SwansonRN

SwansonRN

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All Content by SwansonRN

  1. Best Hallucinations Thread

    Caterpillars in rectum is my personal favorite chief complaint. Or when the restrained DTers call you into their room because their girlfriends had their way with them but forgot to set them loose...
  2. All in my head?

    If I had a dollar for every patient I couldn't get blood or start an IV on...I probably wouldn't need to be a nurse it's frustrating, but it shouldn't be something you dwell on! It sounds like...
  3. Pain Dilemma Customer Service?

    Is this a real story? I mean pain is pain, but unfortunately a fresh post op takes priority over a stable patient about to be discharged, so yes I would have done the same thing. The nurse that...
  4. No rapid response for a DNR?

    Never be afraid to call a rapid response. The worse that can happen is some jerky doctor chews you out (even though in this case he's wrong!) Absolutely do everything you can for a DNR that the...
  5. Awful Doctors

    Trust me, been there done that, but at the end of the day your patient is okay! The first year is a roller coaster, there have been days when I have cried my whole 45 minute car ride home. I've made...
  6. Yes, go for it! Even if you don't use it at your new job it'll show interest/initiative to potential employers :). Best of
  7. Is there any truth to this?

    I'm on the fence about this one! I agree that sometimes even low grade temps feel pretty awful. But 98.6? I really can't see myself giving acetaminophen in that instance. I may put a cool rag on...
  8. Picc Line Question

    I think the best thing is to know your agency's policy because as you can see practice varies from place to
  9. Spinal stenosis

    Well I could tell you, but then you wouldn't really be accomplishing the point of the assignment! Think about a patient that just had painful ****hint!**** surgery. Is that patient able to move...
  10. I bet that felt good to write!! And trust me I feel you 100%. I would print this out and put it in a journal, take a few days to cool off, and then write another letter calmly explaining the reasons...
  11. Is something I hear from my patients constantly. I'm petite with I guess a lot of people consider a "baby face". I am told a lot that I look like I'm in my teens. Thanks? It used to not bother me,...
  12. Picc Line Question

    Double lumen PICCs rock :) especially freshly placed and verified. Beautiful blood return and if you need to start pressors or run something like KCl or calcium gluconate you're golden. You can...
  13. Mental health days

    A mental health day and just wanting that day off for leisurely reasons are def. not the same thing! Plus workers of all professions take mental health days. Just because I'm a ~*nurse*~ means that...
  14. I left a tourniquet on someone's forearm for about...30-45 minutes. Yup! It was the end of a really lousy day and I needed to grab some blood from a LOL before report. Got the tubes I needed and...
  15. Can I ask that this thread not turn into a RN vs LPN ordeal? We get it. There's good and bad RNs and good and bad
  16. Shift change and visitation in ICU/stepdown

    We're trying to implement visiting hours. Right now it's open. I will say I think it's very important that nurses are able to give report as uninterrupted as possible. For me this means two nurses,...
  17. This sounds like a very manager thing to say. Or like a person who hasn't actually been at the bedside in a while thing to
  18. Disappointed with my nurse last night

    I think I'd be more perturbed about her not scrubbing my hub (that sounds kinda
  19. Agreed with the previous post, a common EKG change with hyperkalemia is peaked t waves. Then you'll see a widening of the PR interval and eventually you'll lose the P wave all together with a...
  20. Also be careful about witnessing wastes! You're putting your name on the line. I've heard a story about one nurse that would frequently ask for wastes on IV narcotics. Her behavior became more...
  21. I wouldn't put an NGT in a person with known varices...if a doc puts in that order, he can do it himself. That whole scenario makes me shudder. What a gruesome way to
  22. Dreaming About Work

    I have recurring dreams about forgetting about patients until the end of my shift. It gives me anxiety just thinking about it. My strangest one was my agitated, intubated patient turned into a lion...
  23. Did I write this post last summer?? I got hired straight into a MICU. Starting out as a nurse is just plain hard...lots of growing pains, lots of anxiety, and sometimes thinking that you weren't cut...
  24. Oriented. Never heard the other option. In our new documenting program I use a+ox4 for person, place, time, and "situation"...but I'm an a+ox3 person at heart, 4 things is just too much to ask, I...