TX.RN.Shannon

TX.RN.Shannon

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All Content by TX.RN.Shannon

  1. Pets- and nursing overnight

    I can't give much good advice---I have only a grumpy female kitty right now. She really gives zero cares about my schedule, as long as I feed her before and after work! She sleeps with me all the...
  2. Question about nursing diagnosis?

    Even though he wasn't showing S/S and was ready to go home, I would choose a diagnosis related to his COPD or CHF. I haven't looked over official 'nursing diagnoses' recently as I have been out of...
  3. Can a LVN be a charge nurse

    I live in Texas and have worked as both a LVN, then transitioned to a RN (ADN). During my nearly 20 year nursing career, I've worked in a few nursing home/LTC's, as a floor nurse and weekend...
  4. Detox Nursing- Abd cramps

    A hot shower or warm packs/heating pad can be useful,
  5. Curiosity

    Umm...like to beat your UDS? Surely that's not what you're asking? I'm just gonna sit back and
  6. HIPAA Violation, Fired

    Yep! I still have to remind myself of that, even after all my years in
  7. PMs in PACU

    I abhor the PM/evening shift. It is killing me, and that's with a wonderful & supportive hubby and one responsible teenager. I am actually working out my notice to get off the shift; although it...
  8. Medications for a dying patient

    I would love to help you, as would lots of others members. But we need your help too. Lots of students just want easy answers, which has made most of us really jaded. Give me (and other members) some...
  9. Resume after quitting.

    But wasn't this your first nursing job? It may actually be easier to land an interview and get a job offer with that experience (however short it was) under your belt. If you don't list it, you'll...
  10. I was making 68,000-70,000 per year in last 3 Home Health jobs as FT Case Manager/Field RN. This was 3 years ago. I don't know how much extra you can do but don't think you will be anywhere near your...
  11. E. Coli outbreak and symptoms

    I was hospitalized a few years ago with a severe gastroenteritis that was related to e.coli (ended up with positive blood cultures). My symptoms started almost 12 hours after eating
  12. The good, the bad, and the ugly

    Actually, I have "herd" what a gentleman is. I used the word here with just a wee bit of
  13. The good, the bad, and the ugly

    The good: no falls, no incident reports. The bad: lots of flu, so lots of isolation rooms. The ugly: being told by a totally lucid gentleman, "honey, just scratch my balls a little
  14. Preparing for my first day as a Nurse!!

    First of all, congratulations! If it's a med surg/tele floor, get ready to hustle! The shoes and scrubs/hose thing is something you'll have to figure out. I don't wear hose because I am too hot...
  15. Hospital approach to influenza

    Currently, our hospital only swabs those symptomatic or exposed to someone that has tested positive. The only exception has been at a residential facility in our town---all residents on Tamiflu and...
  16. witnessing a DNR

    In my institution, an Advanced Directive (being written by a competent, appropriate PATIENT) is witnessed by 2 people when signed. Basically, the witnesses are signing only that they saw the document...
  17. How to choose which PRN blood pressure med

    It sounds like this patient had a life-ending event and nothing you gave or didn't give would've changed that. If I have a situation where there are different PRN meds, I try to look at the whole...
  18. New use for Visine???

    I recently had a young patients who admittedly used many drugs---nicotine, alcohol, marijuana, meth, cocaine. He was admitted and among his belongings was a full bottle of Visine. I asked him what he...
  19. New use for Visine???

    Made no sense to me either. But since I work in a rural area with a pretty limited exposure to illegal drugs, I thought I'd
  20. New use for Visine???

    Thanks for the
  21. need advice/help for 2nd hospital interview

    Congrats on the call-back! And good luck!!! I guess that I would not volunteer more than necessary until you actually have the job or an offer. And I wouldn't want to possibly negatively the...
  22. Extreme Lab Values

    Have had a few recently that have caught my atrention. **INR of 13! Gasp! **TPNI over 12---never seen it that high **BNP in high 60,000's **Na of 103---walking, talking pt., just "weak" Got any to...
  23. Would you do this?

    This situation came up at work a few shifts ago. Had 20ish year old admitted for acute appendicitis. All meds IV or PR since he was NPO for surgery. Next day--surgery went great, tolerating clear...
  24. I was getting kinda grossed out thinking about doing this with some of my patients...until I saw the NICU part.
  25. Bad things happen in 3's?

    Do you believe that "bad" things happen in groups of 3's? Deaths, falls, codes, etc? I sure as heck do! Had 2 deaths over the weekend. Wonder if the next one will happen before I go back to