tsm007

tsm007

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All Content by tsm007

  1. Why 1/2 normal saline?

    tsm007 replied to tsm007's topic in General Nursing

    If she's still there tonight I'll look. I'm not at work

  2. Why 1/2 normal saline?

    tsm007 replied to tsm007's topic in General Nursing

    I do not think there are any orders for lasix. I am not sure why she charted hold lasix. Pt does have a history of chf though. Labs of course are being

  3. Why 1/2 normal saline?

    tsm007 replied to tsm007's topic in General Nursing

    Not calling the doc at 3am for this

  4. MAR Question

    tsm007 replied to randomLPN's topic in LPN, LVN Corner

    Every place I've worked I sign things on the next day for 11-7. I've done agency at 6 different places and they all sign for the next day because most of the shift is after midnight. If it was 11pm...

  5. Why 1/2 normal saline?

    tsm007 replied to tsm007's topic in General Nursing

    Okay more reading that's what I do when there's nothing to do at work. I think maybe I found something on Merck manuals that makes sense. "When postoliguric diuresis occurs, replacement of urine...

  6. Why 1/2 normal saline?

    tsm007 replied to tsm007's topic in General Nursing

    I'm thinking.. I read up to date at work on acute kidney injury. I could find nothing on 1/2 normal saline. I got that kidneys are not working thus elevated BUN and creatinine, but sodium is low to...

  7. Why 1/2 normal saline?

    tsm007 replied to tsm007's topic in General Nursing

    Nope.

  8. Why 1/2 normal saline?

    tsm007 replied to tsm007's topic in General Nursing

    Acute kidney injury it's the abbreviation they use

  9. Learning labs/faster with reading lab reports

    tsm007 posted a topic in Medical-Surgical

    This is my next area I want to improve on. I use EPIC and labs are flagged when they come in. Most the time I glance at them and I swear I just can't seem to remember much from school about labs....

  10. Daily zithromax, prophylactively?

    tsm007 replied to tsm007's topic in Patient Medications

    That was an interesting read. Thanks. All he said was the doc gives it to him to keep him out of the hospital. He was there for COPD exacerbation so maybe there's something to that. I don't know....

  11. Daily zithromax, prophylactively?

    tsm007 posted a topic in Patient Medications

    I just discharged a patient and was going over his new meds that were listed on his discharge paperwork. One of them was zithromax. He then tells me that it was not new he's been taking it for months....

  12. Giving report on med/surg floor

    tsm007 posted a topic in Medical-Surgical

    I swear I finally mastered giving report in LTC/skilled rehab and now I feel like I have to start all over! I started a new job on a med/surg floor and I feel like my report just sucks right now. I...

  13. When you don't hear what the docs hear?

    tsm007 posted a topic in General Nursing

    How often does this happen to you? It is messing with my confidence. I finally felt like I was starting to get lung sounds. I can consistently get wheezing and diminished, but crackles I'm hit and...

  14. When you don't hear what the docs hear?

    tsm007 replied to tsm007's topic in General Nursing

    YES! Exactly what it sounded like coorifice and louder, but not exactly crackly. I wouldn't have thought of that as crackles and honestly because I don't listen to babies very often I didn't realize...

  15. Bad situation

    tsm007 replied to NativeNurseBre's topic in General Nursing

    I have already met some new nurses with big heads in my short career. Unfortunately some RNs in nursing homes think they are the end all be all just because they have the title RN next to their name...

  16. When you don't hear what the docs hear?

    tsm007 replied to tsm007's topic in General Nursing

    Eureka! I heard it. Really silly to feel so successful. Poor kid. His mom is more preoccupied as using him as a guinea pig... Okay, I got it for real though. I listened one more time. It IS during...

  17. When you don't hear what the docs hear?

    tsm007 replied to tsm007's topic in General Nursing

    Okay, I listened to him again this morning. It's hard to get him to cooperate for me to listen to him. He wants me to hold him so it's easier for the doc to get him in a good position. Anyway, I...

  18. When you don't hear what the docs hear?

    tsm007 replied to tsm007's topic in General Nursing

    Yes. I have 2 a Kila and an electronic Littman. I thought the electronic would help and it does, but my problem is not hearing it's

  19. Learning labs/faster with reading lab reports

    tsm007 replied to tsm007's topic in Medical-Surgical

    I kind of decided after I posted this that I would start doing a mini case study type project with my patients on my days off. I figure I can work on a couple labs at a time until I can start really...

  20. What is an "RN supervisor"???

    tsm007 replied to RNdynamic's topic in Geriatric, LTC

    The first time I was given the label RN Supervisor I was kind of thrown off. Who exactly am I supervising? In my case and from what I've seen you are supervising the CNAs, which the LPNs do the exact...

  21. How in this world do you ever get 1 year experience?

    tsm007 replied to Leonardo Del Toro's topic in General Nursing

    One of the nurses that was hired in at the hospital I work at had 6 years nursing home experience, no hospital experience and they hired her. I only have a year of nursing home experience, no hospital...

  22. Giving report on med/surg floor

    tsm007 replied to tsm007's topic in Medical-Surgical

    I also wanted to add that I realized after a few days that my current preceptor likes to talk. So I don't think it would matter if I gave everything pertinent I think she would still wind up saying a...

  23. Giving report on med/surg floor

    tsm007 replied to tsm007's topic in Medical-Surgical

    I made a new brain sheet. Haven't used one in a while, but think I'm going to need one here at least for a while. Used your template for my system. I've found that I don't have time to write all my...

  24. When should nursing homes be allowed to evict residents?

    tsm007 replied to Emergent's topic in Geriatric, LTC

    I think there are probably some missing pieces in this article. My questions would be how combative was this patient? Was this guy a risk to other patients? I saw a lawsuit posted not too long ago...

  25. Giving report on med/surg floor

    tsm007 replied to tsm007's topic in Medical-Surgical

    That was extremely helpful. I am making a little template. I know I had to do this when I first started at LTC and then once I got with the flow of things I stopped having to use it. I already had...