joyful nurse

joyful nurse

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All Content by joyful nurse

  1. Neuro Assessment Form

    We have just started doing neurosurgery in our mixed ICU/CCU. Our current documentation flow sheet only has the Glascow Coma scale on it. Would any of you be willing to share a neuro assesment form that has worked for you?
  2. Infection control issue with pts. in precautions

    Just curious. Are most of you putting respiratory MRSA in "full precautions", ie mask, gown, gloves? MRSA is contact precautions usually
  3. Does anyone have friends that "just don't get it?"

    What a great topic! Guess what- after you get out of school and are working as a nurse, your non-nurse family and friends still "don't get it!" We have sympathized with each other many, many times after an unbelievable 12 hour shift that it doesn't...
  4. What do patients say that irks you?

    THat's so funny. I started nursing at 22 yrs old and wish I had a nickel for every time I heard, "you look too young to be a nurse!" Unfortunately that was 29 years ago! I haven't heard that in a little while! ENjoy it!
  5. How Long Will You Nurse?

    I'm 51, have been in nursing since I was 22, I have no desire to quit other than the physical demands of the job. I'm in ICU, but it's a huge, poorly designed ICU-my feet and legs hurt so bad last night I had to concentrate not to limp! And I'm in ...
  6. Propofol

    As I understand it, most State Boards of Nursing address this issue as far as under what condtions, and what training an RN must have to push Propofol. Otherwise I agree totally with the earlier writer who said," You don't know what you don't know....
  7. Our Own Misconceptions

    How frustrating and sad. And sadder still to realize that this same scenario is being played out everyday to other families. I've even wondered before if there could be a role for a family nurse consultant, to help families avoid things like this. ...
  8. Ever felt like a MORON

    You're Hilarious! I've had the same exact response before, except I had been out of nursing school quite a while! Like having a very intimidating cardiologist staring and fuming at you while you try to set up the balloon pump the frist time by your...
  9. Please HELP - case study

    There is a syndrome called Shy-Draeger's that is a progressive neurologic disorder that keeps the vessels from vasoconstricting in response to activity, etc, and often will present with syncope, low BP, etc. Usually diagnosed by neurology, but I th...
  10. How best to move an entire ICU to newly constructed building???

    Oh my gosh, I feel for you! We went through a terrible move 3 years ago for our step-down unit, and are moving the ICU this week! My biggest advice is to ask all different disciplines for review of your plans. Our first move that didn't go well, t...
  11. LPN in ICU?

    Our ICU just phased out last LPN, that had been "grandfathered" in. She was given a few years to go back to school to finish her RN and didn't follow through. We don't hire LPN's and can't even use agency LPN's.
  12. What would you do if diabetic pt. has 14 blood sugar.

    I've seen many patients go into coma or even arrest from low blood sugar, sometimes while a nurse is dilly-dallying or not moving fast enough, but I've never seen a patient hurt from receiving D50
  13. new students - what do you fear most?

    All you students hang in there! My family died laughing when when I went into nursning school. I was scared of needles, scared of all procedures, fainted(really) when I saw blood, and cried every time I saw something sad, which of course was every ...
  14. Nurses Who Shouldn't be Nurses

    :rotfl: There's nothing wrong with making money! Most nurses deserve what they make and then more! In my 25 yrs experience patient complaints go up when the workload is unrealistic! On the other hand, if a "bad apple" nurse comes along that ignores p...
  15. ortho patient load

    You need to find another job.
  16. Question about crystal meth

    We're having an increased problem in S.C. One of my friends sons just got put in jail for dealing it! I did some reading on it, and one reason it's so bad is that the addictive effects stay in the body longer than some drugs, so the addicts have to...
  17. Can your RNs insert Dobhoff tubes?

    Some institutions require "credentialling" because they are considered higher risk due to the sylet and the fact that and X-ray is the only way to ensure that they are not in the lung in an unconscious pt. Also some say that there are some tricks to...
  18. Compare specialties!

    I'm going to post the first one at our coffee pot (dr.'s gathering area) in the AM
  19. How attentive should L&D nurse have been?

    Thanks for the reply, that makes perfect sense-I bet they did have centralized monitoring. And she really was doing great, the room was dark, and everything was calm and went just as expected, except that she did finish up quicker than they had anti...
  20. How attentive should L&D nurse have been?

    A question for my L&D nurse experts-(I'm ICU so I'm out of my expertise area.) My daughter-in-law just delivered our first grandbaby this week, and I was surprised at how little she saw her nurse during the long night. Even after she was 8 cms ...
  21. Where are all you SC nurses?

    Hi, I'm from Aiken, older nurse, but fairly new to AllNurses, didn't even know we had a SC forum!
  22. Your opinion on HOSPITALISTS.

    We love ours, we have 4, 3 of the 4 are board certified intensivists/pulmonologists, also, so as you can imagine, they are a huge help. I heard a rumor that the hospital financial big wigs were considering eliminating the service because they found...
  23. Traumatized by nursing - advice needed

    Please don't give up. I have been a nurse for over 25 years, and have been involved in developing orientation programs and preceptorships for the last ten. Also I have done a lot of hiring and interviewing and counseling of new nurses. Anyway, my ...
  24. Nurses and doctors...

    I don't think it's as bad in the ICU
  25. Interesting discussion. I've done ICU nursing for over 25 years in Texas and South Carolina, and I've never been asked by a patient "are you saved?" I did become a Christian in my mid-twenties, after having been an agnostic. Before my conversion, ...