Gail-Anne

Gail-Anne

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All Content by Gail-Anne

  1. I agree with above re: letting her know that you require different patients. Something to consider trying if that doesn't work.... ask for a meeting with her and your manager. Try something like "...
  2. Nurse's Week

    I think most have the afternoon tea, only problem is....who has time except the administration? I have seen individual managers do something on their own units, one even buys pizza out of her own...
  3. Stat holidays??

    Right, stat as in statutory holiday. Depends on provincial contract how they are handled. When I started nursing, (long-long ago!) we had to take the day off within 30 days of the stat. Nice around...
  4. PICC insertion with U/S

    I work alone, in hospital, inserting PICC's at bedside. I was inserting by palpation until getting an ultrasound (SonoSite) a couple of months ago (with little training). I'm getting the hang of...
  5. I assume you are using a straight needle. You may want to try using an IV catheter instead, that way you are using a needle you are more familiar with. Try a long #20 Jelco (or whatever brand) or a...
  6. Did you learn to place only by palpation or always use U/S? Are you having trouble with a particular vein? Cephalic is more likely to have trouble than Basilic (having said that- I've had about 6...
  7. Vent about the oldest gripe around!!

    I agree! I feel it's better to calmly say something. I usually smile at the child and say "I give needles to someone who is sick, or so they don't get sick. If you needed one for that, it would be a...
  8. Just following the Dr's orders?

    What has been charted re: drsg changes? Often people, though compus mentus, loose track of time especially with tubing changes, N/G emptyings etc. The first few days with analgesics esp. I'd go by...
  9. I Just Got Hired At A Renal Clinic

    Wondering what this clinic is, if not dialysis? Or did you mean it's peritonial dialysis, not hemodialysis? Makes me wonder why you need chemo and ACLS. Just curious! We use a chemo-drug to...
  10. Can someone tell me what is a Two Step PPD??

    I think we'll see more places requiring two-step PPD as time goes on, esp in nursing homes and other high-risk areas. The two-step gives a more accurate baseline and helps to reduce the incidence of...
  11. Want to leave bedside nursing; any ideas?

    Sounds like you still have a little(or a lot) of venting to do! Remember the professor who showed his class an empty jar, then filled it with rocks. He asked them if it was full, they said yes. Then...
  12. Flu shots...just wondering

    Above sounds right about drawing up. You may also be expected to check re: allergies etc. for contraindications ( allergy to eggs, as thats the medium it's grown in, if person is ill at the moment)...
  13. vancomycin in snfs

    I'm with the last post. The trough level is often the most important. How late are you talking about lab being? If it's hours, then the level won't be right anyway, sometimes better to get it on next...
  14. We don't use anything preIV, except EMLA on peds or phobic pts. Just thought I'd mention that a couple of studies have been done on Lido v/s Bacteriostatic N/S. I can only remember where I read one if...
  15. what areas of nursing do you recommend??

    As has been said by others in other posts... remember that this is a site where nurses can vent. Check out the threads about the good parts of nursing. As to what area to work, that's different for...
  16. Alcohol Withdrawl

    Our facility uses ETOH gtt often for people post-surgery for neck cancers. This is not the time for detox, withdrawal vomiting, shakes etc. I'm also old enough to have used LOTS of paraldehyde when I...
  17. Ancient nursing symbols

    Since nurses, prior to Florence Nightingale fighting for change, were considered somewhat lower than prostitutes (after all, they only carried slops, cleaned up and were even paid partly in alcohol in...
  18. what are s/s of ?? ctxt

    Great description of IBS. A word of caution though from a nurse who has dealt with many colon cancer pts, as young as early 40's. A few of them were told by their Dr that it was IBS, delayed diagnoses...
  19. New nurse, needs advice

    Just what I was going to suggest....see if you can shadow on each floor. It also shows that you are keen if you are willing to do this type of thing before they pay you! Different personalities on...
  20. Challenging Hospital Dress Code

    You make me SO glad I'm in Canada! We have provincial unions, only private clinics and private nursing homes might not come under the same contract. If certain dress is required, then hospital would...
  21. Challenging Hospital Dress Code

    You make me SO glad I'm in Canada! We have provincial unions, only private clinics and private nursing homes might not come under the same contract. If certain dress is required, then hospital would...
  22. PICC insertion with U/S

    Don't use a needle-guide, but my understanding of them is that they're for accessing vein only. That's not where my troubles lie. I think the answer is to persevere! I've been placing PICC's, with a...
  23. PICC insertion with U/S

    Don't use a needle-guide, but my understanding of them is that they're for accessing vein only. That's not where my troubles lie. I think the answer is to persevere! I've been placing PICC's, with a...
  24. Bi-Polar in Nursing School

    I hate to say it, but there are still alot of nurses that don't relate well to the idea of bi-polar nurses. Preconceived notions likely. I'd stay away from telling unless you have too. Talk to Dr...
  25. old skills that we do not use anymore

    I love this site! Lots of memories. Ever spill that Paraldehyde on yourself, then get pulled over in a police check-stop on the way home? In 1971, in first year, a classmate was shortening a drain...