Generally if the patient has a running line, I put the med in a minibag and run it on a secondary set up as long as the patient isn't at risk for fluid
Today, my favorite GP was on call and in a bit of a grumpy mood. Not grumpy at me, just not his usual self when he got to my department. I managed to cheer him up, we had a few good laughs and he left...
Not necessarily. At my facility, all that is required is a consult order. As long as the consulting physician has privileges at my hospital, they can and will write
... When your coworkers ask over Facebook if anyone working Wednesday would be willing to take their sutures out because they are working all week and won't be able to make it to the doctor's
We sometimes get "sitters" for our high fall risk patients, and at my facility, it involves being always present in the room. The sitter (we call them one-to-ones) is not expected to give meds or...
You made a mistake in not checking for orders, so the doctor's anger is understandable. Could he have handled the situation differently? Probably. But you've learned something from this, presumably,...
We often ask pharmacy to provide liquid KCL for a patient that has trouble swallowing the non-crushable KCL tablets. Another example is asking for a chewable ASA instead of the coated one. Same...
One test we had in school, the entire class did extremely poor on. We challenged it, because if the whole class did poorly, that says something about the test. We won that
Yes, that's the answer I got. To make this really simple, you need to find out how many mg/ml the solution is. 1000mg/4ml equals 250mg/ml You need 900mg. How many times does 250 go into 900?...
I'm unsure on that answer. I waited only a year to get into my program but that was back in 2002. Wait lists are also misleading. Many people will apply to say, five different schools. If 10 people...
You will always hear breath sounds bilaterally even when a patient has had a lobectomy. Instead of charting "air entry", chart "breath sounds". It isn't wrong to say "breath sounds heard...
Think about it this way -- it's likely actually quicker for you to take some extra time, than it is to miss twice and have to go hunting for another nurse. As for the patients, I tell them "I like to...
Using this logic, a new nurse is going to have to go around refusing to give info to every doctor he or she meets for the first time. I can't imagine that would be very good for working
I know they teach you in school to go in at 45 degrees or something ridiculous like that, then drop your angle. I swear this causes more punctured veins than anything! I prefer to start out with as...
Really, though, sometimes the consulting physician just wants a bit of front-line info on the patient before coming in. Likely they've been left a message, on their phone or from their clerk, and...
SaoirseRN replied to ConstantlyEvolving's topic in General Students
My first catheter insertion as a student was on a heavy woman after a hip replacement, so not an easy one considering the weight and the minimal abduction of the operative leg. However, I managed,...
Some people have a knack for them and some don't, and really it isn't an easy skill! My advice is to keep trying, but also to seek out those nurses who "have the knack" and ask them for tips, and if...
If you don't know the doctor's specialty (which is the most likely reason for consult) tell them you are new to the facility and just getting to know everyone, which may prompt them to tell you what...
SaoirseRN replied to AtivanIM's topic in Nursing Humor
An otherwise cognitively intact patient had an acute episode of delirium/psychosis including extreme paranoia. The doctor arrives on scene and the patient, who had been trying to escape and rescue...
One thing that helped me immensely was combining as many tasks as possible into a single visit to each patient. After my report, I go quickly and look at/say hello to each patient. I tell them I'm...
I know my schedule well in advance (more than a year) so it's easy to plan. I work two 12 hour days and two 12 hour nights with five days off, repeat. So the little shift worker app on my phone means...