xtxrn

xtxrn ASN, RN

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All Content by xtxrn

  1. Treat all patients the same

    xtxrn replied to Good Morning, Gil's topic in General Nursing

    Is it really "better" care, or are you taking cues from them as to the amount of interaction they want from

  2. Treat all patients the same

    xtxrn replied to Good Morning, Gil's topic in General Nursing

    Part of the therapeutic interaction with a detoxing patient would be to set limits and boundaries; with a EOL patient, the focus is on comfort and helping them achieve their EOL plan- apples to...

  3. No soap?

    xtxrn replied to autumn_october's topic in General Nursing

    We had gallon pump jugs, and the CNAs would get a 30cc med cup of the stuff if there was a bath not in the shower room. Part of it was to keep the residents who were confused from eating it Body...

  4. First Psych Clinical

    xtxrn replied to incurable_optimism's topic in General Nursing

    They are people, too. And a lot have been talked down to for various reasons. When I worked psych and alcohol/drug rehab, it was a wonderful experience. Some patients are easier to deal with than...

  5. How Much Medication Education Do You Do?

    xtxrn replied to Guest 360983's topic in General Nursing

    Something about IV decadron..... people don't get warned about the perineal "rush" that can happen with that med. When I worked neuro, and we got a lot of laminectomies, decadron was always...

  6. What does Generate BM list and give MOM mean?

    xtxrn replied to gatoraims RN's topic in Geriatric, LTC

    We mixed it with warm prune juice (not sure what sadist came up with that, but it did work ) and called it the Black-n-white ; cascara was also an addition, and smelled like what it was intended to...

  7. What does Generate BM list and give MOM mean?

    xtxrn replied to gatoraims RN's topic in Geriatric, LTC

    Not a stupid question at all. Impactions can lead to major pain for the residents, altered mental status, and unnecessary trips to the hospital for bowel obstruction symptoms; the state can also...

  8. low pressure alarm if trach comes out?

    xtxrn replied to nursedelia's topic in General Nursing

    If vent is not connected to anything, you should get an alarm. :) It's been a while, but the usual alarms and responses were: Low:- reconnect tubing (and if the trach is lying next to the patient,...

  9. Antibiotic Tubing

    xtxrn replied to MEDICJOHN's topic in General Nursing

    Yep. Having murky 'jello' form instantly in a tube that's moving at a fair clip towards the patient is not a good situation.

  10. Antibiotic Tubing

    xtxrn replied to MEDICJOHN's topic in General Nursing

    Check the facility policy and procedure manual- then YOU are covered. Don't rely on others for the info that will protect YOUR butt, and your patient's health :) Personally, I had different tubing...

  11. Vent: "I should warn you, I'm a tough stick..."

    xtxrn replied to Anna Flaxis's topic in Emergency

    I've had IVs end up in my boob (twice) and foot (more than I can remember) after being harpooned by some folks who I had no reason to believe weren't good at getting IVs in... my veins stink. I've...

  12. When did you earn your wings?

    xtxrn replied to Been there,done that's topic in General Nursing

    "Angel of Mercy" reminds me of the serial killers dressed up as nurses.... It was different in different

  13. Screwed or not?

    xtxrn replied to OnlyByHisGrace's topic in General Nursing

    Now there's an endorsement for lawsuits Anymore specific info people can watch out for? - LOL. It's great she is able to continue working with the injuries, and keep suing everybody who employs...

  14. Do you ever have to float to another floor to charge on that floor?

    xtxrn replied to mooremds's topic in General Nursing

    Was sent from med-surg/heavy ortho to the "medical" (tele) floor...I don't read strips. The supervisor who called and asked me to come in knew that, and also knew the monitor tech that night, and...

  15. Screwed or not?

    xtxrn replied to OnlyByHisGrace's topic in General Nursing

    LPNs ARE nurses :) The agency she sued would be idiots to NOT keep it on record in BIG letters. If it was a legit case (not just the lawyer with the bigger mouth, since we all know law is not about...

  16. A/O patients throwing things

    xtxrn replied to vashtee's topic in General Nursing

    Interesting visuals of said pancake clinging to your cheek as you carry out your shift- Was it "syruped"

  17. A/O patients throwing things

    xtxrn replied to vashtee's topic in General Nursing

    Security. Psych eval. Involutary hold for danger to self or others if they

  18. What does he do?

    xtxrn replied to us2uk4u's topic in General Nursing

    Places I worked had a file of the expiration dates of anybody with a certificate or license. They would send out ONE reminder about getting a new copy to them, but after that if the day came and went...

  19. Was that a dumb decision?

    xtxrn replied to donnaalyssa's topic in First Year After Licensure

    Is there a pharmaceutical reason why the 5:30 meds can't be given at 6? and the 8s and 10s given at 9? (some places have a 1 hour window that would cover that; others only have 30 minutes). Before...

  20. Brushing my teeth at work giving me mouth sores

    xtxrn replied to Jamthenurse's topic in General Nursing

    Toothettes (not expensive, disposable, gets a basic scrub done) Gum (on break- not a wad in with a patient) :) Individual toothbrushes (about 4" long with pre-applied tooth paste, and use bottled...

  21. Moving from Illinois to Texas

    xtxrn replied to Rean87's topic in Texas Nursing

    I graduated in IL in 1985, and moved to TX (Austin) at 6 months after getting my paper license. Check to see if they have temporary state licenses (good until the paperwork goes through)...but if...

  22. Do I have to train for a new job on day shift?

    xtxrn replied to RN_jobhunting's topic in General Nursing

    Yeah, so you can get the idea of the paperwork, people, routines, etc....day shift has the most opportunities to see various parts of the facility. :) I always hated going through the day...

  23. The last thing you want to hear when you get to work

    xtxrn replied to Tait's topic in General Nursing

    Yeah....on the other end of the life span, in LTC, benzodiazepines were often d/c'd cold turkey (on a Friday)....when Bertha seized Sunday afternoon, the on-call doc would be in a panic... Even when...

  24. The last thing you want to hear when you get to work

    xtxrn replied to Tait's topic in General Nursing

    That's what I thought....just what you need with fragile cerebral

  25. All Hospitals the same?

    xtxrn replied to eyeball's topic in General Nursing

    totally agree..... and i used to ask myself .....if i hate it here, do i have a lot to lose by trying something new? (just leave with the appropriate notice, so just in case, you are rehirable... you...