Hey everybody, Does anyone have wisdom they can share with me regarding how they decide when to suction? I suctioned my first tracheostomy this past 2 days after watching my buddy nurse (I'm on orientation) do it. She explained that it's a good idea...
Hello all, I'm a med-surg nurse hoping to move into the PACU as soon as I finish critical care courses. I was curious how many code situations happen in a given PACU? I work nights mostly so I don't hear the PA system announce codes in PACU/PAR durin...
Oh I feel a bit silly now, I remember someone telling me that ICUs don't broadcast their codes for that same reason. Thanks very much for your answer, it didn't realize that most codes would be airway issues. Is that because of sedation and artificia...
I understand that passing any frank blood is a very urgent concern and I would need to call the doc stat (thank goodness none of my patients have encountered that yet!). But what about melena (or coffee grounds emesis) in an otherwise stable patient?...
Maddy_Rose replied to Maddy_Rose's topic in Med-Surg
Thanks for the responses. The sense I'm getting is that, in general, if a patient has new onset of either symptom (aka they're not a known GI bleed already) I need to call even during nights.
Does anyone have any rules of thumb/tips on how to titrate down a CBI systematically and effectively? We get a lot of TUPRs on the floor I work on presently, and often the doctors write only "wean CBI" as an order to start turning it down. I know I'm...
Hi there, I'm a new grad that will be starting on a orthopedic/vascular surgery floor very soon. I feel...OK about my ability to communicate the most important information about a patient to another nurse, but I want to get better at giving a more th...
Maddy_Rose replied to Maddy_Rose's topic in Med-Surg
Another kind of tangential question that occurred to me...on the floors I'm working on we do (or try to fit in) a morning "bed meeting" with both members of the team and our patient care coordinator. What are the most important things to communicate ...
I had a trauma/head injury patient these last 2 shifts with a spike in their vitals signs and wanted to get another opinion - This patient's baslines usually ran between 120-130 for heart rate, I can't remember what it was in the morning but normal ...
Maddy_Rose replied to Maddy_Rose's topic in Pulmonary
Thanks very much for the reply! From what you said here I think we probably should have been suctioning him more often, I could definitely hear what you described that vibrating or audible air moving in and out.
Maddy_Rose replied to Maddy_Rose's topic in Med-Surg
Yes thinking back I should have given something for pain and see if that helped or calmed him down, he had tylenol and ibuprofen. How much of a difference in HR do you monitor before calling the doctor? for example if someone went up by 10 beats/min,...
Maddy_Rose replied to Maddy_Rose's topic in Med-Surg
Good point MGoldRN! I feel kind of silly when I list of a bit of a patients medical history then realize halfway through I don't really need to when they can just read. Would you (or any other repliers) say this would be a the most important informat...
Hello all, I am a student in their last preceptorship and have a question about transfusions that I've been confusing myself with! A couple weeks ago my preceptor and I were giving blood to an elderly man. Before we started the transfusion she told m...
Maddy_Rose replied to Maddy_Rose's topic in Med-Surg
Hmmm now that you mention it she may have done that in case we had to to give those medications. So as long as you flush with NS before and after giving meds like that there should be no compatibility issues where the double extension sets come toget...
Maddy_Rose replied to Maddy_Rose's topic in Med-Surg
Honestly I don't recall why she did it that way, it was a couple weeks ago. I would ask her about it but she's on vacation right now :) And nope don't mean a stopcock at all. So the way you do it, if the patient started to have a reaction, you wou...