#1ME

#1ME

Med/Surg

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All Content by #1ME

  1. duplication of services

    #1ME replied to blondeoverboard's topic in Patient Safety Issues

    As far as I know, if a pt cannot be under the care of both hospice and home health. Either she qualifies for the hospice or not, but not both. I would document the findings, and if your DON still...

  2. Digtoxicity - Nursing interventions

    #1ME replied to motherinlaw's topic in Nursing Student Assistance

    CHF, would be Lasix, which can cause a depletion of potassium. Usually if pt is on Lasix, he will be on potassium (kdur, kcl) as well to prevent that. But, if the electrolyte potassium is High (not...

  3. Made an error :'( unable to move on

    #1ME replied to mahal788's topic in General Nursing

    I agree, you shouldn't continue to beat yourself up about it. Luckily the Pt was not harmed in any way. At least, you show compassion and remorse for what happened, pretty sure many people wouldn't...

  4. DIGOXIN - conflicting information!

    #1ME replied to demylenated's topic in Patient Medications

    I agree, if the Pt is not taking any medications (ie Levothyroxine), he would need a smaller dose of the Digoxin. Rationale: Usually in Hypothyroidism, the HR is slower than normal. Digoxin causes...

  5. Pt safety concern: Lispro vs Regular

    #1ME replied to Retrox24's topic in Patient Medications

    No biggie OP. Now, if you gave 30 units of Lispro, instead of 30 units of Lantus or Levamir, you and the pt would be in

  6. When an employee is a patient

    #1ME replied to LaurRN's topic in General Nursing

    I agree with pp's, stuff doesn't add up and seems like there is missing information. I don't see why his own co-workers would treat him poorly, unless they already didn't like him for some reason...

  7. Orientation and Job NOT what was promised, want to quit!

    #1ME replied to lpn2rn81's topic in General Nursing

    for those of you who want to be hard on the op and nurses like her, just wait, your turn is now coming at you fast as karma is a "b". be blessed that you are working and your job is a good one....

  8. M/S RN to ER?

    #1ME posted a topic in Emergency

    I'm a Med-Surg nurse of 3 yrs, about to transfer soon to ER. What do you ER nurses think of Med-Surg nurses? When one transfers to your floor, do you judge them or look down on them, or do you try...

  9. Intubation without RSI meds??

    #1ME replied to BeachyRNn08's topic in Emergency

    OP, I think you should have filled out a QRR form and report the incident. I'm sure there is some kind of a policy for this procedure, and he most definitely didn't follow it. Document and report,...

  10. interview today...only went ok

    #1ME replied to RNin'08's topic in Ob/Gyn

    Hope they'll pick you! That's a tough interview having sooo many interviewers. I will be having my interview in about 10 days, attempting to transfer from med-surg to ER. I wonder if I'll have as...

  11. Please interpret this med order

    #1ME replied to Jennabugs's topic in Patient Medications

    I don't think this order is confusing at all. It is telling you, you can give up to 15 mg within a 3 hr time period. So, if you gave him one at 2100 but it doesn't relieve his pain adequately, you...

  12. Percocet PRN

    #1ME replied to ChristineWV's topic in Patient Medications

    HIPPO You must certainly can give only, it is best to start off with the minimum dose, you can assess if it is sufficient, if it is not, you could give the second tab within the hr (as long as you...

  13. Can you piggyback critical meds like IV Potassium or Mag at your hospital?

    #1ME replied to UM Review RN's topic in Patient Medications

    We run K and Mag as a primary and don't piggyback it, if we were to piggyback it, would do it with NS. Either way, we mix the 20meq KCL bag with 25 MG of Lidocaine which would be 2.5cc, to help...

  14. Is Normal Saline rate 100 or 50?

    #1ME replied to Nursebabe2009's topic in Patient Medications

    Our IV pumps have 'secondary' on the screen when a piggyback is infusing, so I think that terminology is fine. Anyways, to answer your question, it depends on what rate is ordered for the NS/primary...

  15. Toradol IM only vial given IV

    #1ME replied to pantherboy's topic in Patient Medications

    I have done that, the vial was a 30mg/ml one dose vial. I confirmed with pharmacy that it was okay to administer IV, even though the vial states IM only. He gave me an explanation of why, but I...

  16. Silly to have this clarified?

    #1ME replied to Lahryn04's topic in Patient Medications

    To mix a protonix drip at my hospital (done plenty since I work night shift and pharmacy is closed), we mix 5 vials of protonix 40 mg vials, which yeilds a total of 200 mg. We then mix that into a...

  17. Question about Sliding Scale insulin

    #1ME replied to qwertz's topic in Patient Medications

    OP if you are using a sliding scale, I don't see where the confusion is. During the day a bg of 145 would warrant 3 units of insulin, and in the night, would not receive any coverage, for night time,...

  18. Giving IM inject in a SQ space?

    #1ME replied to onehusbandsevenkids's topic in Patient Medications

    It doesn't sound like the nurse was wrong. From reading OP, seems like she was the one confused, thinking the certain part of the arm (deltoid region) is for SQ only, she keeps saying 'the SQ site.'...

  19. M/S RN to ER?

    #1ME replied to #1ME's topic in Emergency

    At our hospital we do begin many IV's, due to infiltration or the IV has been in for 72 hrs, thus requires to be changed (at least here we do that, to help prevent phlebitis, infx). Even so, I know...

  20. D5 1/2 NS and insulin coverage

    #1ME replied to Little_Mouse's topic in Medical-Surgical

    It depends, our hospital has a sliding scale, it includes a higher Insulin unit coverage for the day and a lower one for the night (because as we all know, blood sugars tend to drop between the night...

  21. How can my shift deal with a nurse who is always causing drama?

    #1ME replied to vampcna's topic in Geriatric, LTC

    Also, you do not need everyone on board to go to management and make a formal complaint. We had a traveler at our hospital, he was rude and snarky to everyone, even the dayshift (that was only around...

  22. How can my shift deal with a nurse who is always causing drama?

    #1ME replied to vampcna's topic in Geriatric, LTC

    HIPPO You all should be documenting the dates of the incidences and what she said or did. Management cannot make a change or correction about something if they don't have documentation with specifics...

  23. M/S RN to ER?

    #1ME replied to #1ME's topic in Emergency

    Thanks for the responses. I haven't transferred yet, so I'm not sure what all the orientation will consist of. I will begin the beginning of

  24. make up?

    #1ME replied to butterfly134's topic in General Nursing

    I most definitely do, heck I even put curls in my hair. Even the day shift nurses at change of shift comment that I look like I just clocked in. Love looking good while doing a good

  25. Was I taught the wrong thing in school?

    #1ME replied to qaqueen's topic in Diabetes, Endocrine Nursing

    If he is only NPO for a few hrs, and has been having decent PO intake, I would give it. If he is going to be NPO for a few days, I would not give it, but I would also call the MD and possibly get an...