bear14

bear14

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All Content by bear14

  1. Elevated Troponin

    bear14 posted a topic in Emergency

    We had a lol come in yesterday (I had her last week too). She receives dialysis and has ESRD, DM, HTN, not sure what else. Anyway, she only has one arm to draw labs from and of course no one, not even...

  2. Elevated Troponin

    bear14 replied to bear14's topic in Emergency

    Thank you so much for all of your input. This definitely helps explain it further for

  3. Elevated Troponin

    bear14 replied to bear14's topic in Emergency

    I can't access the link. It says I have to log in or register which will cost a lot of money. Any other way to access or

  4. House of Cards

    bear14 posted a topic in Addictions

    My mom had asked me this but I honestly could not answer. On the show House of Cards, one of the characters who is a recovering alcoholic uses a syringe to draw up alcohol and sprays it into his...

  5. Travel with Dialysis

    bear14 posted a topic in Dialysis, Renal, Urology

    I had this question come up today. Can a patient travel on a cruise with PD? The cruise line is giving her grief because of having to dispose of the dialysate fluid. I am not a dialysis nurse so I...

  6. Travel with Dialysis

    bear14 replied to bear14's topic in Dialysis, Renal, Urology

    Thank you both for taking the time to help me. I really appreciate

  7. Adenosine patient

    bear14 replied to blacknurse30's topic in Emergency

    My dad had it and he said it feels like you are spinning out of control and then someone snaps you

  8. Why is Med-Surg so hated?

    bear14 replied to Nola009's topic in Medical-Surgical

    Could not agree with you more!!! It's true. I no longer buy lunch because we rarely have time to get away even to a vending machine for the much needed Coke. I try to run in back when my patients are...

  9. What happened to the "Emergency" in "Emergency Room?"

    bear14 replied to Emergency.RN's topic in Emergency

    You don't explain it to them. You just treat them and move

  10. What happened to the "Emergency" in "Emergency Room?"

    bear14 replied to Emergency.RN's topic in Emergency

    The OP makes a point here. We are seeing more and more things in the ED that can be taken care of in the doctors office. However, I wonder why patients choose to come to an ED over an office. We get...

  11. Valuable life lessons from an ER nurse....

    bear14 replied to Momma1RN's topic in Emergency

    Is it less painful than a shot or an IV for those who have

  12. Valuable life lessons from an ER nurse....

    bear14 replied to Momma1RN's topic in Emergency

    You're afraid of needles??? Is that a new

  13. EMS Radio Reports

    bear14 replied to TRC211's topic in Emergency

    We have to have a special certification to answer EMS

  14. TPA when drunk

    bear14 posted a topic in Emergency

    Can you give TPA when someone is drunk? We had a patient come in over the weekend who had a stroke but there was a question if he was drunk too. We could not confirm when the symptoms started so TPA...

  15. TPA when drunk

    bear14 replied to bear14's topic in Emergency

    It was 157 or something like that. That was checked

  16. TPA when drunk

    bear14 replied to bear14's topic in Emergency

    The patient's speech was clearly affected and he had right sided weakness. It was not just drunken babble it was word salad. We could not smell any etoh on him. We all thought he was intoxicated at...

  17. TPA when drunk

    bear14 replied to bear14's topic in Emergency

    There was but my shift was over and those labs did not result

  18. Thank you, Joy Behar!

    bear14 replied to ixchel's topic in Nursing Humor

    Will there be a place for my cell phone on this new

  19. Thank you, Joy Behar!

    bear14 replied to ixchel's topic in Nursing Humor

    A comment like that may make me break sterility.

  20. How does your ED address the Observation Unit?

    bear14 replied to RAWells61's topic in Emergency

    Our ED nurses stay in the ED but obs nurses and other med/surg nurses float where there is a

  21. making mistakes

    bear14 replied to medsurg4ever's topic in Medical-Surgical

    I thought the same thing when I read your order. It is

  22. Heparin

    bear14 posted a topic in Medical-Surgical

    Hi, I wanted to know your opinion. We give our patients heparin prophalactically. But I wanted to know would you hold it with someone with a low hemoglobin 8.0 and platelets 75 and going through...

  23. Heparin

    bear14 replied to bear14's topic in Medical-Surgical

    Ok, here is another question I have. When a patient is NPO with Q 6 accuchecks do you hold the insulin even if their blood sugar is high? I have seen it where you do not and have seen it where you do....

  24. Heparin

    bear14 replied to bear14's topic in Medical-Surgical

    I've had doctors have me hold it for surgery. Why should I not hold

  25. House of Cards

    bear14 replied to bear14's topic in Addictions

    Thank you all so much for answering this question. I know it is not work or school related but I appreciate that you took the time to