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We had a pt few mos ago who had a femoral line and was on continuous TPN and Ceftriaxone daily. This was my first encounter with a pt receiving TPN. I had read that Ceft is not compatible with any diluent that contains calcium, ie. TPN. Since, I was not sure on how to give this med, I asked the in-charge on how should I give it. She advised me to stop the TPN, give the line a good flush and then administer the Ceft. Would you do the same or not? thanks in advance...

I miscarried 3 weeks ago and had D&C done early this week (10 weeks). My Blood type is A+ve and I am aware that I do not need the RhoGAM due to my bld type. Will I still need to have the Coombs test? Would it affect my future pregnancy? thanks so much

thanks so much for that thorough explanation.

Gday everyone... Could somebody please explain to me what do they mean when they say ex- 32 weeker, but now 10/52 weeks corrected. thanks in advance.

I suggest u get yourself a daily planner or just make one if it is not available in your hospital. I always make my plan after handover to prevent me from forgetting my task for that shift. I make it in a way that I can easily recognize the most important things to be accomplish first. I use my red pen to write the time when meds are due (so it stands out clearly) and just my black pen for observations etc. I also use red pen to make myself aware of the pt's condition. As an example, when they are tachycardic, hypertensive, febrile etc. And yes, u need to have a some sort of a bag to put around your waist as this will save you TIME! I hope this helps.

hello there.thanks for all your responses. TO answer your questions, I have worked on a pediatric, neurology/oncology and day procedure unit. Yeah, I agree that atm the US is in retrogression, but I would just want to know my options in 2-3 yrs time. There is no particular reason why I want to work in the US. I would just like to see the world and be able to work at the same time:wink2: thanks heaps:smiletea2:

IMO, acrylic nails still considered as fake nails. In the hospital I work in, we are advised not to have long nails or put any sort of fake nails. This is highly due to the fact that bacteria can reside under its free edge and it can cause skin tear especially to kiddies & elderly. I guess it is the same as ceasing nurses to have identity badges hanging from lanyards as it has been proven to increase one's risk to develop nosocomial infection.

I agree with the posters. You can still give meds orally if the pt is conscious. I had a pt before who would take the "little tablets" but would want the other meds to be crushed and be administered via his NGT. He also reckons soluble meds that we give him such as Chlorovescent, Phosphate Sandoz burns his throat that's why we always give it that way. Also, it would not hurt if you ask the pt about his swallowing ability.

Gday everyone! I work as a registered nurse here in Australia. I would like to know what are the steps I need to take if I want to work in California (post NClex exam)? Any tips would be highly appreciated.

hello there!i understand how you feel. i am also a new grad working in oncology unit. when i first started early this year, i felt that i did not know anything at all. i would come home feeling sad for not knowing things that they have said during the handover. of course, we dont have time to search for stuff everytime we come across to someting new (unless, it is really important for us to know about the pts condition). so, what i would do is write down all the meds, diagnosis etc that i am not familiar with then after work i would do my proper research at home. this way, i could write them done on my notebook and can always look back when needed. also, dont be too hard on yourself....as you have mentioned above that you have only been working for 2 weeks....you can only learn so much in a day....i suggest that you take one step at a time...r.e.l.a.x:nurse: i hope this helps.....

thanks so much for the info!I'm currently on my days off, but I will surely have more an idea about the pulses parodoxus...:bowingpur

Gday everyone:nurse:Just wanna ask a quick question....Could any of you please tell me how to properly do/take a pulse paradox of a pt. Any tips/advice will be highly appreciated...Thanks heaps in advance:nurse:

thanks very much for sharing!

I have learned from nursing school that everytime we give IV meds, we have to don gloves mainly to protect the patients and ourselves. It is also our hospital policy but for sure not everyone does it.

thanks so much