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mspurple

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All Content by mspurple

  1. i had this pt with chron's dse and has a regular bowel movt characterized by large and soft to formed. my shift is almost over when i saw an order glycerin supp. it comes in my mind right away that the supp is intented for her upcoming st scan of abd. i endorse it to next nurse for the next shift. the next day i saw that it was not given. but good thing is the patient gad an extra large bm on the day she was scheduled for thw ct scan. when i checked in her chart. i saw the doctor's order and saw that the supp is not intended for the ct scan. i was suprised. and now i dont know what to do, i feel bad coz just a few days ago i had an issues as well with a procedure protocol and.i felt that my co workers are talking about me behind my back. i am a new nurse and i feel nervous in telling my charge nurse about it. please help!
  2. i felt goos after reading your post amd the responses you got from others. everyword you mentioned are all true and i also felt the same way. everytime i woke up and know that i am going to work that day makes me sick. one time i felt like i am depress, anxious and nervous breakdown. i also thought of going to a psych or therapist co i am not happy anymore of what's going on with me. i dont know what to do as well. thinking of changing a career too. actually i just posted few minutes ago regarding what im feeling. i wish you all the best.
  3. i always feel bad everytime something went wrong at work. i feel like im incompetent and.not meant for nursing. i graduated 2007 and never work as a nurse till 2011. i got my license as LPN on jan 2011. thats why when i started working in the hospital it was a nightmare. i had a hard time adjusting. some procedures, medicines, diseases are new to me or i just forgot about it when i was in school. i only work for 4 months in the hospital.after i got my license and went to early maternity leave. and 3 weeks ago i went back to work. now i feel like i am.back to zero back to basics. now i feel.like all the knowledge i got back when i am student are all gone. is there anyone also feels the same that i do esp to those new nurses. what i dont like is like yesterday something went wrong during my shift, some of my co nurses are talking against my back telling others what i did. i felt being discriminated and judge. i am not an.experienced nurse, everyday when i go to work is a new learning for me. now i feel like i am not destined to be a nurse. but i love what i am doing. taking care of sick people and providing them service. and we all know the fact that we get paid well. am i really destined to be a nurse?
  4. if im not mistaken bolus is considered to be the loading dose of heparin when starting a heparin therapy. it is titrated until the desired ptt is achieved. ptt is the time needed for a blood to clot. that is why ptt needs to be monitored.
  5. this pt. who had a chest pain and lab results shows a high troponin t level. a heparin 3.83 ml bolus was ordered then after 765 units/hr continous infusion. my question, is it okay to start the continous infusion right away after the bolus? :-) and which one will be the basis for aptt check after 6 hours, the bolus or ccintinous infusion? thanks guys
  6. i see. i though since there is an IV running it's okay not to flush. if the PICC line is not use i will for sure flush it before drawing blood. anyway thanks guys!
  7. I did not practice nursing for almost 4 yrs, and just started working again as nurse 2 days ago :)) it's my first time to draw blood from a picc, just wondering, if there is an IV running through the PICC like 0.9% NaCl + K 40 mmol do I have to flush before withdraw a blood?

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