samiam4

samiam4

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All Content by samiam4

  1. Blood transfusion administration scenario question

    samiam4 posted a topic in General Nursing

    Outpatient Hematologic Oncology pt (pt ANC- 60 [pt is neutropenic], plts - 4, hgb-6) received platelet/PRBC transfusion. Prior to start of platelets baseline vital signs were T-97.9, Hr-94, RR-18,...

  2. Float RN as a new grad?

    samiam4 posted a topic in Nursing Career

    I need some advice from the experienced RN's and the new grads who are in the float pool. Or any advice from anyone would be amazing! I was offered a position in the RN float pool at the hospital I...

  3. Job interview before NCLEX?

    samiam4 replied to Meg86an's topic in Nursing Career

    Yea they can hire you. They would probably want u to get a temporary license to practice in the state of md. After u take your NCLEX you will have to get your md license- which all cost money. What...

  4. Patient died...

    samiam4 posted a topic in General Students

    I'm a nursing student in my 3rd semester and my pt died the other day. I have anxiety, chest pains, and a horrible stomach ache after finding out my patient died. It is my worst nightmare. I had...

  5. Feelings about Nursing School?!

    samiam4 posted a topic in General Students

    Hello Everyone, I was just wondering how everyone feels after leaving clinical? Everytime I leave clinical I feel like a total idiot. I also feel like my patient's are going to die after being under...

  6. Oxygen levels possibly hurt pt?!

    samiam4 posted a topic in General Nursing

    I was switching my patients nasal cannula over to a nonmask rebreather with a PCA tech. The pt must be on oxygen at all times so I had someone help me. When the PCA switched patient over from nasal...

  7. IV push and IPID

    samiam4 posted a topic in Patient Medications

    I was just wondering when you flush an ipid, administer med, and flush again...does that med mix with the saline that's in the saline lock? Or is the flush a barrier to what may go into the saline...

  8. IV push and IPID

    samiam4 replied to samiam4's topic in Patient Medications

    intermittent peripheral infusion device....I thought it meant the same thing as a saline

  9. IV solutions incompatibility (saline/0.9% NaCl)

    samiam4 posted a topic in General Students

    Correct me if I'm wrong but isSaline the same thing as 0.9% NaCl and NSS? Also if someone has an IV with 5% Dextrose in sterile water, is that sterile water 0.9% NaCl? Scenario: if pt has a continuous...

  10. Oxygen levels possibly hurt pt?!

    samiam4 replied to samiam4's topic in General Nursing

    Today, I learned more about my patient before he passed away. Apparently he started to complain of chest pain. An EKG was ordered and found that he went into Atrial Fib. Also his lab values were all...

  11. IV solutions incompatibility (saline/0.9% NaCl)

    samiam4 replied to samiam4's topic in General Students

    Thanks. Is there anything that NaCl isn't compatible with? Just

  12. Oxygen levels possibly hurt pt?!

    samiam4 replied to samiam4's topic in General Nursing

    07302003 the way you were in nursing school sounds exactly like me. Esme12 I actually didnt think that I made any mistakes until I was home and reflecting on my day. I do contact my teacher when I...

  13. Oxygen levels possibly hurt pt?!

    samiam4 replied to samiam4's topic in General Nursing

    Thanks for sharing your story MyUserName, RN. It feels good to know we can all lean on one another during a tragic event. Even if it's just sharing similar stories. It really does make me feel less...

  14. Oxygen levels possibly hurt pt?!

    samiam4 replied to samiam4's topic in General Nursing

    Wow, thank you so much for that post AICU RN. It's really nice to know that I'm not alone with this whole situation. I really really appreciate it. This nursing board gives me the strength to carry on...

  15. Oxygen levels possibly hurt pt?!

    samiam4 replied to samiam4's topic in General Nursing

    Thank you all for the comments. The more you all comment about the situation the better I'm

  16. Oxygen levels possibly hurt pt?!

    samiam4 replied to samiam4's topic in General Nursing

    In report that morning the primary nurse told me he desat's into the 60's overnight...He had pnuemonia, CHF, type 2 diabetes, pulmonary hypertension just to name a few things... Even if he was really...

  17. Administered Insulin pt. wasn't hungry..

    samiam4 posted a topic in Nursing Student Assistance

    Pt.'s BS was 295. I administered insulin, then to find out pt. wasn't hungry. Pt. said though he did want to eat his peaches. So, he did. I administed Sliding Scale insulin according to his sugar...

  18. Pt. with Type 2 diabetes bottom out?

    samiam4 posted a topic in General Nursing

    I ordered lunch for my patient. I administered Novolin (11 units). Blood sugar was 295. Once food came Pt said he wasn't hungry. He just wanted to eat his peaches. So, he ate his peaches. Could the...

  19. Pt. with Type 2 diabetes bottom out?

    samiam4 replied to samiam4's topic in General Nursing

    It was a sliding scale of 9 units Novolin R and +2 units Novolin R (seperate from the sliding scale). I'm a student so i'm not really familiar with how insulin works. I'm trying to make sense of it...

  20. Patient died...

    samiam4 replied to samiam4's topic in General Students

    Thank you all for the comments! I'm feeling better and better as you all comment and give me your advice, input, and shared experiences. I'm going to talk to my instructor and let her know how I feel....

  21. Pt. with Type 2 diabetes bottom out?

    samiam4 replied to samiam4's topic in General Nursing

    Thank you for the

  22. Patient died...

    samiam4 replied to samiam4's topic in General Students

    I just wanted to thank you all for your kind words. I really appreciate you taking the time to respond to my post. I feel a little better about the words you all speak. I will definietly talk to my...

  23. Bilirubin levels ?

    samiam4 posted a topic in NICU, Neonatal

    I just finished my postpartum rotation. We had a 36 week old baby with a trancutaneous bilirubin reading of 7.0 @ 24hours (nurse told me 7.0 was higher than they would like to see for a baby at this...

  24. Bilirubin levels? 36week baby

    samiam4 posted a topic in Ob/Gyn

    I just finished my postpartum rotation. We had a 36 week old baby with a trancutaneous bilirubin reading of 7.0 @ 24hours (nurse told me 7.0 was higher than they would like to see for a baby at this...

  25. Bilirubin levels? 36week baby

    samiam4 replied to samiam4's topic in Ob/Gyn

    I'm not sure what DAT pos or neg