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ixchel

ixchel

RN
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  1. ixchel

    2/13/16 What I Learned This Week: Discipline is King

    This week's thread comes to you from the lounge chair of isolation. I wish I meant that in some kind of morose, emo sort of way. https://allnurses.com/post8914303-num1.html
  2. ixchel

    2/13/16 What I Learned This Week: Discipline is King

    Your edit reason is hilarious! I saw your original comment and almost quoted to say it's not mine! But I made a rule for myself to never post half asleep because that has created some very awkward moments.
  3. ixchel

    2/13/16 What I Learned This Week: Discipline is King

    Commuter, thank you! Great OP! I've learned... 1. People (nurses and doctors) can really be judgmental jerks. When a patient presents in a full blown, self-injurious panic attack, it's amazing how creatively people will explain stuff that is explainable by legitimate causes. 2. A doctor can't just involuntarily commit a person. There is a process, and there needs to be justification that is legal and ethical. (I didn't learn that but a doctor did.) 3. If a patient has a family member sneak in pills, they'll do it again. 4. If you are concerned that person might be suicidal but you have nothing more to go on than your spidy sense, you might want to pay attention to it. 5. If a grumpy, tense patient gets all googly-eyed over you and starts flirting, the doctor might actually be initially concerned about a change in mental status. [emoji23] 6. The whole damn hospital was exposed to TB for over 3 weeks. 7. My dog can pull and door open but has no idea she can push doors open, including the one on her crate. She'll just sit there freaking out because she thinks she's trapped. 8. Never underestimate the power of an easy work week. I saw a surgeon last year to talk lumbar fusion. He quite breezily said I'd be back to work in less than 6 weeks knowing I'm a floor nurse. I've just scheduled surgery, and it's not with that guy. Just a reminder to all - if we veer off topic from nursing/nursing related things, our thread will turn blue.
  4. ixchel

    General Noise Discussion

    I still have absolutely NO CLUE what this thread is actually about.
  5. ixchel

    General Noise Discussion

  6. ixchel

    General Noise Discussion

    Guuuuuuuuurrrrrllllll....... I am so right there with you. A few particular ones have me this >
  7. ixchel

    General Noise Discussion

    Never woulda guessed that. I thought it was a nursing reference that went right over my head, this being yellow side and threads getting yanked for not being nursing related.
  8. ixchel

    IV starts in arm with a DVT

    This image shows why pulling a PICC should be reconsidered carefully. Any infusion flowing through it goes into central circulation (hence, peripherally inserted central catheter). If the clot isn't in the vein of the PICC (usually basilic), the PICC should not cause complications.
  9. ixchel

    IV starts in arm with a DVT

    Agreed!!! And I would hope the MD is nearby and accessible (even more hopefully PRESENT) for that considering it's an active attempt at possibly moving a clot into the central circulation. Honestly, this is something we would run a heparin drip until interventional cardiology assessed to determine if this could be cathed. Absolutely no procedures would be done by nursing on the affected side, short of assessment and pain management, reporting changes in status immediately. NOT avoiding that arm can lead to infiltration, evisceration, infection, edema (severe enough could lead to compartment syndrome, although hopefully it's being paid attention to frequently enough it didn't come to that), moving the clot into central circulation, and I'm sure plenty of other icky things. No no no!!!
  10. Congratulations, new nurses!!! Best wishes on an incredible career! And be sure to stay connect in the first year after licensure forum. A lot of support and great advice in there.
  11. Will you share the news??? I wish you good luck!
  12. After you press submit. Be careful - you could get charged.
  13. I didn't stalk your profile to see you're a newbie! Welcome to allnurses! The site is rather large and overwhelming at first. I find the app a lot easier to navigate when I just want to see what's new and whether any threads I've been in have had any new traffic. Desktop has more features, though, so I've been popping in on there from time to time, too. A very big congratulations on your graduation! Now the REAL learning begins. Have you landed a job yet?
  14. Hey, there :) Fancy meeting you here!
  15. That is correct. I say that with caution, though. They may attempt to verify that the card is valid. If you don't put in valid information, you will get a message saying so. If you get this message, there is no way to know if you got the good pop up or bad one. It just means the card isn't good. If you put in valid info, you may get charged. Or, they may just check to see the card is valid and not charge you. It's risky. Your best choice will always be to wait the 48 hours and use quick results. It's the worst wait ever, I know!
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