peaches88

peaches88

ICU, ER, PACU

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All Content by peaches88

  1. ESI question

    peaches88 posted a topic in Emergency

    Had a pt present to ED... young female with a hx of splenic artery aneurism that had appointment to operate in one week with sudden onset of sharp, tearing abdominal pain that radiated to her back....

  2. ESI question

    peaches88 replied to peaches88's topic in Emergency

    Sorry for the late post. It had turned out to be an ovarian torsion. FAST exam at bedside ruled out bleeding, then she had a CT and ultrasound. I wonder now, is a possible ovarian torsion a level...

  3. ESI question

    peaches88 replied to peaches88's topic in Emergency

    My thought was that her aneurism could have ruptured, which is why I put her as a

  4. Question regarding agency...

    peaches88 posted a topic in Agency Nurses

    So, this morning, I was scheduled to orient at a hospital. I signed up with this agency in order to make some extra money, picking up per diem shifts. I show up at the hospital and nobody is in the...

  5. What to do after a rough shift?

    peaches88 replied to Brian's topic in Nurses Rock

    I listen to metal/hard rock on the way home. Then it's always a hot bubble or epsom salt bath with lavender oil, a glass of wine, and a good book (or just complete silence and nothing to think...

  6. L&D to PACU

    peaches88 replied to eaRNdit's topic in PACU

    Having worked PACU and having friends that are L&D nurses, my biggest recommendation would be to study up on cardiac monitoring, airway management, and medications. Try to see if your facility...

  7. Facial Drooping in Adolescent

    peaches88 replied to Tencat25's topic in School

    Most likely cause would be Bell's Palsy... This patient would have likely set out in the waiting room of the ED after being triaged. If you had called an ambulance, they would have complained about...

  8. Lap Chole Bundle

    peaches88 replied to emain86's topic in PACU

    I rarely have to give a lap chole much for pain. This includes three surgeons that all perform the procedure differently. Typically, we give 0.4mg dilaudid q 5 min, up to 2 mg, if needed. I usually...

  9. Just took the CPAN and passed. Ask me anything.

    peaches88 replied to muenbuty's topic in PACU

    Did you go to their test review or were you able to just study on your

  10. PACU care of pts with substance use/abuse

    peaches88 replied to wannabecnl's topic in PACU

    Also, ASPAN just posted their winter/spring conference

  11. PACU care of pts with substance use/abuse

    peaches88 replied to wannabecnl's topic in PACU

    Good collaboration with your anesthesia provider is really important. Depending on the procedure and the patient, maybe have him/her look into doing a spinal or nerve block. If the procedure...

  12. Where are all the young nurses?

    peaches88 replied to bestallaround's topic in General Nursing

    I'm the second youngest at 23. I think the oldest RN that I regularly work with (on nights) is in her late 30's. It is a med/surg floor though, so the older RNs probably work day shift or in...

  13. New Resident Admissions process

    peaches88 replied to qestout's topic in Geriatric, LTC

    Where I worked, if a new admit showed up 5 minutes before your shift ended, too bad, it was yours to do... all of it! It sucked. All paper charting too, so your hand hurt like hell after it was all...

  14. What job offer to take?

    peaches88 replied to tokyoROSE's topic in General Nursing

    Well, they would probably be more likely to hire you as a NP if you worked there

  15. Any advice on career transition?

    peaches88 posted a topic in Nursing Career

    Hello everyone! I've been working in a nursing home for the past year and a half as a nurse and for five years as a CNA. I've never worked in the hospital setting, but I just got my first position...

  16. Any advice on career transition?

    peaches88 replied to peaches88's topic in Nursing Career

    Thank you for the information! I'm really excited to start this new

  17. What job offer to take?

    peaches88 replied to tokyoROSE's topic in General Nursing

    I would go with the telemetry position. Big hospitals offer more chances to move up the ladder, they may even help you with tuition for grad school. Besides, if you already volunteer there and like...

  18. Woah!

    peaches88 posted a topic in General Nursing

    I've been reading through some posts on here and wow! It seems like EVERYONE hates their job/being a nurse. So... is there anyone out there that loves their job? I do! Things I love about my job:...

  19. scared sick....literally....need some advice here stat!

    peaches88 replied to sasha2lady's topic in Geriatric, LTC

    Go to the state board of nursing immediately (since administration isn't doing anything)! Your #1 job as a nurse is to be the patient's

  20. scared sick....literally....need some advice here stat!

    peaches88 replied to sasha2lady's topic in Geriatric, LTC

    Follow chain of command. If nobody does anything about it, go to the state board of nursing immediately. This doesn't sound like someone having a bad week, this sounds like someone incapable to...

  21. Advice please...occurrence/sick time

    peaches88 replied to babyNP.'s topic in General Nursing

    Yeah, where I work, we can't use any sick or vacation time to get more than 40hrs/wk. Definitely can't use it on overtime. It's likely to be the policy at your facility too. The way I see it is,...

  22. Need help making a decision

    peaches88 replied to scrublifenurse10's topic in General Nursing

    I would talk to the doctor that you work for and tell him about the offer and how much you would make there. You never know, he may offer you a raise to

  23. Let go

    peaches88 replied to Wonderlost's topic in Nursing Career

    Hmmm... that was pretty harsh. 1. That person should have been sent out with EMS, 2. Why do the guards have the smelling salts if they're going to be considered a medication that you, as a person...

  24. Love the experienced nurses!

    peaches88 replied to Good Morning, Gil's topic in General Nursing

    I have had some wonderful mentors too! The main thing is (for students): be open to constructive criticism! It will only help

  25. Woah!

    peaches88 replied to peaches88's topic in General Nursing

    I know... it's just a little depressing to read about all the people that are giving up on nursing entirely. It's probably scaring the students that read these forums, lol! I just thought it...