SwansonRN

Not having to wear real pants

No I don't think anyone will look at you like you're ridiculous...unless you're acting ridiculous As long as you are physically able to safely do the job (standing, walking, lifting, bending, etc.) then there is no need to have a certain BMI in orde...

Dyspnea and SOB can essentially mean the same thing. If anything, dyspnea can mean painful/difficult breathing whereas shortness of breath is the sensation of not getting enough air. As far as your second question, I don't really know what you mea...

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 one should be expecting to get spoon fed. 2) everyth...

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 chewed out for calling her adult male patient, "bud...

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 to make friends. When you get your assigned placem...

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 should be fine. The patients are usually excited to...

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 was discovered in the hospital? Either way I don't...

I needed to read this, Ruby, thank you!

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. Vicks under the nose works well as does Chapstick. ...

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 CXR?

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 pressure ulcer. A lot of people make the mistake ...

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 afterwards I am ravenously hungry and eat a big mea...

You are an incredible writer! I'm wiping tears!

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 pathophysiology behind their diagnosis, know their m...

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 some great documentation, and continue to monitor.

No it's not a contraindication.

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 triad: htn, bradycardia, abnormal breathing pattern. ...

Seems like a show I might want to watch

My 80+ year old ex lingerie salesman who wanted to know why all his nurses had to have A cups...

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 closet.

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 challenge.

So freakin sweet!!!!!! You're awesome :)

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 denying chest pain, vitals unchanged, will contin...