lovingtheunloved

lovingtheunloved ASN, RN

LTC, home health, critical care, pulmonary nursing

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All Content by lovingtheunloved

  1. To flush or not to flush...advice please.

    You were saying IV, assessing the IV site for redness/swelling, etc...the device I'm referring to does not have any venous
  2. To flush or not to flush...advice please.

    It's not an IV
  3. To flush or not to flush...advice please.

    Seriously!
  4. To flush or not to flush...advice please.

    Okay...that makes sense. And whoever said look at our P & P manual...it's totally silent on this. I think if we're giving 2+ drugs and are going to use the same site, flushing is in order...what...
  5. To flush or not to flush...advice please.

    But the patient isn't getting the correct dose if the drug is still in the tubing. As for the flushing, I flush just enough to get the drug out of the tubing. I've never had a patient have an...
  6. To flush or not to flush...advice please.

    That's what I'm
  7. Is everything really the nurses fault?

    Yup. And if the food sucks, the toilet is broken, or the patient is getting a divorce, that's your fault too. :) You'd be amazed the stuff I've gotten yelled at
  8. Fever and dying

    If the fever is REALLY low grade, I won't necessarily give the Tylenol supp unless they show signs of discomfort. Because no one really LIKES having someone put something up their rear. At least I...
  9. To flush or not to flush...advice please.

    I don't mean a CVAD. I'm talking a needle in the thigh (or wherever) so we don't stick them over and over. The meds are administered via the sq
  10. To flush or not to flush...advice please.

    Yeah, we SHOULD have a policy...I may be the one who ends up writing it. And what's the rationale for leaving any medication in the tubing, period? If I'm giving the second dose of morphine, there...
  11. Anybody else struggling with anorexia and bulimia?

    So I haven't posted for awhile, but just as an update...I'm doing REALLY well. Like, scary well. I started outpatient treatment again. I haven't purged since January 2nd, which is huge for me,...
  12. CNA's and prescription Treatments

    In my facility, CNAs can do dry, nonsterile dressings. I'm pretty selective about which aides I even let do
  13. What do these family member expect

    Unfortunately, families tend to have very unrealistic expectations. Shrug your shoulders and move on, cause it's not the last time that will
  14. Pancreatitis...with no pain?

    I always thought that pancreatitis came along with horrible pain. This lady was laughing and chatting with her friend, and kept insisting she had no pain. Anyone ever seen anything like
  15. Pancreatitis...with no pain?

    No, the ER physician diagnosed her. She seemed surprised when he said "You have
  16. Pancreatitis...with no pain?

    If it was CA, I would think the abdominal CT and ultrasound would have indicated something. Anyway, at her follow up, the abdominal distension had resolved and she was almost back to her pre...
  17. Sick Friend

    Different circumstances, but I am just like your friend. She is probably very aware of what she is doing. Nothing anyone says is going to change her choices. She has to reach a point where she...
  18. Free water restriction

    The patient the OP referred to sounds a lot like he or she has an eating
  19. Pancreatitis...with no pain?

    I'm not sure exactly. They said the gallbladder was a bit enlarged, but no cholelithiasis. The whole picture is just so strange. Every patient I've cared for with pancreatitis is just doubled over...
  20. Pancreatitis...with no pain?

    In a 25
  21. Pancreatitis...with no pain?

    CT with contrast of the abdomen and ultrasound of the abdomen. Her presenting complaint was a 16 lb weight gain and 6 inch increase in abdominal girth in 1 week. No
  22. Pancreatitis...with no pain?

    Nope...pt is in her mid 20s, no hx of it, doesn't drink at
  23. Question about small bowel obstruction

    Dr. needs to realize too, that patients tend to think that a loose stool in any amount is "diarrhea." Maybe it was one small watery BM, maybe 20 huge code browns, but I would totally question the...
  24. Anybody else struggling with anorexia and bulimia?

    It's heart breaking and reaffirms the belief that one is disgusting and worthless. I can't blame them though. They don't understand the disease, don't understand why I don't just stop, and I think...
  25. Anybody else struggling with anorexia and bulimia?

    Those that love us eventually give up and walk