PunkBenRN

PunkBenRN

LTC, Medical, Telemetry

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All Content by PunkBenRN

  1. MD Present to Defibrillate?

    PunkBenRN replied to Music in My Heart's topic in General Nursing

    Is this a joke? You would waste so much time waiting for someone to give you the okay. AED's are designed to tell you what to do and when appropriate, all you need is a BLS, and even that I don't...

  2. Blood clot questions...

    PunkBenRN replied to aachavez's topic in Nursing Student Assistance

    See the other posts, they did a good job of describing these. The meds they give, generally heparin or lovenox (NEVER both) are to prevent further clotting. The body does all the work as far as...

  3. Tips for assessing heart and lungs

    PunkBenRN replied to Jb101's topic in General Nursing

    Its all about practice. The more you do, the better you get. That is really the best way to learn them. If you know of any patients on the floor with something funky going on, or you overhear a nurse...

  4. WHY is everyone on D51/2NS with 20mEq of K+?

    PunkBenRN replied to KaeliF's topic in Patient Medications

    You almost answered yourself in your question, haha Surgery puts a heavy metabolic demand on the body. Post operatively, nutrition and hydration are important, and there are many obstacles to...

  5. To the nurses: Is telling you the pain level of the patient bothersome?

    PunkBenRN replied to chariot's topic in General Nursing

    Um, you have this a little backwards. You should wipe the first blood off with gauze or alcohol wipe, as this blood is more superficial and could give you an inaccurate reading. "Milking" the finger...

  6. Do you think the CDC is biased?

    PunkBenRN replied to Tait's topic in Patient Education

    Do you guys hear yourselves? Why would the CDC be biased? If you are going to purport the pharmaceutical industry has that much power within the CDC, you need to back it up with some or any examples...

  7. Made it through three night shifts on my own...then...

    PunkBenRN replied to LaRoseRN's topic in First Year After Licensure

    If thats the worst thing thats happened to you tonight, you're in good

  8. Do you feel bothered by new training CNAs?

    PunkBenRN replied to chariot's topic in General Nursing

    I love new CNAs. Reason being: new CNAs are scared and insecure and tend to go above and beyond. New CNAs are very critical of themselves (unfortunately, as you shouldn't be), but because of this they...

  9. Unable to answer family questions about DVT.

    PunkBenRN replied to arallenrn11's topic in General Nursing

    This is your best answer. When you don't know the answer, never try to bs the answer to the family; it is okay to say you don't know. This is when you should go look it up, not just for your patient,...

  10. Question about notifying dr's per request of patient's family

    PunkBenRN replied to Nurse ABC's topic in General Nursing

    I work nights, and I have recieved requests from families like this many times. If it has some ounce of credit, I will follow up sooner than later. If a hospitalist is covering the Pt, I have no...

  11. Things you don't want to hear your Aide say

    PunkBenRN replied to readytoroll's topic in Geriatric, LTC

    Thats not compatible with life. Diastole needs to be a positive pressure to ensure perfusion. Think about what the diastolic

  12. to the nurses: did I do something wrong as a NA??

    PunkBenRN replied to chariot's topic in General Nursing

    You mean Klonopin? Not for pain, but for anxiety. Anyway, nothing wrong. You can't make everyone happy all the time, best you can do is your best. Don't take it personally, you acted appropriately,...

  13. Golytely

    PunkBenRN replied to CAnurse2012's topic in First Year After Licensure

    I would check with the doctor, but I don't think it would contribute further to his pulmonary congestion as it is. Go-Lytely is going to move a lot of fluid out, as you will find (it never goes...

  14. Na goes from 117 to 135 in less than 4 hours.... Possible?

    PunkBenRN replied to tmartin83's topic in Medical-Surgical

    That is really confusing, ha. Normally if people are dry, you can see their BUN elevate and they have a normal Cr. Central Pontine Mylenolysis wouldn't happen with just normal saline, only if they...

  15. A new nurse feeling confident :)

    PunkBenRN replied to EarthwormRN's topic in General Nursing

    Great job! It is an awesome feeling when everything falls into place, especially the very first time you act as a nurse and solve a problem. Or even just identifying a problem (and being right) is an...

  16. Dx Help: DM vs. DKA?

    PunkBenRN replied to Nursing_Mamacita's topic in Nursing Student Assistance

    Not to be a cynical jerk, but whenever I have DKA pt's it is almost always a non-compliant diabetic. Sometimes after a drinking binge, sometimes just refuse to acknowledge that diabetes affects them....

  17. Na goes from 117 to 135 in less than 4 hours.... Possible?

    PunkBenRN replied to tmartin83's topic in Medical-Surgical

    Um, I don't know how quick it needs to be replaced to cause this, but I would be concerned of central pontine myelinolysis - all I know is that this can happen if you replace sodium too quick. After...

  18. Need Help/Advice ASAP - New RN 1st week no support

    PunkBenRN replied to traumajunkie2's topic in General Nursing

    Every hospital is a little different; the basic process is the same, but you need to learn from someone on the floor. What you need to do is go to the clinical educator or your manager and voice your...

  19. Incorrect Medication Administration Route?

    PunkBenRN replied to Steveo123's topic in Nursing Student Assistance

    Yes, this is one indication for an NGT, however you can have one outside the realm of GI bleed, bowel obstruction, or post-op. In these cases, NPO is moot point because it is usually hooked up to...

  20. Foot rub?

    PunkBenRN posted a topic in Patient, Colleague Relations

    This is just a post out of genuine curiosity: Whenever I work, staff complain about their feet hurting from their shoes, or running, or whatever. I am a male nurse in a primarily female work...

  21. Incorrect Medication Administration Route?

    PunkBenRN replied to Steveo123's topic in Nursing Student Assistance

    exactly. this is okay to do; po/ng tube are essentially going to the same place, therefore its not a problem. however, if you need to crush the medications you generally need an order. some nurses...

  22. Nursing notes

    PunkBenRN replied to Sunshine60's topic in Nursing Student Assistance

    The important points to highlight (I'm not going to write this for you, but this should help): STAY OBJECTIVE! -It does at times happen that you don't recieve a report, or you recieve a report that is...

  23. Good Shoes

    PunkBenRN replied to baseballerswife's topic in Scrubs, Uniforms, Gear

    Get some Dr. Scholls in-soles. I wear boots, threw a couple of those in, and I float on air all 12 hours

  24. Do doctors treat male nurses different than female nurses?

    PunkBenRN replied to Nolander's topic in Men in Nursing

    I believe that some do; I don't like to generalize and say all, but there are instances I remember a clear difference in approach. When I worked in LTC, there was one physician that would talk down...

  25. Who Cares About Nurse Theorists?

    PunkBenRN replied to dlo's topic in Men in Nursing

    Nursing theory may have played an integral role in what nursing is today. It may not have. I don't care, it has not affected my practice in the slightest. I am glad I no longer have to study