hodgieRN

hodgieRN

ER trauma, ICU - trauma, neuro surgical

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All Content by hodgieRN

  1. Can anyone help on care plan?

    Awe,
  2. If it's only one lumen, like a port, and you need to give multiple meds throughout the day, there's nothing wrong with starting a
  3. What exactly is med/surg?

    Some nurses like working in unstable environments. Getting paged for a major trauma that will be arriving in four minutes if what some nurses live for. And, some nurses feel they will become...
  4. med surge floor more stressful than ER?

    ER is freaking insane. If your hospital is a level 1, 2, or 3 trauma center, it's crazy. If this was posted in the Emergency Nursing section...oh man...be prepared for the
  5. Pressure infusers

    Yes, you can use a pressure infuser with IO devices. The drip rate can vary due to the anatomy of the space, but IO's are usually inserted during emergent situations. Placing it on a pressure bag will...
  6. thirst in intubated patients

    Never heard about vented pt getting ice chips. Make sure they are not dehydrated. Just b/c they are getting IV fluids doesn't mean they're tanked up. Look at their mucosa, skin turgor. And make sure...
  7. 94 on 1st exam but a 78 on the second one!!!

    -Study every single day as much as you can. -Once you have a section down, go to the next one, then go back. If I came back to a previous section and didn't understand it, I knew I still had work to...
  8. Can anyone help on care plan?

    If a pt is on vent, most of them are restrained. Is there a nursing diagnosis for pts who are restrainted? So he's on a vent with an OG......meaning he's NPO. What nursing diagnoses can you apply for...
  9. What am I doing wrong (heparin SQ)

    Exactly! And, I'm not injecting heparin at a 45 degree angle on pt's that weigh
  10. Yeah, it's a lot to take on. Feeling like you are not on top of game will continue on into you career. Finishing nursing is just preparing you for the basics. I believe that the real learning begins...
  11. Believe me, I know what you are saying. Nursing exams can seem difficult, vague, or unrelated. Nursing instructors have the right to prepare and test how they see fit as long as it follows proper...
  12. Clinical professors...

    Many nurses move on to an academic position as their career progresses. I heard someone say that most of the nursing population is somewhere other than the bedside.... like managers, academia,...
  13. Most relevant/useful pre-nursing science class?

    One thing I see a lot on the forum are students having issues with math....drip calculation, conversions, etc. So, don't write off the math (I think only a couple classes are required) b/c it can come...
  14. A&P Help

    You could go by body systems. Cardio, Pulm, endocrine, integumentary, skeletal, GI, hemo, Neuro (brain, spinal cord), cellular. Pick a body system and focus on that for however long. I liked looking...
  15. Question about Antipsychotic Sideffects

    Try and remember to not get caught up in "This causes this, which can lead to this, which can cause a high risk potentialbased this, which will ultimately lead to this." If you had to pick the worst...
  16. pathophysiology

    Well, I like to describe patho as "how" the body works, "why" processes happen, "when" they happen, and "where" it occurs. So, I guess you could write how, why, when, and where hypertension occurs in...
  17. Nursing Diagnosis/care plan help!

    Sounds like your pt is anemic. Try and think of some things that anemic pts are at risk for....Would anemia cause any physical effects that you would be concerned
  18. I understand it's intimidating to have pt's ask you questions that you are still learning yourself. I felt the exact same way. I didn't want to seem incompetent or let the pt's know I didn't know...
  19. I see what you are saying. I also have my own opinions about scripting. Best thing I can tell you is when the pt is asking a question, saying "it will be fine" doesn't offer an explanation. But, if...
  20. Question about Antipsychotic Sideffects

    Although this is a stretch, urinary retention can lead to bladder rupture (it would have to be extreme retention), which is considered an emergency. Urinary retention (severe) can lead to hypertensive...
  21. Struggling HARD with Pathophysiology

    Patho is difficult. With anatomy, it's all memorization, but with patho, you have to understand processes and why they happen. Totally different ball game. My advice is: -Study every single day as...
  22. What am I doing wrong (heparin SQ)

    I inject it at a medium, steady rate. Some people may push it fast. I think it's b/c the pt stare at the needle and they may cringe or pray to heaven and earth the whole time until you get the needle...
  23. nursing care of recently extubated patient

    Probably best to focus on cardio/pulmonary aspect , especially first 48-72 hrs. Promote mobilty/ I.S./ encourage turning, coughing, deep breathing (anything to halt atelectasis progression). If they...
  24. Desating and Suctioning

    When that happens to me, I alternate between suctioning just the ET tube and suctioning with induced coughing. When you hit the carina, that's what causes the coughing. If you go just deep enough to...
  25. How would you respond to this doctor?

    totally