peaches88

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. HR 150 and BP 90/45. Diaphoretic and tachypneic. I...

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 1? Testicle pain is a level 1 because it can cause...

My thought was that her aneurism could have ruptured, which is why I put her as a 1.

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 classroom area. So, I wait around until it was sc...

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 about).

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 has a PACU med order sheet and then focus on studyin...

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 the bill. Let me know if you find out what it was,...

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 end up giving 0.4-0.8 mg total to a lap chole in ...

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

Also, ASPAN just posted their winter/spring conference dates!

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 wouldn't allow for those options, sometimes our anesthesi...

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 specialty areas. It does sound that you must work in a p...

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 done and if it didn't, then you probably forgot so...

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

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 working the Med/Surg floor at the local hospital. ...

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

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 it, it seems like a safer bet in terms of liking y...

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: (in no specific order) I really feel like I help pe...

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 advocate.

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 taking care of patients. Actually, I would go the the...

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, you didn't work, so you don't get paid, but idk... ...

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 stay...

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 trained to dispense medication and they are not, ca...

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

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 couldn't hurt to have a positive post on here, nursing is...