rita359

rita359

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All Content by rita359

  1. Did we fluid overload her?

    rita359 replied to Megsd's topic in General Nursing

    Hemoblobin may have been low because of her renal failure. Unless there was some other obvious reason for low hbg like heme positive stool or frank bleeding the blood transfusion should probably have...

  2. Why do we put up with it? (sorry, longish)

    rita359 replied to miko014's topic in General Nursing

    Sounds like the place I work too. We must have the same supervisors or they learned from the same person as "deal with it" is a response I've had to deal with

  3. Nurses children and vaccinations, how do you feel?

    rita359 replied to Mistify's topic in General Nursing

    My sons are now nearing 30 but I had their recommended vaccines when they were children. That did not include many of the things children are now vaccinated for. I think, however, that one needs to...

  4. Oxygen... Comfort or Life Saving?

    rita359 replied to TigerGalLE's topic in General Nursing

    I do not know what your policy for catagory 5 says but I would leave it. Alert patients with low O2 sats are very uncomfortable and feel they are gasping for air. Why add this to a dying patients...

  5. Another insulin question...

    rita359 replied to RNfromMN's topic in General Nursing

    Think the problem here is that the blood sugar was 79. Although that is in normal range it is near low end. If the insulin began to work he could become hypoglycemic easily. So watch your blood...

  6. I made a boo boo!!!

    rita359 replied to SCRN1's topic in General Nursing

    Knowing no more than is in the post, do you actually know the nurse gave the med or was a physician in the room and the nurse was getting the med for the physician? That would make it a normal...

  7. Posters that are not nurses

    rita359 replied to Cattitude's topic in General Nursing

    When such instructor walks in my shoes for a shift and can do everything by the book then I think she may have room to criticize. For instance, capping needles. I've been through capping needles,...

  8. Changes in Nursing over the past decade?

    rita359 replied to AvaRN22's topic in General Nursing

    Patients are more complex because most less complex things are done as outpatients now. Plus we have saved patients with conditions from which people in previous decades would already be dead. Think...

  9. No Medical Background

    rita359 replied to 2bNurseNik's topic in General Nursing

    Go for it. Some medical experience may introduce one to some terms or procedures but it isn't anything you can't learn. Someone with some medical experience may be initially more comfortable in...

  10. Changes in Nursing over the past decade?

    rita359 replied to AvaRN22's topic in General Nursing

    Laporascopic procedures for everything, short hospital stays creating a swinging door,administration wanting less than 2 hour turnaround on discharged to admitted patient and more and more joint...

  11. Posting from work tonight?

    rita359 replied to GardenDove's topic in General Nursing

    Can't identify with any of this. Last shift I worked had 8 ortho patients with 2 getting pain med at least every 2 hours,2 admit,1 discharge, 1 transfer ,3 diabetics. Enjoy your slow

  12. Should Seasonal Flu Shots Be Mandatory?

    rita359 replied to indigo girl's topic in General Nursing

    Don't take it. Won't take it. Worked 3 yrs part time at nsg home. Mandatory that residents get flu shot unless signed paper refusing. Never saw so many people die in a short time in my life. Did...

  13. gastrostomy tube

    rita359 replied to sweetieann's topic in General Nursing

    Never seen them wander up the gi tract but they can wander

  14. Does Incentive Spirometer decrease a temp?

    rita359 replied to chenoaspirit's topic in General Nursing

    In my opinion IS does not actually reduce temps. Especially if you think of it like tylenol reducing temps. But yes use of an IS will help the patient use parts of the lung they may not be breathing...

  15. Should I worry???

    rita359 replied to KulRN's topic in Medical-Surgical

    In addition to my previous suggestions, if your institution does discharge phone calls this is one patient I would be sure I did the discharge phone call on. That would give you another opportunity...

  16. Should I worry???

    rita359 replied to KulRN's topic in Medical-Surgical

    The surgeon was not going to do anything else per current standards. From a surgical standpoint the patient was ready for discharge. It would have been a good idea to find out who the patients...

  17. Only been a nurse for 4 months

    rita359 replied to ncriverrat's topic in General Nursing

    You also have to consider that your body is still adapting to being awake at night, its the circadian rhythm thing. Beside all the stress of being a new nurse being awake at night is also a stressor....

  18. DNRs and ACLS

    rita359 replied to GardenDove's topic in General Nursing

    My understanding of DNR is patient does not get chest compressions and rescue breathing if the heartrate stops and respirations stop. Abnormal rhythms that could be medically converted should be...

  19. Help with a assigment

    rita359 replied to munster's topic in General Nursing

    guideline.gov or healthfinder.gov may give you some ideas. was a recent series in newsweek on autism. may be able to get some ideas there

  20. Is becoming a nurse harder now?

    rita359 replied to clemmm78's topic in General Nursing

    No, I don't think that is true. Educationally the level was probably about the same. Some things are more complex today than in the past. The amount of knowledge in the past even 20 years is...

  21. Gloves Necessary For SQ Injections?

    rita359 replied to VivaLasViejas's topic in Patient Medications

    Interesting thread. Pre HIV there was very little glove use. Basically the only gloves then available were sterile gloves and everything that did not have to have sterile gloves for was done with...

  22. Is becoming a nurse harder now?

    rita359 replied to clemmm78's topic in General Nursing

    First 5 years of my nursing career had all kinds of patients admitted for ugi,gb, ba enemas, ivps. Nurses now don't even know how to prep a patient for any of these tests. Many a patient kidded us...

  23. Is becoming a nurse harder now?

    rita359 replied to clemmm78's topic in General Nursing

    Graduated 1968. School was hard. Worked part time on weekends, holidays, vacations. By todays standards school was cheap but at $1.25/hr it was a good thing(don't have a pay stub. May not have...

  24. TPN additives

    rita359 replied to Inquisitive one's topic in General Nursing

    I work in a hospital setting and know nursing homes run differently but tpn is supposed to be made in pharmacy under a hood that prevents contamination. Nursing homes get their meds from a pharmacy...

  25. Benadryl without an order

    rita359 replied to ncrachuj's topic in General Nursing

    Do not think there would be any policy about giving benadryl as standing order. Benadryl was formerly used for geriatric patients for the sedating side effect as a sleeping med. State agencies and...