HappyNurse2005

HappyNurse2005 RN

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All Content by HappyNurse2005

  1. But if it was necrotizing fasciitis, in theory, wouldn't that affect just one area, like one limb? I didn't know it could skip around and do hands/feet, but nothing in between? Doesn't it also...
  2. I just recently went to the doctor (ok, 2 months ago) and had some labwork done, a CBC and TSH. They mailed me a copy of the results, complete with number results, reference range, and, the last...
  3. How do you do calorie counts at your facility?

    Usually we have 3 day calorie counts. The dietician comes and puts up the 3 sheets (1 for each day) right on the front of hte pt's door. The sheets are bright pink and hard to miss. For each, there is...
  4. Trying To Resign!!! Help!!!!!

    My hospital requires 4 week notice for everyone who makes over 11 dollars an hour. it was stated in employee handbook, and mentioned in orientation. was this ever told to you? anyone else you know...
  5. BRN- I'm also in Virginia, and the ratios at my hosp are good (though im cardiac, not med/surg) day shift i have 3-4 pts and occasionally, 5. its not all bad in
  6. Homan's Sign: Useful or Useless? What's your opinion?

    Had a 95 year old lady hospitalized for renal failure. Had CHF, so had some edema. Her overprotective daughters swore they thought she had a DVT. one leg looked more swollen than the other. (they...
  7. Atrial Fib. Noninvasive Treatment

    I have no idea how or why it works, or even if it does, but we do it. Starts the night before surgery, and then twice a day for 5 days
  8. Atrial Fib. Noninvasive Treatment

    I have post op cabg pt's on my unit. They are all on PO amio, and nasal bactroban as a preventative to afib. Of course, there are always a few (who don't have a hx of afib) who go into afib anyways....
  9. Oh, this has been revived, but seems relevant enough, that I'll now re-answer it, from the other side (i was a student when I first answered this thread) Here is a way not to make a good impression on...
  10. I know, how exciting. I graduated in May, became a RN on July 5, been off orientation since early Sept. (4.5months). Never had a pt of mine code. My guy yesterday didn't code, but... 40 something...
  11. vancomycin iv over 1 hour

    Had a pt the other day who got 1500mg of Vanc. Pharmacy gets it ready, and sends it down. They decide the rate. My pt got 1500mg in 300cc to infuse at 200cc/hr=90 minute
  12. Chest tubes vs. Blake/JP drains post OHS

    Ours use Blakes and chest
  13. Breast Implants

    Yeah, I had a patient who had them. 50s or 60s or so. She had a CABG, and one of them got popped somehow. So here's this older lady, with big perky boob, and one literally, deflated looking boob....
  14. Scenario:What would you do?

    Was he actively in pain? Did he already have a PCA? I'd have given it. The patient is terminal. In pain. Going to die. Why not make him more comfortable in his final days/hours? Morphine might slow...
  15. When I was doing an preceptorship in rehab while in school, there was a pt who was a quad (secondary to accident) who was permanently at rehab. No insurance-couldnt go to nursing home. Not a US...
  16. Patients Calling your Cordless Extension???

    Our floor has mostly beepers, but does have 3 phones. I prefer the phone, so when the secretary needs you/needs to relay a message, she can jsut call you and tell you, you don't get a beeper message...
  17. Nurse Patient Ratio on Telemetry with Drips

    oh, duh. ratios. We hve 1:4on days, not uncommon to have 1:3, occasionally 1:5 on days. Never 1:6. Nights can do
  18. Nurse Patient Ratio on Telemetry with Drips

    I'm on a cardiac surgery pcu, which is obviously telemetry. we get other pt's who need telemetry, too. So we have 1 day post op cabg pts, valve replacements, thoracic surgery pt's, cath's, stents, etc...
  19. How long did you breastfeed?

    Child One-19 months Child Two-19 months Child Three-8.5 months and still
  20. Im on the cardiac surgery PCU and its required (and paid for, and paid for an 8 hour day each day of the ACLS class-2
  21. Getting pregnant on Nights

    a nurse who does straight nights on my floor is pregnant. It happens. Just take care of
  22. How do you deal with anti-OB people?

    I quoted this from your original post, and bolded my parts I wanted to mention. You say we should respect any birth plan a mom has made? What about the birth plan that involves a woman birthing at...
  23. Clocked in - sent home

    Thats nuts. We get accumulated Paid Time Off (PTO) on each check. About 7.4 hours per 80 hour check. We can use it for whatever-sick time, vacation time, etc. Well, if there is low census, and none...
  24. What makes a great CNA?

    Someone who does the job the right way, without shortcuts. Someone with a good attitude (we have a CNA who complains the day away, and its really annoying). People who don't roll their eyes when you...
  25. Report? And to whom?

    Well, if the baby was failure to thrive, the pediatrician would catch it. Same with fetal alcohol syndrome. Best I can say is report it to CPS/DCFS/social services where you live. (or the police?)...