CodeteamB

CodeteamB

Emergency

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All Content by CodeteamB

  1. Help with cleansing a necrotic/ischemic toe/foot?

    CodeteamB replied to josephjohn87's topic in Nurse Entrepreneurs, Innovators

    In my experience (which has unfortunately included a large number of necrotic toes) yes. You want those babies to dry up and fall off. As yucky as a dry necrotic toe is a wet one is worse. It turns...

  2. Help with cleansing a necrotic/ischemic toe/foot?

    CodeteamB replied to josephjohn87's topic in Nurse Entrepreneurs, Innovators

    I would imagine that your preceptor is putting a focus on keeping the wound dry, and thus the ban on normal saline. A thin wash of iodine is different than the soakings I have seen given to wounds in...

  3. What do people think the ER is?

    CodeteamB replied to Sassy5d's topic in Emergency

    Or when the ladies come in with gyne complaints and are shocked that they need to remove their undies. "Really??? Well I don't really want to do

  4. Elderly coworkers becoming a burden.

    CodeteamB replied to o3lissao's topic in Patient, Colleague Relations

    OK, you lost me there. Disheveled appearance, easily fixed Whale tail, easily fixed Appearance of advanced age, out of one's control I don't think that is the most important part of your post, but...

  5. Elderly coworkers becoming a burden.

    CodeteamB replied to o3lissao's topic in Patient, Colleague Relations

    I agree. OP, I had a very similar situation with a nurse also in her 70s. She was a lovely lady, but quite infirm. She was almost deaf, and post stroke among other health concerns. Long story short...

  6. HELP!!!question about prn med

    CodeteamB replied to smithb10935's topic in Patient Medications

    I think in this situation the most important point is that the patient needs to have her pain control reevaluated. That being said, you need to include your scheduled dose in the decision to give a...

  7. What do people think the ER is?

    CodeteamB replied to Sassy5d's topic in Emergency

    Lol, it's all fun and games until someone brings out the 18

  8. Question about IM vs IV injection, when to aspirate, what to look for

    CodeteamB replied to jeshicuhx3's topic in Nursing Student Assistance

    The studies that have been done do focus mostly on the named medications. In the summary they do state that aspiration has not been proven reliable for determining whether you are in a vessel, that...

  9. Have we lost the "art" of nursing?

    CodeteamB replied to Barbara Hunter's topic in General Nursing

    The art of nursing, in my opinion, is so much more than pillow fluffing and back

  10. Have you ever really heard a doctor say this?

    CodeteamB replied to monkeybug's topic in Ob/Gyn

    I had a doctor say that to me, funnily enough I already had a child O.o He was not an OB, had asked me 3 questions and had not physically assessed me (or read my chart since my G/P status was on it)....

  11. Question about IM vs IV injection, when to aspirate, what to look for

    CodeteamB replied to jeshicuhx3's topic in Nursing Student Assistance

    A fantastic little summary here... http://www.stti.iupui.edu/pp07/vancouver09/41810.Crawford,%20Cecelia%20L.-F%2010.pdf I especially love the part where we are all doing it wrong I know the new grads...

  12. Tasks that are left for the floor

    CodeteamB replied to friendlylark's topic in Emergency

    These are things that vary with facility policy. As I noted earlier at my facility Vanco is *always* given last, if they order 4 antibiotics you need to infuse all of the others first. Also your point...

  13. Ever have a patient complain about you?

    CodeteamB replied to love lilacs's topic in Patient, Colleague Relations

    I was recently involved in an incident where another staff member was put on leave and investigated. The patient threatened to sue him, me and the hospital. I had to be interviewed by legal. Luckily...

  14. Ever have a patient complain about you?

    CodeteamB replied to love lilacs's topic in Patient, Colleague Relations

    The patient dismissed you? And was catered to by being given another nurse? That is insane. More customer service

  15. Establishing Identity of ED Patients

    CodeteamB replied to Jolie's topic in Emergency

    To be honest this falls into the category of things I don't care that much about. We have it happen from time to time, generally someone who doesn't have coverage in our province and truly needs...

  16. Tasks that are left for the floor

    CodeteamB replied to friendlylark's topic in Emergency

    I very rarely send a patient to the floor with outstanding tasks. I will not board a patient waiting for urine/stool/sputum samples or a CT/ultrasound, but I ensure bloodwork, stat meds and X-rays...

  17. Over order or minimalist?

    CodeteamB replied to chrisktrauma's topic in Emergency

    This is one reason I love nurse initiated protocols. At my hospital the 56 yo female would have had an ECG, basic bloodwork, and depending on the RN a troponin all before she even saw a doctor. We...

  18. Vital sign Documentation In ER

    CodeteamB replied to jollymon16's topic in Emergency

    Probably not terribly accurately though... We have this function on our monitors, I turn it off on most patients as it will often give me a triple alarm for apnea while the patient is sitting up and...

  19. Speaking of drug testing...

    CodeteamB replied to klone's topic in General Nursing

    I also have never been subject to a drug test. I don't think they are common in Canada (I notice PP is also Canadian). I work for a large health authority and as far as I know they never do...

  20. Nursing Character Names

    CodeteamB replied to BiohazardBetty's topic in General Nursing

    Fomite Francine? But for realz I'm going to make my coworkers refer to me as bath-time B from now on,

  21. Freaking out--crash cart question

    CodeteamB replied to sillylilly05's topic in General Nursing

    Probably this isn't the best place for that. You certainly shouldn't be using the crash cart if you don't know how, and your employer should be giving you education in the use of all equipment...

  22. RPN vs RN

    CodeteamB replied to smiles_x's topic in Canada

    The point of my post was not who does and doesn't make mistakes or to discourage you from making a change, rather some friendly advice to get the best opportunity you can. You have to look out for...

  23. RPN vs RN

    CodeteamB replied to smiles_x's topic in Canada

    There are many of these in both Edmonton and Calgary. I worked on a unit where LPNs were full scope. I will caution you, however, to ask lots of questions about the education you will receive if you...

  24. Abdominal IV

    CodeteamB replied to dmurph615's topic in General Nursing

    I have never done abdominal IVs because I have never got that far when looking for a site, but we do breasts when necessary (ouch). Basically, if we need access now, any vein that will give blood and...

  25. Ionized calcium

    CodeteamB replied to newrn00's topic in General Nursing

    1. Ionized calcium is a more accurate measure of the calcium available for the body to use as serum calcium level includes albumin bound as well. Especially if the patient has an abnormal albumin many...