pricklypear

pricklypear

Telemetry, ICU, Resource Pool, Dialysis

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All Content by pricklypear

  1. ACLS In outpt HDUs??

    It isn't required at my clinic. Our crash cart doesn't even have ACLS meds on it.
  2. 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 that.
  3. bfr return rate for hypotensive episode

    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. There's really no need to increase the BFR beyond ...
  4. How often do you draw Troponins at your hospital?

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

    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 respiratory department to help you.
  6. Rhythm Analysis

    Give yourself some time. If you have some good monitor techs, learn from them - they've seen everything!
  7. Shift Assignments - Who bugs you the most?

    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" part. You DO have all the characters down to a T,...
  8. Wearing masks

    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 while it may or may not further embarass patients,...
  9. Wearing masks

    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 Fuzzywuzzy pointed out, masks do very little to elimin...
  10. Wearing masks

    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 C-Diff. Like I said, if you "need" a mask, you belo...
  11. Wearing masks

    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 diaper.
  12. incontinent NH pts

    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 stand or be repositioned without several people, poop...
  13. Please define "bedside" 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 patients." But"bedside nursing" really refers to hospital/...
  14. What would you have said to this CNA

    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 matter, anyway. Please understand that the point ...
  15. Why did I go to school to be a nurse?

    (((((((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 nursing.
  16. What would you have said to this CNA

    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 subject. If you feel you're being "attacked" you can rep...
  17. Boy, Did I Feel Stupid!

    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 overslept because it was dark, thinking it was morning...
  18. What would you have said to this CNA

    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 of you post. Of course it matters to me that the O...
  19. no more NS at chairside!

    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 the fly. I was hoping when I got away from hospi...
  20. no more NS at chairside!

    OMG. Where do they FIND these people? Do they even really know what they`re talking about???
  21. What would you have said to this CNA

    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 within her job description. And, not only did the...
  22. patient consent issues

    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 burns/trauma just might need very large amounts of pain medic...
  23. patient consent issues

    The downside is, that once narcotics are introduced, "incompetency" can be claimed.
  24. patient consent issues

    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 robust and healthy man who suffered a sudden, traumatic...
  25. Did you learn how to do a manual BP in your CNA class?

    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 know.