6spdftwtm

6spdftwtm

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All Content by 6spdftwtm

  1. Calling all peds/ER nurses RE: Tylenol dosage

    6spdftwtm posted a topic in Pediatric

    In your experiences... What is acceptable practice for a one-time dosage of acetaminophen? What is acceptable practice for q4hr administration? Have you ever seen a child that received a one-time...

  2. Just had to share...

    6spdftwtm posted a topic in General Nursing

    I'm in triage now and this 20-ish y/o lady walks in, says "ya'ah'teh" (Navajo for hello) and shakes my hand. She lays a package of the large tissue/wrapping paper for making backgrounds on big...

  3. What's the longest er wait time you have Even seen

    6spdftwtm replied to Trekfan's topic in Emergency

    There's two very important details that everyone is leaving out: 1 - The ER I'm from is divided into two areas of care. I don't know if many or most ER's are setup like ours, but we have a quickcare...

  4. am i a hypocrit?

    6spdftwtm replied to xoxo0414's topic in Nursing Career

    No worries! You're not a hypocrite. A lot of nurses have fear of going under the knife! That's perfectly

  5. IV in an artery

    6spdftwtm replied to jrmarr's topic in General Nursing

    I was in a situation several years ago where I was convinced I had started an A-line on a young guy. He was ~18 y/o muscular, fit guy, in ER for intense abd pain and being a little....shall we say...

  6. DWI and taking the NCLEX..

    6spdftwtm replied to EricaSAFJAF's topic in Licensure: Criminal History

    It's pretty unanimous nationwide that the court will require her to complete alcohol safety awareness program. That's a big part of the money-pit. I still maintain that the BON would MUCH rather make...

  7. DWI and taking the NCLEX..

    6spdftwtm replied to EricaSAFJAF's topic in Licensure: Criminal History

    "PLENTY of nurses who DON'T choose to put their lives the lives of countless innocent individuals in harms way may be more deserving of a job than those with a history with the judicial system =( " I...

  8. IM injections - divide into 2 or keep as 1?

    6spdftwtm replied to samyaira's topic in Patient Medications

    Fact of the matter is, MOST sources will say 3 mL for large muscles, 2 mL for peds VL injections. But the fact of the matter is that there hasn't been much true research on what is an acceptable...

  9. "Listening to nurses is key to being a good doctor"

    6spdftwtm replied to turnforthenurse's topic in Patient, Colleague Relations

    I have been a traveler since March '11...and on one level HATE IT!! Houston, TX was SCARY because NONE of the docs there trusted any of the nurses...especially travelers. "Hey doc, this kid has a...

  10. IM injections - divide into 2 or keep as 1?

    6spdftwtm replied to samyaira's topic in Patient Medications

    If your patient was an adult, they were a WEENIE. The vastus lateralis and dorsal gluteal muscles on a normally sized adult can handle 3 mL (irritating med or not) with no trouble. If I remember...

  11. Does the Clinical Ladder violate Labor Laws?

    6spdftwtm replied to Valerius's topic in MICU, SICU

    At our facility, the big push for Magnet status has been well underway for a couple years. The dear people in HR even made a position for our "Magnet status consultant". At any rate, I feel certain...

  12. Feeding GI contents to combat alkalosis

    6spdftwtm replied to NHGN's topic in MICU, SICU

    "For ever 1meq of hydrogen loss you generate 1meq" I thought matter is neither created, nor destroyed....seeeems like I remember something about that. Give me details on this...I'm

  13. IV Push Lasix

    6spdftwtm replied to emilysmom,RN's topic in Patient Medications

    Search for "Lasix IV" and

  14. DWI and taking the NCLEX..

    6spdftwtm replied to EricaSAFJAF's topic in Licensure: Criminal History

    OCNRRN63: THAT was a total waste of 30 minutes of your time. Anyone with more than two braincells would instantly look right past that useless heap of judgement calls. EricaSAFJAF: The most...

  15. Calling all peds/ER nurses RE: Tylenol dosage

    6spdftwtm replied to 6spdftwtm's topic in Pediatric

    I had just recently left an assignment in Houston where ANY febrile child would receive a 500mg suppository in triage "per protocol"...regardless of age or weight. The physicians would routinely give...

  16. why and how can people abuse the ER?

    6spdftwtm replied to esunada's topic in Emergency

    I've saw the same thing once. Ms. X came in repetitively, over and over and over again, but instead of just sticking to one identiy, she'd alternate between two of them. Finally, when someone caught...

  17. Placing IVs in shoulder, breast, upper chest

    6spdftwtm replied to paphgrl's topic in General Nursing

    Theoretically, the BEST site for a PIV is in the forearm. Hand is contraindicated due to extravasation and very little soft tissue there. Wrist contraindicated due to high risk for compartment...

  18. Sketchy situation with MD and neonate

    6spdftwtm posted a topic in General Nursing

    Hi all. I am a travelor working in a remote location on part of the Navajo reservation. I have been an ER RN for over 5 yrs and "grew up" in a level 2 trauma center with 44 beds that rolled around...

  19. a question about A&Ox3 and POE

    6spdftwtm replied to Kiddo87's topic in General Nursing

    Yeah...documentation is one of the trickiest parts of nursing. But if all else fails, just plain english works great. I would have written it just like you did, Kiddo87. "Alert, but disoriented to...

  20. Temperature of 91 for a Medsurg floor?

    6spdftwtm replied to mikeworksRN's topic in General Nursing

    Agreed. As a 6 yr ER nurse, I wouldn't even consider taking a patient to a MS or tele floor with a core temp of 91ºF. Whether I had the order and accepting floor ready or not. Just isn't safe. A...

  21. what are some typical ECG dysrhythmia progressions you have seen often?

    6spdftwtm replied to unsaint77's topic in General Nursing

    The first thing I do in the ER with any MI is slap some combi-pads on them. STEMI's are notorious for inducing some wicked ventricular arrythmias. They go NSR c ST elevation → VF → ZAP! → NSR...