Can any one explain to me a little about ETOH neb tx? A google search came up with absolutely nothing except some bars and individuals using it a new trendy high (what next...) But I'm asking about ETOH included or given alone as a part of respirat...
MissJoRN replied to RNinJune2007's topic in Pediatric
I can't live without my peds scope. I don't like assessing a small child with an adult scope. As the PP said, it can cover the whole chest, also, I don't think you get good contact due to the curvature of the child's chest against a larger flat sur...
Picturing myself wheeling a guy who happens to be sitting on the commode (with his hairy butt sticking out) down the hall to store him in a closet until the fire alarm is over... Seriously, no. Not OK. We've kept pts in the treatment room, day room,...
Unless Mom is on bedrest there's no reason she can't work if she wants to. As I hinted, I worked on my due date (Silently grumbling everytime I heard the lullaby played on the intercom for other babies) and I worked the day before my baby was born t...
I lost my first post. The summary- Maybe it was just the way my baby was positioned but I needed elastic. In the OR, I either wore a BellaBand over bigger pants or looped an elastic band around my back when I got too big for the BellaBand. (My Be...
Our meds are seperate but we keep pretty much back-up stock. Not nearly as much as Mat though where most pts get the same meds. Not only is everyone on different meds for a variety of dx, the dose is tailored to weight- so forget grabbing stock ant...
Where ever I've done private duty in PA schools they are "Health aides" or "Health room techs" Actually, even RNs cannot be called "School Nurse" unless they are cetified, here. The complete opposite is that I've had teachers refer to me as So-and-s...
Ugghhh, I don't know why but I got an abusive vibe just from the way he first spoke to you. I'm sure he's hate for his wife to find out that there might be nice men in the world. I think Dayray has a pretty reasonable approach going on. By the wa...
I'm interested to hear how everybody handles all those extra people in the OR. When a pt is in any other hospital dept they meet everybody involved in their care- students, interns, job shadowers, etc. They have the chance to be upfront and say, no- ...
Our hospital changed policy- we're not giving it any more at all. If they do want you to give a 15 min push- can they get a few bard pumps for you? Our hospital only had them for peds but I used them a couple times for adults who needed slooow push...
thanks, mike. and if anyone else is interested, this is the ama standard. i'm off this week so i don't have an aorn standards handy- i'll look into that when i go back. e-8.087 medical student involvement in patient care (1) patients and the public...
MissJoRN replied to medsurgnurse's topic in Emergency
Don't think that didn't cross my mind, that's part of my reason for saying "assuming". The story is most memorable to me, the other details, not so much. I seem to remember this kid not being a frequent flyer. I'm also pretty sure parents did not ...
MissJoRN replied to RedHead23's topic in Pediatric
I assume you're looking at St Chris's, too? I've had homecare pts and family at St Chris's, CHOP, and DuPont and I prefer St Chris. I ran into an aquaintance there one day and found out she works there and loves it. I has a community hospital feel...
Unfortunately common courtesy may be as common as commen sense. That's why we need policy committees and I'll be bringing this issue up with ours. Typically, out of common courtesy, we do introduce and ask, but there are times that the educators bri...
I'm taking a self study trach vent course for homecare, I found several resources but can't find any real info on the circuit- set up, parts, etc. Maybe I'm worrying too much about varient details, but I'd like to know what to expect before the hand...
MissJoRN replied to Nursonegreat's topic in Operating Room
I invite your doctor to follow the trend and start his own surgi-center or private hospital. And not to hold his breath waiting for the patients to come flocking in. As far as preop paper work, I don't think that needs to be skipped. All the pts ca...
MissJoRN replied to luckyduck7's topic in Operating Room
I really like orientation grouped by specialty- yes, you still get bounced around co-workers- some say always do it like this, the next says What! Who told you that? Never do it that way. But at least you see patterns with the types or surgery, et...
I don't have a problem with a dr not being able to read a strip or some other skill he rarely uses. It's OK, that's why we have specialists and hospitalists. I do have a problem with him not being able to admit that to himself an others. "Hey, tha...
MissJoRN replied to PACNWNURSING's topic in Operating Room
Ooop, thanks JWK! If I'm going to nit-pick, I need to nit-pick my own post, too! Thanks for pointing that out. One of those things I "know" but wasn't attentive enough. (And you are an AA, correct?) We use LPN anesthesia techs and OJT techs. Non...
MissJoRN replied to PACNWNURSING's topic in Operating Room
Not to be nit-picky but you would be an "anesthesia tech"- assist the CRNAs and MDAs by setting up equipement, go-for ing, changing circuits, cleaning equipment, doing accu checks, hemocues, provide extra hands during intubation, sometimes start PIVs...
Hey, what about the things the patients are saying? I treasure my OB because he suspecialized in endocrinology. A co-worker once questioned why I would go out of network and pay my office pills out of pocket. Just change Drs, see Dr Smith. I said...
I'm skimming this post and had a few thoughts- I started in a smaller/midsize hospital- it can be stressfull too. There a fewer procedures but being prepared to be on my own meant being prepared to take call independantly and some of the most importa...
You have ever been taped snuggly to a kids IV because your friend was so eager to secure it before the wailing toddler dislodged it or because he was thrashing so hard she couldn't even see where she was taping. Either way, frget the armboard. You ...