pricklypear

pricklypear

Telemetry, ICU, Resource Pool, Dialysis

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All Content by pricklypear

  1. HIPPA Question/Need Help

    OH BOY!! Pet peeve of mine! We place precaution signs on the door, in plain view. I do not have a problem with this - I think it's safer for everybody. I don't think it's a violation since it does...
  2. Please take PCA's seriously

    Last year we heard about a possible lawsuit involving a death d/t PCA overdose at my institution. We heard lots of different things, but basically all of them would have (or should have) been caught...
  3. Anyone fail and still start your job?

    Most people in my area start immediately after graduation as a GN, or graduate nurse. They function basically as an RN until they take and pass boards. There is a grace period (I think 6-8 weeks)...
  4. Nurse who appeared on Dr. Phil suspended

    I would probably be the LAST person to defend that woman - but with regard to the potential for her to beat her patients: I have a feeling that her anger was triggered only by her husband's drinking,...
  5. Last hospital : fasting, and 2hpp. Present hospital: AC/HS Difference between the two : last hospital = endocrinologist Present : Family practice Blood sugars were MUCH better controlled with F,...
  6. Is RN allowed to push anesthesia meds under direction of MD?

    Smallish
  7. Vasoactive infusions?

    On a cardiac step-down you are likely to see Dopamine (which is inatropic as well as vasoactive) Pitressin (vasopressin) may also be used. Some step teles may use nitro. Just depends on the...
  8. Is RN allowed to push anesthesia meds under direction of MD?

    We give norcuron and pavulon all the time as boluses - I've never seen a gtt of that stuff- to keep patients motionless. A gtt would be so much more convienient. We (the nurses) give succs and...
  9. a rant (pts come to hospital for the littlest of things)

    This is exactly why I would never work ER (at least the one at my hospital!). I would lose it after the 3rd "I've had this cough for about 6 weeks, and tonight I coughed up some green stuff." Yes,...
  10. This is a little peeve of mine. Our unit secs sign off on the orders they enter, but there is no proof that they are entered, or entered correctly. I very often do not have time to double check the...
  11. Please take PCA's seriously

    Our protocol for all PCAs is a 2 person check at set-up, and at cassette change, check q4h with a 2 person check every shift. Usually we try to do the 2 person at change of shift - but it can be done...
  12. CPR online cert

    Actually, when I was in nursing school, that's where I got my BLS for healthcare workers. It was all the same class, then we split into 2 groups with some additional training and a different test for...
  13. Continuous Urine Monitoring

    Our standard protocol is q2h on everybody. This doesn't always happen since we often have pts w/o foleys. We do hourly on immediate post-ops, or if otherwise indicated or ordered d/t diuretic gtts...
  14. Tagging HIV status in chart?

    We have these stupid cardexs on the chart (they are not stupid in theory, just how they are used at this institution). We always use a red pen to mark anything like MRSA, HEP or HIV. Although, I'm...
  15. Nurse who appeared on Dr. Phil suspended

    The cameras were put there by the show. No cameraman. She knew she was being recorded - she was the one who called the show about her husband's drinking problem. So not only did she know someone...
  16. Nurse who appeared on Dr. Phil suspended

    IMO, that woman commited 1) aggravated assault 2) attempted murder when she beat him with the bottle. If it had been the other way around, with her being the drunk, and her husband tossing her...
  17. Nurse who appeared on Dr. Phil suspended

    Well, I think it will have benefits for her, and others who know they are seriously addicted. She knows all eyes will be on her from now on, that might help keep her clean. And the public...well,...
  18. Nurses Who Shouldn't be Nurses

    Totally fab, you guys! We'll have to keep in touch when school
  19. Nurses Who Shouldn't be Nurses

    Yup - my mom taught 2nd grade for 40 years. Parents drove her nuts. Not showing up for conferences, being uninvolved but expecting her to perform miracles. She loved the kids. Then there's The...
  20. Nurse who appeared on Dr. Phil suspended

    This is soo true. It makes me think of how we form so many impressions from such a short interaction. We do forget that people are so much more than what we see "in the moment." And the judgement...
  21. Hospital infections on Good Morning Amercia.

    I never could find the particular "study" she referred me to, but I did some quick research. Most of the studies I found regarding pre-operative abx had to do with timing in relation to...
  22. I'm a real nurse!!

    :smiley_aa :w00t: :yelclap:
  23. Nurses Who Shouldn't be Nurses

    I must be sick...I have had patients I wanted to take home with me!!! Seriously! Bringing home another cat that I found is one thing, but geeze, what would my family say if I brought home a...
  24. CPR online cert

    Many firestations and YMCAs offer classes,
  25. Hospital infections on Good Morning Amercia.

    I suppose if I wanted to become a constitutional law expert, my BS in nursing should qualify me. But, then again, the public does need someone on their side who is not a health care professional -...