ProgressiveActivist BSN, RN

ICU

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All Content by ProgressiveActivist

  1. ProgressiveActivist

    Never wanna take students again.

    And so it
  2. ProgressiveActivist

    Pulling meds early?

    Don't your anesthesiologists give odansetron and morphine at the end of the case? Do your patients consistently come from OR awake, hypertensive and in pain? If so, something is
  3. ProgressiveActivist

    Never wanna take students again.

    Performance issues aside, a student with an arrogant attitude and a horrible personality will be a nurse with an arrogant attitude and a horrible personality. That student can either learn to...
  4. ProgressiveActivist

    Am I safe, or do I need to quit?

    Since you are in the gauntlet just skip the nicey nice customer service bs. Families are a huge time suck-have the surgeons contact info at the ready. Get a routine down. Assess, turn, medicate q...
  5. ProgressiveActivist

    Insulin Titration help

    No. This is not a valid question unless you have a blood glucose or a specific order for x units per kg per
  6. ProgressiveActivist

    Overmedicating...NO!!

    Agree that many drugs that prolong the QT. I have seen torsades in an alcoholic who received IV haldol. I have seen a frail woman go into respiratory arrest from 0.5 mg of lorazepam po. I would...
  7. ProgressiveActivist

    Insulin Titration help

    Your initial rate is usually weight based and then titrated according the blood glucose. The rate is easily determined because the concentration is one unit per
  8. ProgressiveActivist

    Overmedicating...NO!!

    IV haldol most certainly can prolong the QT and put the patient at risk of
  9. ProgressiveActivist

    Insulin Titration help

    Is this a test question? Are you a
  10. ProgressiveActivist

    Would you have told management?

    Interesting question. I guess it would depend on if I trusted the management. If the manager is a gossip or buddies with the off going shift, probably not. If the management is trustworthy I would...
  11. ProgressiveActivist

    Proper protocol - nurse error while with daughter in ER

    Is this hospital out of alcohol preps and flushes? Then why aren't you using
  12. ProgressiveActivist

    Overmedicating...NO!!

    Dont cosign the ativan waste and say no you can explain this to the
  13. ProgressiveActivist

    Nurses thrown under the bus

    I am pretty sure that the surgeon is going through his own disciplinary process for not answering the page and that he has childishly decided to be mad at the nurse. He will answer them now. And if...
  14. ProgressiveActivist

    Proper protocol - nurse error while with daughter in ER

    You were correct to report this nurse for her lazy and dangerous
  15. ProgressiveActivist

    Nurses thrown under the bus

    All of the nurses who played dumb, or are unable to critically think their way out of a paper bag, and ignored that damp, musty, funky dressing for a week should be counseled for a major infraction...
  16. ProgressiveActivist

    Modest or Over-Sensitive

    Unacceptable. It takes 5 seconds to open and place a sterile towel. He should report this to the patient care
  17. ProgressiveActivist

    Never wanna take students again.

    Ha. Doesnt know the difference between an IV pump and TF pump but doesnt think she needs clinical experience. That is some scary impaired thinking. Copy the facts in this post and write an incident...
  18. ProgressiveActivist

    Scripting?

    I have not had this training or brainwashing to join the cult of zombie nurses. It sounds like you will have to play along when your cult leader is around in order to advance in your career. If the...
  19. ProgressiveActivist

    Bedside report - hate it? Like it? Love it?

    If I do not trust the off going nurse, I insist on a bedside
  20. If some asks for "help for a second" dont be a wuss. Say " no I cant. I will when I get this
  21. ProgressiveActivist

    Bedside report - hate it? Like it? Love it?

    If the charge nurses eyeballed the patients liked they used to, there would be a direct line of accountability to the middle management and care would
  22. ProgressiveActivist

    Verbally threatened for the first time today

    If you are threatened once by a visitor, do not go back in that room without a witness or some kind of
  23. ProgressiveActivist

    How much trouble am I in?

    She did not say it was a PCA. Between 1800 and 1930 residual IV dilaudid would have infiltrated or run into the bed. The nurse/wife has said she was exhausted and that it was not her best decision....
  24. ProgressiveActivist

    How much trouble am I in?

    I was off the clock in the preoperative area with my relative at midnight and the OR nurse couldn't get the IV. I did it and I would do it again if there was no other option The only "safety issue"...
  25. ProgressiveActivist

    How much trouble am I in?

    The pt had fluids running in an infiltrated IV which the assigned day and night nurses ignored. The IVF ran until the wife turned them off. The nurses were negligent. Someone had to go under the bus...