samiam4

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, Bp-113/80. Pt received 650mg PO Tylenol premed 30 min...

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 work at. It would involve all the units (sicu, micu...

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 hospital in Baltimore are u interviewing with? Also ...

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 clinical on Tuesday and I found out on Thursday (kind ...

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 my care b/c I don't feel like I do things correct. ...

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 cannula to nonmask rebreather I somehow accidently p...

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 lock next? (if you understand what I'm saying) How mu...

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

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 IV of Sodium Bicarbonate in 5% dextrose in water,...

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 over the place. I believe it said he had an increas...

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

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 feel like I made a mistake. But, when I found out abo...

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 alone.. Thank you

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 with nursing because frankly there are many times...

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

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 sick I don't want to be the one to make him sicker...

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 level and then there was an additional 2 units of regu...

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 pt. bottom out from only eating peaches? (5 peach sl...

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 all.....

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. I hope this heaviness in my chest goes away... I ...

Thank you for the replies!

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 teacher about it. I am still upset about the whole ...

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 age). A serum bili was ordered and it came back at ...

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 age). A serum bili was ordered and it came back at ...

I'm not sure what DAT pos or neg means?