canned_bread

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All Content by canned_bread

  1. canned_bread

    How early is too early to give a PRN med?

    canned_bread replied to luckynurse_1234's topic in Patient Medications

    Depends on the drug and the potential for side effects. If its an anti-emetic, then sure, maybe up to 30 minutes early. Low side effects risk for most patients. If it's pain I evaluate why are they...
  2. canned_bread

    Terrible Medication Error

    canned_bread replied to rekea526's topic in Patient Medications

    The important thing is you learn, and that you feel. You do both. You have learned, and you feel sad. If you didn't care, I would be concerned. Mistakes happen, it's part of learning. Babies fall,...
  3. canned_bread

    Tylenol ordered for pain.

    canned_bread replied to gouranga's topic in Patient Medications

    You did the correct thing and the doctor is a bum hole. 1) The fever needed to be reviewed. Fevers are bad. 2) Tylenol was for PAIN. Not FEVER. Many medications have dual usage. Anti-psychotics for...
  4. canned_bread

    Will green skin hurt my career?

    canned_bread replied to hppygr8ful's topic in Nursing Professionalism

    Just walk into the interview with confidence and you will be PERFECTLY FINE. Nursing is all about confidence and making patients smile, so basically you will do that naturally now. Also, you will...
  5. canned_bread

    Nurses with ear piercings

    canned_bread replied to hshuang's topic in Nursing Professionalism

    Earrings should be fine, as long as they are not dangly and you look professional. Tattoo can come of as unprofessional, but some places would be fine with it. My hospital would not tolerate visible...
  6. canned_bread

    Job Hinderance vs. Just Annoying?

    canned_bread replied to unbalanced's topic in Nursing Professionalism

    Perhaps you could ask the secretary to tell the patient on the phone that they are to wait by the phone. If they do not pick up the office is to assume that they have taken themselves off to hospital...
  7. canned_bread

    How to deal with an aggressive dementia patient

    canned_bread replied to Emily456's topic in LPN, LVN Corner

    It sounds like classic sundowning (google search it). I would ask the doctor for a sedative or anti-psychotic to be given at lunch. Even tabulate your experiences for the doctor. Make sure you chart...
  8. canned_bread

    Cleaning up lines

    canned_bread replied to nursingjudgment's topic in Critical Care

    Oh my - the dreaded spaghetti lines I call them! So, with the lines connecting the patient to the monitors, I unplug them one at a time from the monitor (beep beep! says the monitor), thread it out...
  9. canned_bread

    Baby RN's running ICU?!!

    canned_bread replied to kmarieCCRN's topic in Critical Care

    Wow, no! Day shift we occasionally have one or two new grads, and then we have some second years and what not. But the second years, if they are there, are the good ones. This is a concern I would...
  10. canned_bread

    Fluid bolus by gravity or pump?

    canned_bread replied to delphine22's topic in MICU, SICU

    Hi, I think it kind of depends on why and where you are. In theatres, we usually don't have bags on a pump, but instead gravity with the ability to push it in with a pressure squeeze. On the wards,...
  11. canned_bread

    Kicking out visitors during report

    canned_bread replied to delphine22's topic in MICU, SICU

    I say "Hi, *introduce myself if haven't done already*, visiting hours have finished until such-and-such-time. Would you like to go downstairs to our foyer and get yourself a cup of coffee? You can...
  12. canned_bread

    Fishing for a baby vein?

    canned_bread replied to sassynerd's topic in PICU, Pediatric

    Baby veins can be really really hard to see without technology, and honestly sometimes if you really need a vein, that is all you can do. It is of course, painful, but the best thing is to get it done...
  13. canned_bread

    Unit Manager wants to create a Step-down Bed, we think it's a terrible idea. HELP!

    canned_bread replied to WVRN2014's topic in PICU, Pediatric

    I have not been in this situation, but I am glad that you are finding it troubling, because by what you describe, it has a high potential for something to go wrong. If I was in your position I would...
  14. canned_bread

    Hematoma after heart cath

    canned_bread replied to Nellie Nurse's topic in Cardiac

    Great questions, and just so you know, I reckon you should ask the cath lab to do an inservice in response to this. I am sure they would love to. Yes - continuous manual pressure on the area. Keep...
  15. canned_bread

    Office Triage with a BOOKED schedule

    canned_bread replied to HayMA's topic in Cardiac

    My first thing is I am concerned that you have the responsibility of triage. If you give the wrong advice, it falls onto you and your business. Legally, I just wouldn't think it would be allowed. That...
  16. canned_bread

    Overwhelmed

    canned_bread replied to nurse482488's topic in Operating Room

    When I first started, I was exhausted, both mentally and physically, and cried a lot! You are not alone! The change of shift is hard, and also you are working your brain at 100% all the time - it's...
  17. canned_bread

    Drying Chlorhexidine

    canned_bread replied to PNW_NPstudent's topic in Operating Room

    Fanning it would cause air particles to drop onto the area, it is poor infection practice. This is the same for "shaking hands out" after scrubbing, it's a no no that I see so often. In our facility...
  18. canned_bread

    Don't like assignment

    canned_bread replied to bluedragonfly13's topic in Operating Room

    Do you have an educator or someone like that that you can talk to? How long have you been there? Perhaps they want you to watch and learn and then go from there? I am surprised you are told to sit...
  19. canned_bread

    Questions for Rad nurses!

    canned_bread replied to AnnieOaklyRN's topic in Radiology

    Hey there! I worked in ED for 3 years prior to becoming an RN in the cardiac cath lab (CCL). The skills that I gained in ED (fast moving, fast thinking, rush rush rush get it done get it done,...
  20. canned_bread

    Interested in Radiography

    canned_bread replied to fcp4life's topic in Radiology

    Hey - I work in a cardiac cath lab in Australia. Our nurses, prior to entering the cath lab do not require radiography degrees in any way. They are simply nurses, who get trained along the way. Some...
  21. canned_bread

    Metformin IV contast

    canned_bread replied to truckinusa's topic in Radiology

    We advise patients to cease metformin 48 hours prior to the scheduled contrast injection. This is because we have seen (and also done our own studies) of higher creat if we didn't, indicating kidney...
  22. canned_bread

    Question on reacting to tachycardic afib

    canned_bread replied to DatMurse's topic in Cardiac

    It is not an emergency. In fact - a lot of people have AF and don't know about it! It's only scary to untrained eyes really. It's a chronic health issue, and it takes a while before heart failure etc...
  23. canned_bread

    Ventricular Tach -- when to call the doc

    canned_bread replied to StJohnRiver's topic in Cardiac

    I would check for reasons, but I would not panic unless it was sustained and the patient was unconscious. We sometimes deal with patients who are in VT but CONSCIOUS and stable. The definition of VT...
  24. canned_bread

    Wrist tattoo in Nursing

    canned_bread replied to futurenurseLisa's topic in PICU, Pediatric

    I have tattoos. Turns out that due to "discrimination policies" they can't do anything about it. In the job interview I covered them up
  25. canned_bread

    Berlin's and toddlers

    canned_bread replied to umcRN's topic in PICU, Pediatric

    How horrible. In our PICU, we have volunteers (we can have "special requests if the nurses call down to the volunteer dept") for active PICU kids although this is rare to happen. Also, I ask childlife...