xtxrn

xtxrn ASN, RN

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  1. yes. :) when someone is getting relief, they don't want it to be taken away....that is very different than looking for a
  2. Not true. :) The addiction rate among chronic pain patients taking opiates is between 1-4%. :) Dependence and tolerance are physical responses to opiates; not psychological addiction. 95-99% of...
  3. mandatory reporting

    I'm re-reading this. The Iowa link in the first reply talks about how the mandatory reporter does not have to have direct care of the kid...but observation of potential abuse/neglect. This is a...
  4. When did things start to really CLICK for you in school?

    School made sense about 3 years AFTER I graduated. In school, you get information in measured doses, and it doesn't always make sense. When you get out and get more experience with the 'whole...
  5. My Instructor is discriminating against me

    And everybody has strengths and weaknesses. I loved some of my clinicals, and others were lousy. Some instructors teach differently- and maybe it's not the type of teaching that you are used to???...
  6. Need help on finding info.

    Agree- also, kids who are exposed to different things (farm animals/smog/poor nutrition/high stress neighborhoods/etc) will need different
  7. Mass patient Incidence

    I'm so sorry :hug: I remember watching that day and seeing the ambulances all lined up to go get patients. Nobody was needed to go. If they hadn't gotten there within the first "few" minutes, it was...
  8. That's a good idea :) It would be good if there were more
  9. Call offs d/t low census

    During one summer on a pediatric floor, I lost an entire MONTH of shifts d/t low census (and the system was fair- but the vast majority- if not all- of the other nurses either were married or lived...
  10. I was orienting at one job with the ADON- let's call her "Florence", (happened to be an RN) who was so fond of herself that if she'd quit her fan club, it would have ceased to exist. We were walking...
  11. IV antibiotics compatible with D5W ?

    First post. No indication of being back since.
  12. What is the diff. btwn DKA and HHNS??

    OP was in 2008...... wonder how it all turned out
  13. mandatory reporting

    http://www.childwelfare.gov/can/defining/ http://www.rainn.org/public-policy/legal-resources/mandatory-reporting-database http://en.wikipedia.org/wiki/Mandatory_reporting...
  14. Not if they haven't been properly trained in moving patients. :) If something happens during the assistance that hurts either the patient or the staff, it's not good. I agree with the principle,...
  15. When did it stop being customary practice on any floor that "they're ALL everyone's patient"??? Leaving call lights going while walking past was grounds for starting progressive disciplinary...
  16. mandatory reporting

    I has nothing to do with WHERE you work, but that you have a
  17. case study help!

    Hyperglycemia can also contribute significantly to mental status-- when you've got motor oil instead of water going through the vessels, stuff gets sticky and slow... (I get extremely tired- to the...
  18. The Old Problem of Systolic Blood Pressure

    If I had someone who had a SBP so faint as to require palpation, I got a doppler. Didn't have to depend on the sensitivity of the person palpating- it was either there or not.
  19. The Old Problem of Systolic Blood Pressure

    In general, yes- this is true. I did have a patient who routinely had SBP in the low 60s and functioned normally. She was a frequent flier, and it was low, no matter what the problem was.
  20. Moving from Illinois to Texas

    Yeah- the smaller towns are going to give you more of a chance being new...then you can move if you want to (and save money for the bigger cost of living in the big cities- though it's still not as...
  21. Ya mighta told me that before!

    I had some guy admitted to LTC with a "kit" to inject some "stiffer upper" DIRECTLY into the member. The poor nurse down there called me to come look at the meds re: what to ask the doc for w/orders...
  22. case study help!

    This is a little disjointed, as I'm using the quick reply so I can bounce back up and read what you have written :) If this is a regular medical floor, are you going to do vitals every 15 minutes?...
  23. Diabetic NPO patient

    OK... one thing is inadequate fluids can lead to hemoconcentration....sort of like if you don't put enough water in the Koolaid- it's too sweet. The underlying problem leading to NPO could be an...
  24. My last DON in LTC was from Calgary; graduated from a school in Edmonton. :) She is still in
  25. Should I gain experience or money?

    Oh, BTW..... I worked all of my 40 hours between 3pm Friday and 11pm Sunday: 3-11 and 11-7 on Friday and Saturday, and bounced back for a 3-11 on Sunday (I was 19-20 years old).