FlorenceFrightengale

FlorenceFrightengale

MedSurg

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All Content by FlorenceFrightengale

  1. Doctor texting order turned into a nightmare

    In my case, I'd text Dr. McNotSoDreamyInTheEnd with "potassium came back - 3.2." or "chest x ray is up - please look at." He'd put the orders in. I wouldn't even say the patient's room number - it...
  2. Things You Didn't Learn in Nursing School

    Never underestimate the strength of a confused little old
  3. Doctor texting order turned into a nightmare

    It's not good practice. I can say this because I've done it. I was dating a doctor and would text him back and forth about orders. Never once did a patient's name get used, but I realize that this was...
  4. Continuous home infusion of Demerol?

    I have a patient who, at home, was receiving a continuous infusion of Demerol through a PICC line for undiagnosed abdominal pain. Apparently she is allergic to just about every other pain medication...
  5. Continuous home infusion of Demerol?

    She has home infusion services. She is not terminally ill. Social work and case management are involved. She will resume home infusion with the same visiting nurse agency when she is discharged to...
  6. Whats your biggest pet peeve working in the ED?

    Incubate? How old was this patient...still an egg? Sorry, I had to! As y'all
  7. What do you love most about your floor/specialty?

    I work MedSurg and while I couldn't do it forever...I love that I use my skills! I also see all sort of diagnoses and have patients with a variety of medical histories. But those skills? They do...
  8. TKO: to keep open

    Hi babaloo! Some institutions call it "KVO," or "keep vein open," and it's a rate of 20 mL or 30 mL an hour - 0.9 Normal Saline Solution is used. I usually only use this when I'm running an...
  9. Unexpected instances where your nursing skills came in handy

    One night at work, my friend, a tech, was complaining of having to pee more often than usual and being very thirsty. I have no idea what possessed me, but I checked her blood sugar. (She had no...
  10. Rounding on patients at night

    At the beginning of the shift, I let the patient know I'm there until 730 and that although I'll physically peek in every hour, I don't wake him or her unless necessary. I'll give a little plan, "you...
  11. Nursing school is making me paranoid...

    You did the right thing by bringing her in to see a physician. I hope she is doing better now. Anyway, I think a lot of us are this way due to our knowledge base. I have given myself every disease...
  12. What to do when patient has alcohol on them??

    You forgot option 4 - drink it
  13. Munchausen by Internet: The Lying Disease that Preys on the Heart

    This is crazy. I was a member of an online community as a teen that was very close-knit and I guess I just believed everyone. I never gave my last name, home town or phone number out or anything,...
  14. When to give hydralazine?

    Then it is not acceptable as an order unless there is a REASON for the PRN. For example, the order "Ativan IV PRN" is not acceptable...as it could be PRN for anxiety, seizure, ETOH withdrawal, even...
  15. Triage complaints- the good, the bad, and the shocking.

    "No food at home" - middle aged male Another middle aged male with laceration to genitals after a drunken manscaping session An entire family came in to be treated for bedbugs "I'm upset because I had...
  16. Got into a car accident after working a night shift

    I have been a nightshifter for a few years, and I've learned that some people just can't do nights. I think the people who succeed on nights are those that can either sleep solidly during the day or...
  17. When to give hydralazine?

    Are you asking when to hold a scheduled dose of Hydralazine, or when to give a PRN dose? A lot of people are on PO Hydralazine TID routinely - this order should ideally have hold parameters. As for...