SwansonRN

SwansonRN

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All Content by SwansonRN

  1. IV access and scheduled antibiotics

    SwansonRN replied to beeble's topic in Patient Medications

    Everything

  2. Incredibly rude and disrespectful patients and/or their family members

    SwansonRN replied to lalexa15's topic in Patient, Colleague Relations

    How would I deal with that patient? By calling security. That's battery and, under the right circumstances, something you can press charges for If your my patient I will bend over backwards for you,...

  3. Why is the answer to this question Metabolic Alkalosis?

    SwansonRN replied to Nursing2102's topic in Nursing Student Assistance

    Think about the scenario rather than the numbers. The only one you need to care about is 7.5, definitely alkalotic. What might the patient be losing if the tube in their stomach...hint hint...is set...

  4. How to stay healthy as a nurse???

    SwansonRN replied to chrissy4985's topic in General Nursing

    I think you'll be surprised at how little you get sick from work. I caught a GI bug once the 6 months I was in an infectious disease unit. I mean, everyone's different, of course. You should be...

  5. Patient responsive but in cardiac arrest

    SwansonRN replied to Blandini7's topic in MICU, SICU

    I shocked a patient out of v fib once. As soon as the shock was delivered she yelled, "owwwwww!!" And popped back into NSR. I think I jumped back 3 feet I was so startled. I asked her "Ms. X do you...

  6. Care of Pressure area to heels

    SwansonRN replied to litbitblack's topic in General Nursing

    Just learned today that if the patient is going to be immobile for more than 8 hrs the recommendation is to use a heel suspension device as opposed to just pillows for prevention. You need a...

  7. How is the night shift for a new nurse?

    SwansonRN replied to snowyeyes2's topic in General Nursing

    Agreed with anyone else. I have a bit of anxiety myself and I find days can be very demanding. It's not unusual to have doctors asking you to come to rounds while a family member is grilling you and...

  8. First patient death as an RN

    SwansonRN replied to julz68's topic in General Nursing

    Not your fault, my friend! It seems like it may have been his time to go. Could he have gotten a blood gas and maybe been intubated when he first got agitated? Sure, but that's not what he, nor the...

  9. How good is your food?

    SwansonRN replied to xoemmylouox's topic in General Nursing

    Never been an inpatient, knock on wood, so I can't speak to that. I also work in a unit where our patients are rarely capable of ordering or eating food, but those that do usually seem pretty happy....

  10. Hard to celebrate your awesome test grade!

    SwansonRN replied to ames86's topic in General Students

    I had the same problem (although I guess it's not actually a problem compared to fear of failing out) when I was in school. I always just said I passed and then sort of directed the conversation...

  11. Vanderbilt Medical Center to have nurses cleaning up

    SwansonRN replied to DidiRN's topic in General Nursing

    I just threw

  12. Would you call a code/MET on a pt. who is a complete DNR?

    SwansonRN replied to 2011nursetobe's topic in General Nursing

    Some of these responses are making me nervous. Read the patient's code status. Comfort care, DNR/DNI--no escalation: assess and call MD for symptom management and so family can be contacted if...

  13. Fluid bolus for patient with end stage renal disease?

    SwansonRN replied to lovin's topic in Dialysis, Renal, Urology

    How big was the bolus? I'm sure it was okay, maybe the patient was a little dry from dialysis the day prior. How was his albumin? You may want to ask if they want to give albumin with the fluid so...

  14. Did being unattractive hurt your career?

    SwansonRN replied to smartnurse1982's topic in Nursing Career

    I don't think it's unusual for a sick, elderly, or even very young pt to say something inappropriate or insulting about their nurses' appearances. One of my patients told the nurse helping me boost...

  15. Family In The Room for Code?

    SwansonRN replied to Nursingbride12's topic in CCU, Coronary, Cardiac

    Agreed, I have read quite a few studies that I have dispelled the "family will interrupt" myth. In one study there was no significant delay in intubation, central line placement, etc. nor was there a...

  16. Analogies and metaphors

    SwansonRN replied to izzflr's topic in General Nursing

    Blood pressure= garden hose (pump, volume, squeeze). I guess pipes is another common one :) I know there must be so many, but I am drawing a

  17. If You Can't Handle the Heat, Get Out of the Kitchen!

    SwansonRN replied to GreenApplesauce's topic in General Nursing

    I've been a new grad in the ICU for a year and I can tell you that in my case I loved it so much for the first 2 or 3 months...and then I was miserable. I was already looking for a way out, just like...

  18. What is your Achilles heel?

    SwansonRN replied to cjdmomma's topic in General Nursing

    What's with all the trach hate? Love em! Sputum can't touch me. Ostomies

  19. What are your white board goals?

    SwansonRN replied to BiohazardBetty's topic in Patient Education

    I don't really like the whiteboard myself, although I do think it can be very useful for certain patients. I always write down my name at least. For admissions I'll usually write "welcome to to the...

  20. Please tell me why you dreamed of being a nurse from a young age

    SwansonRN replied to avhoney's topic in General Nursing

    Well if you read my college application essay it was inspired by my brother's battle with leukemia and my admiration for the pedi onc nurses that took care of him. However that's not actually 100%...

  21. Standing up to my charge nurse prevented a mistake

    SwansonRN replied to 002rn05's topic in Patient Safety Issues

    Sorry this question may have been answered before, but how is your unit taking any labs on this patient at all? During dialysis? It seems scary to me that this patient has end stage renal disease...

  22. Getting the hang of IVs...

    SwansonRN replied to SoldierNurse22's topic in General Nursing

    Awesome!! I, too, am spoiled with central lines so I have good days and bad days with IVs. Sometimes I have so many bad days in a row that I question if I should even be a nurse (Drama queen right...

  23. Nursing Character Names

    SwansonRN replied to BiohazardBetty's topic in General Nursing

    How about Instead of Nicole, Ni-colace

  24. Freaking out--crash cart question

    SwansonRN replied to sillylilly05's topic in General Nursing

    Do you work in the ICU? Where I work only ICU and SWAT nurses use zoll defibrillators. Everybody else uses AEDs until the code team gets there. Regardless, it's understandable to be freaked they...

  25. Abdominal IV

    SwansonRN replied to dmurph615's topic in General Nursing

    ED nurses never cease to amaze me with their IV skills. I get admits all the time with 2 #20s, labs, and 2 sets of blood cultures sent and I just think "how?!" You guys could get blood out of a rock....