unsaint77

unsaint77

Member
  • Content

    88
  • Visitors

    3,339
  • Followers

    0
  • Likes

    0

All Content by unsaint77

  1. Our facility usually collect UC sample from foley catheter prior to discontinuing if UTI is suspected. My question is about a better way to collect the sample. I know I must collect sample from catheter rather than the bag since the urine is old. ...
  2. My TCU CPR policy

    Even for full code pts, my TCU CPR policy is not to do CPR if the pt is determined to be dead. The TCU protocol qualification for being dead is no pulse and no response to stimulus. (a person without pulse will not respond to stimulus so it's essen...
  3. I am a new grad working at a longterm care TCU. I found one patient with MRSA in sputum walking in the hallway without mask. He even eats at the same table with other patients. I asked the supervisor about it and she told me if I was concerned I s...
  4. how much o2 is too much?

    I had a DNR/DNI pt, but was not hospice. She was incoherent and lethargic. She was not opening her eyes. We were expecting her to expire soon. Her sat was 80 with 3L via NC in the morning. Doctor was notified of the o2sat and the pt condition. ...
  5. how much o2 is too much?

    I work at a nursing home, hence the calling oncall doc and waiting for return call. It took about 15 min for the doc to call back. It is true that I wasn't as freaked out since the death was expected. Probably not related to her impending death, ...
  6. I was administering med through NG Fr 10. The NG was patent and in the right place; I got 15cc residual, heard air woosh through sthethoscope, the catheter length checked out. The HOB was at least 30 deg. The pt was fine when I flushed/pushed 50c...
  7. why does liquid med through NG make the pt gag?

    2ml flush???? A teaspoon is 5ml. Can 2ml of water flush anything?
  8. why does liquid med through NG make the pt gag?

    I didn't know a NG tube is not the same as a feeding tube. can you tell me how they are different?
  9. what is fragility?

    [h=2]http://www.healthcare.uiowa.edu/pharmacy/rxupdate/2004/04rxu.html Medications That Should Not Be Crushed Due to Fragility: Mirtazapine (Remeron SolTab®) and olanzapine (Zyprexa Zydis®)[/h] Not all of these come in rapid dissolve form and ...
  10. I thought INR would increase since platelet would be more diluted by TPN. But I want to make sure. thanks.
  11. does TPN make INR to increase or decrease?

    Thanks for the comments. Would TPN have any effect on clotting time one way or the other?
  12. low HOB better for urine flow?

    I know the following question is a newbie question. I do have a lot of newbie questions and becase of that I get a lot of unkind comments. Please just pass on if you don't feel like answering. I was collecting U/c sample from foley catheter but t...
  13. low HOB better for urine flow?

    I didn't know this. It's amazing. So, a bladder gets fuller at night. Thanks Skindigo. ADH: The Test | Antidiuretic Hormone ADH secretion increases when a person is standing, at night, and with pain, stress and exercise. Secretion decreases w...
  14. I was helping other nurse so I do NOT know if this pt had NG or NJ. (the head of bed 30 deg up) we stopped the feeding pump and the line flushed fine but when we administer maalox into the open inverted syringe it didn't drain. We must waited for ...
  15. I am trying to understand how urostomy (or ileal conduit) works. ureter is a sterile environment. what keeps bowel content from leaking into the ureter? thanks.
  16. I get it now. thank you.
  17. deleted
  18. deleted
  19. Thank you so much for educating me. As you probably notice, i am a new nurse. If you had recognized my recent postings, you would know that my unit is poorly run and has so many things to upgrade. So, I will use kelly clamp. My one concern is th...
  20. Yes, I forgot to mention that the foley we use don't have the port canesdukegirl is referring to. So, I have to do either of these two. (for the sake of discussion let's use the term "catheter" as the rubber part goes into patient, and "tube" for ...
  21. I am a new nurse. During my orientation I asked where our AED was and our staff development person (RN) said "I hear we are going to get an AED soon." Any of you work in a healthcare facility without an AED?
  22. An employer without AED available 24/7 reflects their regard for their employees as well.
  23. Again, it's me a new grad nurse at a LTC facilility's TCU. (We have pts with iv, picc, ng, nj, o2, cpm, but we have no tracheostomy or EKG capacity) We have two different sets of standing orders due to different admitting doctor groups. They are ...
  24. 1. After put the feeding pump on hold, how long do I wait before I use syringe to withdraw stomach content for residual? Or do I not have to wait? 2. If someone had NJ (the end of the tube is in the small intestine), do I still need to check for r...
  25. checking tube feeding residuals

    Yes I am a new grad. There are people like you who like to help, and there are others who have nothing better to do than pounce on newbies with newbie questions. That's why I post it on student section. So your facility do not make you check resi...