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me1989

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  1. Endocarditis? Hx of recent tooth extraction, are we talking about Osler/Janeway nodes when we mention hyperpigmentation and induration? And I hate to judge, but she may have experimented with injecting some of her narcotics. Any history of heart disease? You mention the grade two systolic murmur was previously noted. Was an EKG ever done in the past? I have very little experience in oncology, so I don't know if any of her chemotherapies could cause heart damage. Did she take any antibiotics before her extraction? ICU admit, symptom management, echo, usual labs, blood cultures, Vanco...
  2. I agree. Please do share more of these in the future! It's a great exercise in critical thinking.
  3. This is really interesting. Perhaps she seized secondary to a CVA and aspirated, causing PNA and what seems to be sepsis. Looks like rhabdo too. Blood cultures, IVF, and get a dose of antibiotic in ASAP.
  4. Seriously? Why no atheists?
  5. They've already been made - they're called Danskos. :)
  6. Does she use a rolling walker or wheelchair? You could try putting it on there
  7. It's got polyester in it though. Our stinkers will stink just a little more. Polyester makes you sweat more too. Everyone will be "occasionally moist". Plus... the joy of the "mooning" episodes were an easy view of the back/behind for skin assessment. :)
  8. I had a dream not that long ago that I fell asleep during a 12 hour day shift (I work nights), and I hadn't seen or medicated any of my patients. It was the end of the shift and time to give report, and the oncoming nurse said, "it's ok, don't worry about it" when I told her what happened.
  9. Hear what? Also, "at night I dress up as a nurse" strikes me as saying night nurses aren't real nurses. Maybe I'm just letting the remarks of day shift get to me though.
  10. This wasn't about a nurse, but was really funny nonetheless. I was watching Chicago Fire and one of the EMTs was listening to a heart... And heard v-fib! Ahhh!
  11. Hi all. I'm new to a med/surg/tele unit after previously working in home care and LTC. I've gotten good reviews so far from my preceptors in terms of time management and whatnot. I feel comfortable with the IV pumps for the most part, and have had ample opportunities to start IVs. But that's about all I've really gotten to do on my own. I haven't hung blood, have no experience with NGTs, haven't had a code or RRT, or really dealt with anything other than run of the mill stuff. My manager is anxious to get me of orientation, saying that I can just ask questions when needed, but this doesn't seem right since I'll be working nights and the charge on nights has a small pt load also. When do nurses new to acute care usually get taken off orientation? I've been on for a month, eight 12 hour shifts. Thanks for any replies
  12. 5... 4... 3... 2... 1...
  13. Yeah, I've never seen that happen, and it shouldn't have. As far as I know, there's only one type of tubing that you can use with these tubes, and they're MicKey brand. If you know you're using that, make sure you're lining up the notch on the tubing with the notch on the device when you insert it, then lock it in the direction of the arrow. Make sure you're going in the opposite direction when you take it off.
  14. When I was a nursing assistant, I had a family member suggest that we do what Quickchek does with their coffee and make it fresh every 20 minutes. :/
  15. I can't believe I made a med error in home care. I feel horrible. I'm a new nurse, licensed this past August, and finally found a job in January in home care. Today I made a medication error because I'm careless. I gave an antibiotic scheduled for 3pm at 11am. I could have sworn it said 11am, but it was 11pm (it's tid). The first dose was at 7am. I feel like such an idiot. I called my supervisor and told her. Then I called the prescribing doctor who gave no instructions. Then I told the parents who said its fine, but it's really not. They don't understand the gravity of it. I feel like such an incompetent jerk. I don't know how I'm ever going to make it when I start my hospital job next month. More patients? I obviously can't even handle one. There was no system error to blame it on, just my inability to be a safe nurse. I'm so upset.

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