nursing

    I can help you a little bit with the vent stuff: High pressure means the machine is having a hard time pushing air into the patient. Causes could be mucus plug, excess secretions, pt biting on ET,...