RN and Mommy

RN and Mommy

Ortho/Neuro

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All Content by RN and Mommy

  1. Pathophysiology Help!

    Who else is taking patho this semester? I have to say that I think this is my most hated class! I just thought that whoever else is taking this could support one another and be available to help eachother. Let me know what you guys think!
  2. Question about COPD and Oxygen

    How much oxygen is too much for a COPD patient? We had a patient who was on 3 1/2 liters NC who insisted she be brought up to 5L with activity. I though that a COPDer should only be on 1-2 L because too much oxygen can knock out their drive to brea...
  3. Yes, I have once. I was taking care of a patient and at the beginning of each shift I always check the meds the patient is on and note it in my report sheet if sliding scale insulin is ordered. On this particular patient I apparently missed it and ...
  4. Anyone An Ortho Certified Rn????

    I would ask your nurse educator or equivilent if they have any information about the certification. Here awhile ago, we had classes going to Geriatric Nurse Certification. They have classes for 6 weeks to prepare you for the certification exam. I r...
  5. Should medication aides exist?

    Way back when, I used to be a Med Aide. This was my very first job in health care. Back then, I had no idea what any of the drugs were used for. I had no business giving them. Now that I am an RN I know how important it is to be familiar with the...
  6. How does one become charge?

    On my unit, the charge nurse is someone who is basically considered a resource person. Someone who is knowledgeable about not only patient care, but also policies, staffing issues, and the physician preferences. When they are looking for a new charg...
  7. How many patients are you assigned?

    i work days and we are assigned 6-7 patients working directly with a cna who only has the same group of patients as i do. it is busy, but generally ok. eta: i just realized i already answered on this thread! i have been away for too long!
  8. Coumadin vs. Lovenox after joint replacement

    a lot of our docs actually use both coumadin and lovenox. we start coumadin the night of surgery and then the next day lovenox is initated. we discontinue the lovenox when the inr is 2.0. the patient will then go home only on coumadin unless there...
  9. ortho/neuro GN

    i think it sounds like great orientation. i wish that i could see the actual surgeries that the patients get done. it would be nice to be able to say, "well, during surgery they position you in this position, so that may be why..." i don't know. ...
  10. Self-scheduling?

    we started self-scheduling quite a few months ago and i love it. i was weary at first, but it's worked out great. here is how ours works: we are broken up into three groups (depending on your pre-scheduled weekend) and then all three groups take ...
  11. end of shift report

    [color=deepskyblue]do you tape your reports? we do and i found that i had to actually write my report out for the first couple weeks and read what i wrote. it worked well for me and now it comes naturally!
  12. Difference in ADN vs BSN classwork?

    These are the additional classes required for the BSN where I went to school, in addition to all of the ASN requirements: MTH 242 Statistics 3 hours BIO 366 Pathophysiology 3 hours NUR 312 Health Assessment 3 hours NUR 453 Leading and Managing in He...
  13. Going Back to work on Monday!

    [color=deepskyblue]hi everyone! i haven't posted in some time, but now i need you guys! i am going back to work on monday after being off on maternity leave for 8 weeks. i am nervous. i have only been a nurse for 1 year and now i feel like i have...
  14. Going Back to work on Monday!

    [color=deepskyblue]i probably could, but financially it wouldn't be possible. i have already used all of my pto time on my maternity leave.
  15. LPNs glorified Techs?

    In my facility (midwest) we don't really have LPN's either. There are just like 2 that I am aware of and they work on the rehab unit and are often floated as nurses aides to other units.
  16. Help..RN-BSN Nurses

    [color=deepskyblue]i just finished my bsn in may 2007 and i completed my asn in may 2006. i worked full time while completing it. my school was big on promoting that the bsn program was only 1 day/week. yeah, true you attended classes one day/week...
  17. First year in nursing and 1st pt to pass away on me

    [color=deepskyblue]i have been a rn now for just over a year and had 3 deaths and 2 near codes within probably 2 months. it was a little freaky! luckily they were all dnr patients and their deaths were somewhat expected. it was weird though to fin...
  18. UGH what do you think?!>?

    [color=deepskyblue]well said! there could be many causes for her change in status!
  19. UGH what do you think?!>?

    [color=deepskyblue]i would not have let the lab draw the blood cultures. it sounds to me like they were just being lazy and didn't want to come back up. for a temp of 102.4 i would have notified the md and asked if they wanted blood cultures. les...
  20. To aspirate or not to aspirate

    [color=deepskyblue]we use the insulin pens, so no we can't aspirate. i think i remember being taught in school that aspiration for insulin was optional. either way is correct.
  21. "let loose the nurses of war"

    [color=deepskyblue]this was great! thanks! you know, the clinics do not help this either. the clinics (who are owned by the hospital) have on their "nurses line" ~you've reached the nurses line. please hold and a nurse will be with you shortly~ ...
  22. An interesting question about product placement

    [color=deepskyblue][color=cyan]we actually have a doc with one of those gold stethoscopes. he also wears gold chains and cheap smelly cologne. he looks like a pimp.
  23. [color=deepskyblue]we use cerner in my facility and i really think it's a good program. the information is easy to find. there is a list of your patients with the tasks that need to be done for each hour listed out for you, medications are shown as...
  24. Tattoo's and nurses

    [color=deepskyblue]i have five tattoos, but none are visible. i think it would depend on where they were and what they were of. i don't think they'd take too well to a big skull and snake on your neck or anything.
  25. What is the dumbest order you ever read?

    [color=deepskyblue]i got an order on a post-op patient, some gi surgery (can't remember now) and she was strict npo status with a ng tube. well, she has a pca and it was set to demand only and the patient wasn't even using it, but i left it there ju...