PunkBenRN

You need a break. Take some time off. Use earned time, and if your SO can support it, take even longer off just to recharge your batteries. If at the end you still hate nursing, maybe its not for you.

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 think is necessary. Just do it.

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 dissolving the clot goes.

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 talk about a murmur or click, go in and ask to tak...

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 acheiving these - anesthesia particularly prevents adequat...

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 will not affect the results, but will make collecti...

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 or sources. And if they do have that kind of power,...

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

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 truly strive to 'do everything right' and do a gr...

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, but for your growth as a nurse. You should know wh...

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 problem calling and discussing it. If it is not a hospi...

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

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, and your NM will likely take the situation with a gr...

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 lytely). I could be wrong, but I think that only a nomin...

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 tried to replace the sodium and then if it went in to...

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 awesome feeling! Believe me, it only gets better

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. Sorry, long night, ha

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 re-reading your post, it sounds like a false high ...

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 concern about your preceptor. This is not "ratting...

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 suction. In and right back out I guess the general co...

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 environment; I like to give foot massages and I am good at ...

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 will really get bent out of shape if you didn't get t...

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 poor and Pt arrives in trouble :icon_roll. You ne...

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

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 to the female staff (very innappropriate and demean...