begalli

begalli

Critical Care/ICU

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All Content by begalli

  1. Skin problems: whiteheads on face

    begalli replied to YoungWiseWoman's topic in General Nursing

    ummmm...that sounds

  2. Antidepressants and Hospitalization

    begalli replied to DidiRN's topic in General Nursing

    Thunderwolf - thank you so much for your articulate posts. Sorry for straying away from the original topic of this thread, but this area of healthcare truely does fascinate me, but at the same time it...

  3. Governator kicks nurses butts!!!

    begalli replied to Haunted's topic in General Nursing

    Don't give up just yet..... https://allnurses.com/forums/showthread.php?t=88507 No way are CA nurses going to take this just because Arnold says

  4. drug abuse,confidentiality

    begalli replied to desperate's topic in General Nursing

    Your ex has got the gall to imply that you might be unfit when he himself stole your medical records to use for his benefit against you!? Don't give up hope and stand tall for yourself and your kids....

  5. Dr. ripped my co-worker a new one for no reason

    begalli replied to pnkprincess's topic in General Nursing

    Hooray for you mackrn! I'm so glad to see that there is another opinion such as mine in this thread. I agree with every single word you've said (or typed). I was really starting to lose some hope that...

  6. Antidepressants and Hospitalization

    begalli replied to DidiRN's topic in General Nursing

    Thank you Thunderwolf and others! What I think I'm reading is that there is no simple fix to any kind of addiction of any kind and while antidepressants are not addictive, they certainly have their...

  7. What kind of first aid kit do you have?

    begalli replied to Still Riding's topic in General Nursing

    Hey you first aid kit carriers....where's your pocket mask for cpr?! That's one of my biggest fears....being faced with a situation where mouth to mouth might be required and no protection! It happen...

  8. Antidepressants and Hospitalization

    begalli replied to DidiRN's topic in General Nursing

    This is a wonderful thread. So much wisdom. I always loved psyche nursing. In nursing school several years ago, the psyche clinicals were very successful and incredibly interesting to me. I always...

  9. Dr. ripped my co-worker a new one for no reason

    begalli replied to pnkprincess's topic in General Nursing

    On behalf of families I would just like to say that not all families have a health care professional among them who knows that it's "okay" to question or request a doctors "precious" time. Many in...

  10. Pertusis

    begalli replied to FranEMTnurse's topic in General Nursing

    There was a pertussis outbreak about 6-7 years ago that included several counties in my area . Boy, I'll never forget this. There were something like 80 some cases within a few months and then a child...

  11. Flushing Ports

    begalli replied to nightingale's topic in General Nursing

    The only lines we hep lock are shileys and thats usually done by a dialysis RN unless we need to access the line for whatever reason (eg: returning blood after CVVH clots or is d/c'd). We don't use...

  12. Antidepressants and Hospitalization

    begalli replied to DidiRN's topic in General Nursing

    I tend to agree with the OP. The thing that always blows my mind is that something our docs perscribe is an antipsychotic (not antidepressant) for the suppossed side effect of drowsiness in agitated...

  13. ABG's in CPR

    begalli replied to RN92's topic in General Nursing

    For a real opinion on this, I'd have to know more. What was her underlying disease process, her history? Renal failure? ARDS? Was she past the point of bronchodilators? Were her electrolytes/blood...

  14. not counting narcotics anymore

    begalli replied to Betty_SPN_KS's topic in General Nursing

    The pyxis keeps our counts continuously. We don't do a q shift count, per se, of anything. But the med is counted by the RN removing it each time a slot or drawer is accessed. Ya

  15. not counting narcotics anymore

    begalli replied to Betty_SPN_KS's topic in General Nursing

    The pyxis keeps our counts continuously. We don't do a q shift count, per se, of anything. But the med is counted by the RN removing it each time a slot or drawer is accessed. Ya

  16. Question about the use of restraints

    begalli replied to LauraLou's topic in General Nursing

    But that's just it. If a person's oxygenation is so compromised, they are NOT alert and oriented and NOT able to look after their best interests or

  17. Question about the use of restraints

    begalli replied to LauraLou's topic in General Nursing

    He was on O2: I suspect though that when he was trying to leave he didn't have the O2 on thus making his decision making process in the

  18. Question about the use of restraints

    begalli replied to LauraLou's topic in General Nursing

    If this patient's O2 sats were in the 70s on room air, I doubt that he was in any condition to make a decision about whether he stayed in the hospital or not. His brain was not perfusing well. I...

  19. Do You Like Agency Nurses?

    begalli replied to Haunted's topic in General Nursing

    We use travelers. In four years I can only think of only one who was less than stellar. I LOVE these nurses who travel from far and wide to work with us staff nurses on our unit. We've had travelers...

  20. What's you highest...?

    begalli replied to talaxandra's topic in General Nursing

    YIKES! Didn't a nurse think to mention to the doc that this patient might need some

  21. What's you highest...?

    begalli replied to talaxandra's topic in General Nursing

    This kind of dosing always blows my mind. We get patients that require like 400-500 mcg/ hr of fentanyl and 8-9 mg/hr of versed for sedation. But even after all this, they still manage to move about...

  22. Standard precautions ignored

    begalli replied to Pattiecake's topic in General Nursing

    Does this really surprise anyone? The fact that it happened in Canada is irrelevant. It's a total reflection of the facility, not the country. It's just really scary that most people aren't as attuned...

  23. Looking for advice on a case

    begalli replied to ICUnowOHN's topic in General Nursing

    Wow, I surely don't envy you. You have great responsibility! Good for you for getting in touch with her MD. From what you've been able to tell us though, sounds like maybe he wanted the night off...

  24. Looking for advice on a case

    begalli replied to ICUnowOHN's topic in General Nursing

    Ruling out cardiac issues with a simple ekg isn't enough because it only shows the heart actvity at rest, it can't really rule out coronary problems. EKG changes is one sign of heart problems but an...

  25. Looking for advice on a case

    begalli replied to ICUnowOHN's topic in General Nursing

    um, aneurysm? Did she have a CT? DOesn't sound like enough investigating has been done. The rectal bleeding could be hemorrhoids. Is it frank blood, burgandy, black? Do you think it's...