xtxrn

xtxrn ASN, RN

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All Content by xtxrn

  1. A co-worker peeve- VENT!

    xtxrn replied to perfectbluebuildings's topic in Patient, Colleague Relations

    Nights on pediatrics.... no MD offices open, so any snotty nose comes to the ED, and if less than 30 days old admitted for full septic workup- with less staff to get blood, a sterile I&O cath, and...

  2. should i have given it to patient as scheduled?

    xtxrn replied to Ms.RN's topic in General Nursing

    Hosiptal policy re: late

  3. Intraosseous Infusions- anyone using it yet?

    xtxrn replied to GinaCat's topic in General Nursing

    I learned about IO (and that if in a desperate situation, even an adult sternum can be used) back in

  4. An odd staff member

    xtxrn replied to canesdukegirl's topic in General Nursing

    My take on it was not that they were wanting to take on his problems, but address the problems he's causing them. Get him to redirect the dumping of personal

  5. Clogged G-tube

    xtxrn replied to Chrissy2003RN's topic in First Year After Licensure

    Also depends on the type of tubes used in an area. One place I worked, a tube got plugged- and had to be replaced. The jackwagon MD came in and simply YANKED it out of the woman's abdomen- there was...

  6. Pursuing nurse practioner degree without RN experience

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

    Absolutely not. Book knowledge is all well and good (and further education is always good) but to work towards independent practice you need to have a foundation- and no books give you experience-...

  7. Anyone ever seen a 17.2 for an INR

    xtxrn replied to LVN2beRN's topic in General Nursing

    Had an ED doc tell me of an INR higher than that (don't remember for sure, but 20-something) and the patient did fine. Cranberries are an issue- any of those involved? :) I'm so glad to be off...

  8. The happy policy

    xtxrn replied to Tepidorchid's topic in Patient, Colleague Relations

    Oy.... that just reeks of kindergarten .... How pathetic that childish "time outs" are being force fed to adults. If someone is that big of a pain, lose the loser, and move on.... I was lucky at...

  9. Ethical Issue: ECT on down/dementia patient?

    xtxrn replied to whitebunny's topic in General Nursing

    POA for healthcare? I would hope he did his homework. I've heard of people getting really good results from ECT- but they weren't dealing with neurological/developmental disorders. The psych...

  10. insulin administration

    xtxrn replied to GRUNGE's topic in General Nursing

    Personal experience (I gave a lot of insulin when I was working...but it's a whole different ball game to figure out doses on yourself- LOL ). Long acting (Lantus in my case) is just what I need to...

  11. An odd staff member

    xtxrn replied to canesdukegirl's topic in General Nursing

    I just don't think it's unethical to approach the guy- and see if things can be worked out on more of a peer level.

  12. Ethical Issue: ECT on down/dementia patient?

    xtxrn replied to whitebunny's topic in General Nursing

    Who is the person signing the consents for

  13. Would you call a code/MET on a pt. who is a complete DNR?

    xtxrn replied to 2011nursetobe's topic in General Nursing

    My mom became uroseptic in AZ while there for the winter- dad had to fly back with her (left car and everything he didn't have in his pockets) since the hospital there did not admit her even with...

  14. Would you call a code/MET on a pt. who is a complete DNR?

    xtxrn replied to 2011nursetobe's topic in General Nursing

    If they have a low blood sugar, I would check orders for D50 or glucagon and give those if within the parameters for their blood sugar. A DNR is not for low blood sugar- unless they're already dead...

  15. An odd staff member

    xtxrn replied to canesdukegirl's topic in General Nursing

    I said the suicide reference was for the sake of argument.... If you don't want to help be a part of the solution, fine....but if others do- that's their decision. Not yours :) This sounded like...

  16. An odd staff member

    xtxrn replied to canesdukegirl's topic in General Nursing

    ok... dealt with a lot of adult and adolescent survivors of a lot of different traumas....and they often behaved quite similarly. :heartbeat the goal is to turn a victim into a survivor- and that...

  17. An odd staff member

    xtxrn replied to canesdukegirl's topic in General Nursing

    All of the posts about compassion and caring- and it's not ok to suggest help? OY. Letting him drone on and on at the expense of the other staff isn't that compassionate or caring either, OR to...

  18. How comfortable would you be...

    xtxrn replied to LouisVRN's topic in General Nursing

    BTDT..... some docs are very receptive- and then there are the distal GI outlet that refuse to listen to anybody's suggestion that isn't an MD.....but most are open if there's good rationale

  19. A vent thread for patients- what can we do better?

    xtxrn replied to canoehead's topic in Patient, Colleague Relations

    :heartbeat:hug:

  20. How can you be nonjudgemental?

    xtxrn replied to Kristy02_RN's topic in Patient, Colleague Relations

    After a while, I just sort of went on auto-pilot with some people....they were a stack of tasks in a room.... I was superficially pleasant, wanted to do a decent job (so they would get well and LEAVE-...

  21. Are you an organ donor?

    xtxrn replied to LPNweezy's topic in General Nursing

    Nobody should ever get flamed for a decision like this :) It's not a morality test- just a

  22. My patient an addict or does he actually need it?

    xtxrn replied to Catch22Personified's topic in General Nursing

    If he denied pain, maybe it's working? If he's not coherent enough to get a real assessment, maybe see what the doc says re: history of painful conditions- if nothing else, so you know why you're...

  23. Why Dogs Make the Best Friends

    xtxrn replied to HM2VikingRN's topic in General Nursing

    My dog is my best friend. I don't have any IRL friends in this area, so the relationship with my dog is really important. She's very loyal, expressive, obedient when the mood strikes (sorta like a...

  24. Clogged G-tube

    xtxrn replied to Chrissy2003RN's topic in First Year After Licensure

    You might also ask the facility to look into keeping g-tube uncloggers in stock. They are sort of like firm skinny drain snakes- and work like a charm :) They're sort of expensive- but they are...

  25. Penalized for scheduling error?

    xtxrn replied to April13RN's topic in General Nursing

    This is a HUGE reason to not say yes a lot when asked to work extra....The favor will not be returned to you. Hopefully, this all turns out well- and I'd be ....THEY made the error in not informing...