EuropaRN

One mid 50s woman after a poly pharm od in 4 points called me literally any word she could come up with. She called me a d**k slayer, which I found pretty impressive actually. The one well meaning older lady told me my biological clock was ticking a...

I learned that etoh withdrawal is terrible. I only remember learning about the first few days, ativan and seizures... I don't remember learning that it can turn you into a completely incomprehensible mess for weeks afterwards. How sad that our societ...

I believe Tele floors at my hospital (360ish beds) can take cardiac drips but cannot titrate. I'm not sure if that applies to nitro or not. Curious though, if you are moving from the area, are you planning on working in the new area? Maybe this woul...

I've seen troponins >50 and triglycerides 4500 range. Both lived. The triglycerides patient also had pancreatic issues and had actually drank himself into DM type 1 and his blood had the same issues previously described... Turbid, settled intI a w...

I think 8. Heparin (then argatroban), insulin, bicarb gtt, arivan, fent, neo, levo, vaso, and then fluids with abx and lyte replacement riders. He was on crrt and obviously vented. Came to us because he was in dka. Actually damaged his pancreas from ...

We are required to take two 12 hour call shifts per month if we are in the first two groups to schedule (priority). If we are in the third group, we get the left over regular shifts, but only one 12 hour call shift.

Come back and let us know how you feel when you eventually give an actual wrong medication, or give bp meds to a hypotensive patient. When you're off orientation and have 5 patients to take care of, and you just have to get this one thing done before...

Use sterile technique. I would look to see if YouTube has videos on accessing a port, there seems to be so much there. Feel the edges and feel for the central hub, find a visual landmark to aim for. I always flush with 10 before and 10 after. As far ...

I had a pt call the hospital from her cell phone and had them page her cardiac surgeon because I couldn't give her any more pain meds! Twice she did this. The first time the operator called the unit to check but the second time the pt gave a differen...

I would so much rather have loose fitting but modest scrubs than all your bits hanging out. If they are clean and not wrinkled you'll look fine. This doesn't apply to men, but I hate this trend of messy buns to clinical/work. Totally fine if you're ...

I always run my meds through by gravity (ng/og/peg) unless there's some resistance or if the meds get cloggy in the tube. That's just how I learned in school. If it's a small bowel feeding and there's no Lopez valve attached, and depending on how muc...

re: computerized med scanning, the same thing that the pp described happened to me with a dose of Lasix. It was fairly large and pharmacy had to send it up. Well it was a po dose in an amber syringe when it should have been iv. I had the pt the night...

You too! I'm not that creative :-) Not at all, 2 nurses did their capstones in Indy and were hired. We had to make decisions by October, I think. As for pharm, learn the classes and you'll be golden. Memorize the few names that didn't match the suffi...

That's what I was thinking too, some meds we stock have to be wasted and there's no document of that in the emar. It's documented in the pyxis of course, but I haven't looked to see if a staff rn has the capability to see what was wasted.

I always always check compatibilities, especially if I come on to many lines y-ed in together. Recently my hospital has adopted a policy to reuse secondary tubing for compatible iv antibiotics and I've heard only a few nurses complain about having th...

I love teaching my patients about their disease process. There have been a couple of times I've had a student follow me for a few hours and I loved teaching them this and that. I can certainly see myself doing clinical instruction after my own clinic...

Mine has my picture on the left, first name on the right, and my department and wing # under my name. In a small bar below it says RN. We also have drop tags with RN in white surrounded by blue. LPNs or any other department don't use those, from what...

Pcp isn't ketamine. They are in the same class and pcp was used in a medical setting when it was first developed. They have limited pcp to animal use now.

I graduated from the second cohort! I thought the program prepared me to take the nclex and I passed with 75 questions. I felt I had a good grasp on all concepts and when i needed clarification, the instructors were great about discussing it with me ...

Still a new nurse here. I think I have a pretty strong stomach and have never fainted. The first surgery I ever observed was an aka, no problem. A perfed bowel with emergency colostomy placement, piece of cake. Even the young woman who had 4 liters (...

I wanted to chime in (even though a little late) to say that our a-lines aren't needle-less either, so when I draw from an a-line, I use the same vacutainers that phlebs do when drawing from a vein. The draw port is small, and if you don't keep your ...

I remember thinking there was a big difference between ATI and Kaplan. After my final ATI exam, I never looked at it again. I used Saunders in my last semester, and Kaplan for maybe 4 weeks before my NCLEX. I didn't use the decision tree (it actually...

It depends on how much you're willing to put into studying and how the instructor teaches. Pre reqs were hard in their own way. Nursing school is its own category. No other classes are like nursing school. Nothing prepares you to think critically exc...

I noticed that the urbane ultimate top I got was generously cut in the arms. I also love the Cherokee luxe line. They both have stretch.

I needed a size smaller in the pants but could have done with a size bigger in the jacket. The top was true to size. My only complaint is that the navy doesn't match any other navy I have. Its more like a faded navy. They also pick up more lint but I...