SwansonRN

SwansonRN

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All Content by SwansonRN

  1. Do you think?

    1) there certainly was for me, but I think it varies in every situation. I also think new grads need to put forth a certain amount of effort themselves in order to get the resources they need. No...
  2. I would rather that than be called "ma'am" Ughh that one sends shivers down my spine. My routine is ask what they like to be called and use that name exclusively. Once my friend got completely...
  3. I feel like ****...

    When I was in school I didn't have any friends in my nursing program the first year (prerequisites, A&P). By graduation my only friends were nursing majors Clinicals are actually a great time...
  4. Bipap and oral medications

    In the ICU our doctors order PO meds all the time on our continuous BiPap patients (much to my annoyance at times). As long as they're awake and able to swallow and the mask isn't still half on it...
  5. DNR status and therapeutic hypothermia

    I don't really understand. TH for post ROSC for someone who is DNR? Were they made DNR after they were resuscitated? Or were they found down and resuscitated in the field before their code status...
  6. Mistakes Are Inevitable: No One Is Perfect.

    I needed to read this, Ruby, thank
  7. HELP! Masking the smell of feces!

    Some smells never get easier to tolerate. GI bleeds come to mind. I'm in agreement with peppermint oil. It's more discreet than spraying air freshener, which I fear would embarrass the patient....
  8. Case study of sorts

  9. Case study of sorts

    Seems like impending respiratory failure, I would anticipate this patient getting tubed if they were coming up to me. HR and BP elevated d/t catecholamines. Did you see the
  10. Obesity, diarrhea and skin care

    Definitely someone who sounds like they need a rectal tube! On the side: Remember pressure sores and incontinent associated dermatitis are two different things. IAD can get very bad, but it is not a...
  11. Night Shift and nutrition

    I've lost about 10lbs since I started nursing. I only do 2 weeks of nights a month, but when I do I never eat on my shift. I know it's bad, but I just don't have an appetite at 3am. When I wake up...
  12. Mistakes to avoid in clinicals..

    Avoid: -thinking that you're above doing direct care. Be ready to get your hands dirty and do it with a smile. -being unprepared. Look through your patient's chart. Research their history, the...
  13. What would you have done? *urinary retention*

    I don't get hypertensive when I have 300mL in my bladder. I don't know the patient's history, so I'm not saying they weren't related, but it's not a huge amount. If she refuses, just educate, do...
  14. N/G tube insertion

    No it's not a
  15. Most common (+ overlooked) reasons for abnormal vitals?

    Lower temps might be baseline for patients with some types of endocrine disorders, namely hypothyroid. It's also common in liver disease. They may live with temps in the 96 F range. Cushing's...
  16. Seems like a show I might want to
  17. overheard at the bedside

    My 80+ year old ex lingerie salesman who wanted to know why all his nurses had to have A
  18. Sweet guy turned horrified that he had somehow wound up in a brothel and all of the nurses were actually prostitutes that were having sex with each other from time to time in his linen
  19. Precepting Questions

    If you like babies why not pedi? I thought pedi was a cool rotation because one day I took care of a 6 month old and the next I took care of a high school senior. Every day was a different...
  20. Here's a feel-good post

    So freakin sweet!!!!!! You're awesome
  21. V tach leading to an MI

    I would let the doc know next time about the runs of v tach. Document that you notified the MD and then document your assessment/intervention ie "telemetry showed 10 beat run, Dr. Smith notified, pt...
  22. V tach leading to an MI

    MI is death of cardiac muscle s/t prolonged ischemia...did you mean cardiac arrest
  23. Nurse of 10 years can't start IV's

    It's not pathetic. Have you had much practice? Have you ever taken a
  24. IV I&O Help

    You were right, the patient got 600cc. An easy way to find out when you'll need to change the bag is take the volume (mL) and divide by the rate
  25. OCD Nurse

    I could give a squawk about germs to be honest, but I do have other work related obsessive thoughts. I'm too embarrassed to elaborate because I know they're irrational and disordered, but yet they...