dah doh

dah doh BSN, RN

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All Content by dah doh

  1. You are NOT allergic to...

    I've had a few patients with angio edema so bad that they end up intubated until we can get the swelling down to normal size. Most were from "pril" meds and others from food. I tell the patient and...
  2. I ran into the same thing. I had to ask. The wound nurse told me the term is "natal cleft". Officially it's called the "intergluteal cleft", but the other term is ok too. As for the tragus &...
  3. Interview Attire

    I interview so many that I can tell you that I don't usually remember pants because it's the shirt & tie I see for 20-40 minutes above the desktop. Except if those pants are hideous or...
  4. Titratable drips

    Strange dosing on some of the drips. Try looking at your facility's policy. How old is that article as Bretylium is on
  5. Where to buy cheap scrubs?

    I try on styles at the uniform store, find what I like in what size, then buy the online. For cheap scrubs, try Wal-Mart. I bought my Maternity scrubs on EBay since I wasn't planning on using them for...
  6. How important is appearance?

    Professional attire is preferred but scrubs that are neat are fine too. I've seen staff interview after a 12 hr shift in scrubs and they were fine. We didn't hire the girl who showed up in a "Juicy"...
  7. Definitely agree with the above line draw one! Luckily our phlebotomists are usually ok with whatever the RN says...they draw extra tubes when I ask too. Wish I could get them to put back the BP cuff...
  8. Extubation protocol post CABG

    We aim for under 4 hr. It's nurse driven. I usually wake up stable pt after 2 sets of stable numbers & hemodynamics ok. We have a weaning protocol that the RT/RN follow. RT usually weans vent but...
  9. How to learn to start IVs?

    It was a long time ago but I took a class while in nursing school from an outside company. I don't think it helped much though as we practiced on fake arms then on each other. When I started nursing,...
  10. How do you wash your scrubs?

    I wash my scrubs & jackets worn for work together but in a separate load from regular clothes. I use cold water & whatever detergent I have (usually Tide). Dry them on delicate & take them...
  11. NSO malpractice renewal?!?

    I still mail them a check
  12. Overweight

    I lost 40 lbs over a year & have kept it off for 4 years now. I went from an obese to a normal BMI. I did a food diary on the My Fitness Pal app daily. I cut out the unnecessary foods first like...
  13. So...What Kind of Nursing Task Do You LIKE?

    Getting them from near death to leaving the unit alive 😊! Teaching...patients, families, new grads, nursing students, residents, doctors
  14. A young women who got necrotizing fascititis of her face from trying in makeup at the makeup counter at a major department store. Intra-cardiac Epi injection! I thought it was only in Pulp Fiction,...
  15. Patient called the police because we were starving him because we won't give him a late night snack or water. Well yes officer, we aren't allowing him anything to eat or drink after midnight because...
  16. How Physically Demanding is Your Job

    ICU: very physically demanding! We are super happy when our patients weigh less than 100 lbs! It takes many people to reposition any patient more than 350 lb! Lift team? Nope! Lift equipment? Sure!...
  17. RN's and specialty catheters

    RN inserts all 3 catheters based on MD order. Foley vs coude is based on evaluation of patient. We have other types as well. 3-way catheter placed only for continuous bladder irrigation. Urologist...
  18. What nursing task do you loathe???

    mmm...leech therapy!!! I'm not fond of maggots
  19. Working with injury

    I worked with a torn ankle ligament. I used a brace for a couple of months then taped it for another 6 months. The Ortho gave me a boot and crutches. I almost face planted a few times on crutches and...
  20. Titrating

    Protocols are great when you are a newbie and need guidelines! As you learn to titrate, you get a feel for it depending on the patient. What I teach my newbies is: if the pt's BP is crashing, start at...
  21. mixing CCL meds

    Dopamine & Dobutamine come premixed now. Levophed is 8mg/250 ml or 8mg/500mg depends on volume status. Epinephrine is 8mg/250ml. Vasopressin is mixed by pharmacy. Titrate to desired
  22. ICU or CCU

    Depends on your interests. ICU is usually medical like pneumonia and sepsis which can be longer term & depressing. CCU is usually heart only and more short term in comparison. CTICU is cardiac...
  23. The x with a number is the number of heart vessels they bypassed. So X 2 is 2 areas they
  24. How do you spend your first day off?

    Try to sleep in!!! Work out! Run errands, cook, clean, etc. Vegetate. Avoid work
  25. Job fair?

    The large job fairs are usually held at a convention center. There are multiple hospitals there. I haven't attended one in a while but they are mostly looking for experienced nurses. New grads can...