musingmom

So is anyone trying to incorporate the new recommendations and definitions into their current sepsis protocols? If so, how are you reconciling the CME core measure reporting requirements that are based on the outdated info?

I gave this last week: 60 mg of solumedrol was the order, and the Pyxis gave me 2 vials of 40mgs in 1 ml. If I call the pharmacist, she will tell me how many mls to give, but since I am ultimately responsible for what the patient actually gets, I sho...

We typically get an order such as Fentanyl gtt, titrate to CPOT of 1. I have seen target scores from 0 to 2, depending on the patient and circumstances. It's almost always paired with sedation, for which we use a different scale.

The other option not already discussed here is the entry level masters. If you are sure advanced practice is where you want to end up, check it out in your state. There will be those that say you need bedside experience before you move to advanced ...

Three times in the last year I have dreamt that I was getting a central line, in my ICU, by one of the fellows. Three times. Always in the RIJ. I'm 11 months into my new grad year. Please, no more central lines.

At the risk of generalizing a people group and some specialties: I have several friends with asbergers. Their attention to detail and ability to make critical thinking connections without bias would make them excellent nurses in critical care and/or...

When asked why the unit was hiring, the interviewer said that recently the entire night shift quit all at once.

I can't find any info on the prevalence of immune compromised children in schools, nor can I determine your exact definition of "immune compromised." Your link does not shed light on any of that, nor does it even mention the exposure of immune compr...

Last shift: I got called to a (intact motor function) patient's room because he wanted me to fix the temperature. Ok, that's plausible, often in order to get the wall thermostat to work we have to call engineering. I asked if he felt the room was t...

Um, yes. I believe it is standard practice to keep children undergoing chemo out of school while their white count is down. Do you have different info? And yes, children with HIV can receive some vaccines, and are not always considered immunocompro...

Actually, unvaccinated children were not responsible for the outbreak, or at least they were not the only ones responsible. It turns out that when we switched from attenuated to conjugate vaccines in 1997, we needed to have also added a booster. So...

"This is just saying that if your child is going to go to public school, they can't put other kids at risk." (Sorry I don't know how to use the quote feature that shows the author on my phone.) I don't like this rationale. Before I go on, my kids are...

I was an EMT before becoming a nurse. The EMS standard for an out of hospital birth is largely to DO NOTHING. Make sure baby is breathing and keep it warm, preferably on mom's skin. Otherwise, don't touch anything. Transport. Turns out, nature pretty...

My school had a maximum number of units you could have "in progress" in order to be accepted. So, you need to contact the school and ask if you need the required units at the time of application, or if you only have to have them by the time you start...

I've looked through the sticky at the top, and I'm not sure how this should be address, if at all. Annual, mandatory employee training: there is homework assigned which included some short answer questions about how the RN is implementing core value...

I did nursing school with a newborn. It is definitely doable, with a lot of support and organization. I agree with a lot of the previous posters, so I won't repeat what they've said about the newborn period. Here's a few other things to consider: Yo...

Tequila over here... My mother in law suggested it for my teething baby. I rather thought that if I just took a couple of shots myself, I wouldn't care if the baby was teething. Just kidding. Sort of.

The nurses of USC wear cardinal scrubs every day. All 1200 of them. (I don't know these people, this photo was from another AN post).

Can someone clarify: hasn't the OP fulfilled any "duty to report" by reporting to her manager? The duty to report doesn't extend to "duty to assure action" which of course we can't... But is there a further duty besides reporting to the manager? Does...

I don't know the law (either criminal or employment) in your state. If this was happening in my state, I would advise you go directly to your own doctor and get a medical leave of absence for stress; PTSD, whatever they will call it. In my state th...

I've followed this case since the video first got shared online, since I am a member of a birth advocacy group and an unofficial birth junkie. Having said that, like Red Kryptonite, I can never work in OB because "I'd do murder in my heart," every s...

The woman in the video served the MD in a lawsuit today, alleging assault and battery, according to the Improving Birth website that initially posted the video. The lawsuit comes after a fundraising and nationwide search for an attorney that would ta...

It is a tale Told by an idiot, full of sound and fury, Signifying nothing. - Bill @ the Globe

Suit, unless given specific instructions otherwise.

Business formal. A suit. At least, a jacket.