SwansonRN

SwansonRN

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All Content by SwansonRN

  1. analgesia before cardioversion

    I hear it feels like a kick in the chest by a wild stallion. If its not absolutely emergent * must be done right now or the patient will code * it's your job to advocate for
  2. random fact throwing: PCCN/CCRN edition

    I love it!!! Printing this
  3. TWIN male nurses

    I know identical twin girls that when to nursing school together and got a job at the same hospital on the same unit! You think they'd get tired of each other after a
  4. Yup, the other day I stayed an extra 2 hours helping to stabilize my patient and finishing up my charting. It's what happens to me whenever I make plans for after work, late admission that ends up...
  5. My unit does not have strict rules regarding this as long as its not flu season and they are accompanied by an adult. We are very patient-family focused so I would say our visitation policy in...
  6. Case Study: Fever

    Wow that escalated quickly. Yay for
  7. patient who refuses to bathe. help!!

    Can't force someone to bathe, unfortunately. Do you have a social worker? We will get ours involved if a patient consistently refuses routine
  8. breakdown at work

    Oh nooo, trust me this situation was brutal and I didn't even do a good job explaining it. I've been working a year and I still tear up a bit when my patients pass away or if there's an especially...
  9. breakdown at work

    Once on orientation I had a patient who had *newly diagnosed* stage 4 CA. Young mom, huge family. She was very mild mannered and sweet in a quiet way. This day we had a family meeting with our team...
  10. Case Study: Cyanosis

    Are the teeth extractions r/t the GVHD in the mouth...like does it cause a sicca syndrome?? I only ask because I've seen a young woman with graft vs host who had a similar presentation minus the...
  11. Case Study: Fever

    I don't think anyone should be surprised that Rolando dropped his pressure. Like I said earlier he has been feeling sick for a while, tachypneic, probably is infected and just got sedated. Run those...
  12. What are the other options? I don't know if they're getting at something specific about the patho of RA, but you always want to assess before intervention. In questions like these the assessment...
  13. Case Study: Fever

    Agreed, his glucose is fine. Especially when you consider that he probably has been fasting (not feeling well, working hard to breathe). Also his PCO2 is not high (maybe you were looking at his PO2...
  14. Not too big of a deal. The patient had been hanging out in a fib for a few weeks and 100 is not that high. Plus I am having trouble thinking of a scenario where a PO med is urgent enough to be...
  15. I don't ask for too much in report. If I want to know the potassium 4 shifts ago, I can look that up myself. However, when I get a patient from the floor, I'm usually so busy for the next 2-3 hours...
  16. Wipe the iv port even with antibiotics?

    Dumb. Nice job saying
  17. Can you remember your first day as a nurse?

    Yup! Mostly because it was only a few months ago. But I'm coming up on my one year anniversary :) very excited for things to get easier like everyone says!! My first day by myself was really...
  18. Addison Disease Priority

    I would be more alarmed about the blood sugar. 137 is a fine sodium level...unless I'm missing something. 70 earns you a snack in my
  19. I need some advice, new to the medical field.

    Give it a little longer. Soon you will know the hospital inside and out, but until then it's normal to feel stressed out and unhappy when you're brand new at something. I would let HR know that...
  20. Healing within Healing: Patient Falls

    After my first fall I cried and cried. I wanted to quit. I thought I was going to get sued or that the patient's family would complain about me to management. My manager bought me a donut and said,...
  21. Size matters? (IV question)

    This is a great thread. I really learned a lot. I do work in an ICU, so my thought has always been 18s if possible, if not I'm married to 20s. Only use 22s in desperation. Granted, I do have a lot...
  22. Personality At Work vs. At Home

    Yup! A lot of my friends and family would probably not even recognize me at work. When I'm not at work I am scatterbrained, messy, and shy. I think it must be all the caffeine I drink on my drive...
  23. Poop Free Nursing Jobs in the Hospital?

    I don't know what to tell you. Poop is part of bedside nursing. Not always a huge part, but you can't escape it in a hospital. I would just go back to school if it really makes you so miserable. I...
  24. Running PRBC concurrently with NS?!

    Really? I work in an ICU. The other day I had a patient who was crashing and was about to get a central line and intubated, so I had fluid blousing in one IV, blood products going into another,...
  25. Didn't have too much time in between graduating and starting orientation, but I managed to go on a really fun and relaxing vacation :) after I got back I prepped hardcore for NCLEX for about a month....