xtxrn

xtxrn ASN, RN

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All Content by xtxrn

  1. prioritizing diagnosis

    Just my observations... (and GrnTea went into more detail) -- hemoptysis = coughing up blood..... but assessment = no cough. Confused about how both could be in the assessment; did he have hemoptysis...
  2. Viremia and Septic Shock

    Also, has the hypothetical person been in any areas that are more likely to expose him to bacteria, fungus, or viruses from roaches, rats, fleas, ticks, etc?? Tabers has a really good infectious...
  3. is this doc prescribing fentanyl for 'not that much pain'? does he have a clue about long term pain care management?? as far as the one vicodin-- i worked drug/alcohol rehab....70 vicodin a day was...
  4. Checking visitor's vitals

    that's why my wording was very specific. :) "i can't do much if you find some". i did not tell him i'd left it, or to take it .... he may have actually seen me put it down, or found them later. (i...
  5. Checking visitor's vitals

    @ bjaeram.... I have been sued. Not over anything with medication, and bottom line, the renal failure that was not treated with dialysis was what killed the woman.... but myself, the DON,...
  6. Checking visitor's vitals

    I would have no problem with this - the flowmeter would already have been set, and it was more of a mechanical issue than initiation of care outside of the home setting; but with the little old guy,...
  7. Seniors' Texting

    I got this from a post by Poi Dog.....(gotta give credit where due ....not sure where she got it- coulda made it up ?? She's pretty funny :)) Highjacked from a thread... WHY SENIORS DON'T TEXT ATD--...
  8. Checking visitor's vitals

    At 3 am the gift shop isn't open, and as I mentioned in the 3rd paragraph, the vending machines didn't carry them back then (this wasn't this year :)). And no, I didn't get caught. And I would do it...
  9. When to hold cardiac meds?

    Every patient is different. If the doc has not left parameters, get some :) You can also call pharmacy and ask them what the manufacturers recommendations are But you deserve to get some answers...
  10. I appreciate the answers to the other thread about what you didn't feel you got in nursing school.... I'm still interested in the new grads' experiences :) What have been the biggest surprises (good...
  11. I think instructors have a "Fear Factor" quota they have to meet.... starting with how easy it is to lose a license (that is NOT true), how everybody sues (depends on the lawyer:patient ratio), and...
  12. What do you do on the drive to work?

    I used to think about driving
  13. Care Plan help please!

    Agree w/GrnTea :) You're thinking along the right
  14. I can't say this for sure, but some of those placements may have been a "safe" way to weed out those who are never going to make it while they have someone looking over them :) To give the students...
  15. what would you have done?

    Instructors HAVE to find something to "teach"....sometimes it's goofy stuff. You did the right thing...if you had gone for the goggles (BTW- was there some risk of slinging fluids? Or are they making...
  16. Careplan for Client

    Yep :) And thank YOU for being
  17. Looking for some guidence on a care plan.

    Once you get the hang of using your own words, you'll wish you had a photo of whoever came up with NANDA on a dart board When you get away from NANDA, you can simply take the problem, and write it...
  18. Checking visitor's vitals

    I had a man and his wife come in with their 3 day old baby, who needed a septic workup .... they had been up since getting home 1 1/2 days before, and both were exhausted- mom just flat passed out...
  19. Just got a new grad job in neuro - what to expect?

    Hickey's book is sort of the "Bible"...but there were errors re: pseudo seizures in the last edition I got (about 8 years ago). It gives good introductory info on a lot of neuro disorders, but for...
  20. OK....first off, you're going to be an RN, not "just" an ADN :) I'm an ADN grad from 1985....my first hospital job was on a neuro med-surg floor in a mid-sized community hospital. We didn't get huge...
  21. Lab Values

    Also, (as an ADN grad myself).... in school you learn labs sort of 'as needed'....when you get out of school, and see the stuff ALL the time, it starts getting easier :) But it takes time to put it...
  22. Nursing Diagnosis Help!!

    The same ones as for any type of infection... check for those listed among the ones for IV access devices. This is an entry point to the entire blood stream..... so, what are the issues????
  23. Careplan for Client

    Impaired physical mobility definitely applies- she is not mobile like a "normal" person is. Someone who is bed bound is the most extreme form of impaired mobility :) So your "impaired physical...
  24. With healthcare being what it is, LTCs are getting much more complex patients (and a treasure trove of wound care experience). Many do longer term IV antibiotics, and more rehab oriented care- it's...
  25. Yeah. Since I've been disabled, the only thing I can contribute currently is my experience as a patient....I will always have my 19 years of working and what I learned there, but the last 7 years...