jkr2020788

I know this topic will differ greatly from hospital to hospital. I am a nurse that has been working in ER/ICU for almost 3 years and have never worked on a general nursing floor. The way my ER sends patients up is fairly straightforward. ER doc calls...

It's not about being perfect. It's about ensuring that I dont take any shortcuts. Everything at the hospital is made to where if you don't take shortcuts, you will be okay. Please give me an example of a time when I do everything according to policy,...

I have ADHD an take adderall. First off, if you have a prescription, they shouldn't ask for a reason, although I'm sure in your paperwork they said to list ALL medical conditions. ADHD is a medical condition that should be listed. Second why are you ...

I agree with the osmolality poster.

I would follow up, but only to give yourself a sense of really knowing. As long as you didn't get the fluid in any open cuts, you should be okay. The only possible place to transmit would be orally or through ocular contact( low incidence) if not thr...

Generally speaking, as long as you do everything you are supposed to do including looking up drugs, following orders, ensuring the 5 rights, and documenting correctly you should be okay. If you feel like you might not do these all the time, I think y...

One of the good things about documentation in the ER is that it is usually aimed at fast documentation. At least at my hospital it is. As far as what you should be concerned about is more about good primary assessment skills. On the floor, the intial...

I absolutely hate bed baths. It is my ONLY dislike in the ICU. At my hospital, the patient has the right to refuse a bed bath or they can do it themselves if they want to. You had better be sure you offer it though, because the next nurse will someti...

A patient that I was taking care of a couple weeks ago was having a CHF exacerbation. He was on Dopamine, Levophed, Neo-synephrine, vasopressin, all of these were at max dose. CVP was 24. I continued to call the MD about the 0 urine output, MAP of lo...

I do rude things all the time without realizing it lol. Alot of times you say "oops haha, that was dumb", but you realize that you are human too. Like the other day, I forgot that I told a pt they could go ahead and get dressed after being discharged...

I could never where a fanny pack..... I think I would lose a couple man points for that one haha

I think the Aspirin, gloves, guaze, tape, kerlix, and the oxygen (maybe Im not sure, still considered a "prescribed" drug, wierd huh?) are about the only things you will need. Aside from the AED, which I definitely do not see why they wont allow it. ...

Well to me, it would really depend on how much you owed. If you did the math of how much "extra" you are getting by them paying for your stuff and it was a substanial amount, I would think about sticking it out. If it wasnt a good amount of money, I ...

Unless you were taking an amount WAY over what you should have been, you should be fine. There is a "safe" cut-off for OTC motrin that makes you not test positive on drug screens. Next time, I would take the prescribed amount that is on the bottle to...

First off, I would check your hospital's policy. Alot of places say that they have the right to search anything on the campus. Now whether it was legal to not tell you that they searched your locker, I don't know. I would definitely talk with your nu...

What i think you should do is to go get a job in ICU or ER. You will not only get alot of experience, but it will help you if/when you decide to go back to school. Schools (here anyway) like to see that exp. If new grads can get hired into ICUs and E...

My hospital uses this to treat all of our ACLS nurses. I like everything about except for the little red x's they put next to all of the "extra" things even if its not wrong. I did however play around with all the drugs you can give on one of the sce...

cubsfan- I believe he is refering to there being seperate groups that stick together in the ICU (more experienced stick together, little experienced stick together) without there being much interaction between the two groups. I definitely agree that ...

I suppose, it just seems crazy that it wouldn't have been at least a try, instead of flooding the patient with more and more fluid. no swan, the MD is somewhat new, and isn't looked very highly on. Oh well, next time I will push alittle harder for so...

I would definitely sell yourself on your EKG ability. Alot of patients in the ICU have some kind of heart problem. Being able to recognize EKg changes are an important skill of an ICU nurse. Since there are a lot of comorbidities associated with hear...

it is to prevent anaerobic metabolism. If left room temp, the value would be lower than expected.

Going back to the hospital will be a slight challenge if you are not up to date with all of the new techniques used. You will however have a slightly easier time than a new grad, becuase you have already had some exp. I would def go back inot the hop...

With many head/neck/spine injuries there is a lot of inflammation. One of the reasons that it is so hard to tell just how well the patient will do in the long term is becuase of the inflammation that occurs. Alot of times, as inflammation subsides, t...

(1ml=100 mg in a 10%solution im pretty sure?) During emergent hypocalcemia- 500mg-1000mg IV over 10 mins, for arrhytmias- 500mg-1000mg IV q10 prn 0.5ml-1ml/ min, for hypermagnesemia 500mg, 0.5ml-1ml / min. For cardiac resus- (check it before doing i...

Well there are definitely ways to go around the poop. You could be a surgical nurse, they rarely if ever deal with poop. also PACU rarely sees it, considering bowels usually move slow after surgery. Another less common place is in the ER. You get it ...