shadowflightnurse

shadowflightnurse

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All Content by shadowflightnurse

  1. 20 month old with WBC count of 27,000, CXR negative (m)

    shadowflightnurse replied to pink2blue1's topic in Pediatric

    like siri stated, if the cxr was done early, it may the pneumonia may not have been detectable. also, no offense to your pediatrician, but was the film read by him or a radiologist? i've seen several...

  2. peds med i have trouble remember how to calulate

    shadowflightnurse replied to terrylynn's topic in Pediatric

    narcan dose is 0.1mg/kg, it can come it a variety of concentrations so i would memorize the dose then worry about how many cc's. where i work, we have both 2mg/cc amps and 0.4mg/cc vials. like the...

  3. Ventilator simulation in Nursing Lab

    shadowflightnurse replied to sb23's topic in Nursing Educators, Faculty

    i think it is a great idea to give your students some ventilator training. in my bsn program, we barely even discussed ventilators at all...much less have any hands-on time. i think a GOOD...

  4. PALS meds

    shadowflightnurse replied to ERERER's topic in Emergency

    no problem. good luck with getting anyone to accept the change :chuckle i'm not sure about the JCAHO issue, haven't heard

  5. University of Alabama

    shadowflightnurse replied to Fox's topic in Nurse Practitioners, NP

    i am planning on applying to UAB and south alabama...who knows where else. i am still torn between a brick and mortar school vs on-line. the more i research, the more i am leaning toward

  6. PALS meds

    shadowflightnurse replied to ERERER's topic in Emergency

    i have seen it done multiple ways. usually no need to dilute the meds, unless there is no ivf's flowing. if fluids are running slow, follow with flush. as far as the rule of 6's, i have usually seen...

  7. Improper Triaging

    shadowflightnurse replied to NurseNewbie's topic in Emergency

    Siri, Apparently you haven't worked in an ED that is balls to the wall busy, people coming in faster than the triage nurse can keep up, short staffed in the back, no in-patient beds and getting...

  8. IM injection help: maximum amount given in ventrogluteal site

    shadowflightnurse replied to christine2005's topic in General Nursing

    I have always used 2.1cc of 1% Lido to dilute 1GM vials of Rocephin. Typically even if you use 3.6 cc, the gluteal can handle it. Unless the patient was pretty thin. As far as the doctor telling you...

  9. Syncope........

    shadowflightnurse replied to CardioTrans's topic in Cardiac

    Have you worn a Holter yet? If so, has your doc mentioned a neuro work-up. Just to make sure nothin goin on in the ole noggin that could be causing the syncope. Good luck. Hope all turns out

  10. report to the ICU

    shadowflightnurse replied to gizelda196's topic in Emergency

    Where I work, we use a written form report that we fax to the floors. We do call report on all ICU admits. I have worked at one hospital that the policy on ICU admits was you could fax or call, but if...

  11. In-state v. online NP program

    shadowflightnurse replied to brownrice's topic in Nurse Practitioners, NP

    I have been doing a lot of reading on this myself. I think it boils down to how well you learn on your own and how motivated you are. It seems that most of the online programs I've read about have a...

  12. Do RNs needs IV certification?

    shadowflightnurse replied to AC439's topic in General Nursing

    I agree with the above posts that it is built into the curriculum. The hospital has just instituted their own "in-house" policy, probably for CYA. It is similar to nurses doing intubations. In many...

  13. ER Pet Peeves

    shadowflightnurse replied to ERERER's topic in Emergency

    How about doctors who don't know how to operate a trash can, so they lay their trash (tongue depressors, otoscope covers, etc) on TOP of the

  14. Unnecessary testing

    shadowflightnurse replied to Question's topic in Emergency

    Funny how many posts (out of 3 pages...so far) have little or nothing to do with the original. My opinion (and we all know about those) is that tests will be ordered and done...some are necessary,...

  15. Question about reading really low BP's

    shadowflightnurse replied to vampireslayer's topic in Emergency

    I agree with the others in that the patient probably should have been put on something else. Since she was a DNR, I would guess (and it is only a guess) that the ED doc probably wanted to let the...

  16. Neuro-vascular status

    shadowflightnurse replied to nursesearl's topic in Emergency

    There are other ways to say the same thing, just like almost everything else we document. I frequently see "CMS intact" (circulation-motor-sensory), "PMS intact" (pulse-motor-sensory), and...

  17. Questions regarding epinephrine.

    shadowflightnurse replied to Mithrah's topic in Emergency

    Still see racemic epi fairly often, esp in the peds ED. The EpiPen is meant to be IM, not SQ. Although I'm sure it ends up SQ pretty

  18. EMTALA and pt registration

    shadowflightnurse replied to MrsWampthang's topic in Emergency

    I have worked at hospitals where the patient got a "quick registration," was seen, treated, etc. and then the registration was completed. The hospital also used a dry erase board for tracking. There...

  19. Men Who Play Poker

    shadowflightnurse replied to bobnurse's topic in Men in Nursing

    I play when I can (in real life) and pretty often in my "pretend" life. I've lost hundreds of thousands of $$$, thankfully only in play money, but it's a fun way to pass the time. Wouldn't mind...

  20. Need your HIPAA stories, good or bad

    shadowflightnurse replied to Brad Smith's topic in Case Management

    I'm sorry I cannot share any information as it would be a violation of HIPAA!! :chuckle :rotfl: I am not in case management, but I have some HIPAA stories. I work as a flight nurse and the most...

  21. When communicating with an older client who is hearing impaired, the nurse initially:

    shadowflightnurse replied to student06's topic in General Nursing

    I would say D. A&B assumes the patient can read lips. C assumes the patient can sign. Then again D assumes the patient can READ!! Typical nursing school

  22. How much aspirin

    shadowflightnurse replied to SnowymtnRN's topic in General Nursing

    Fiorinal has 325mg of

  23. Any Pregnant ER nurses out there?

    shadowflightnurse replied to LeahJet's topic in Emergency

    I'm not pregnant my self, but my wife is :chuckle :) This is our second. During her first pregnancy, she worked full time flying (10, 24hr shifts/month) and part-time in the ED (some 12's, mostly...

  24. Need help with a simple Q

    shadowflightnurse replied to Bolts's topic in Emergency

    Typical answer is basilar skull fracture. Might also see bruising behind ears (Battle's Sign), clear drainage from ears and or nose. The bruising around the eyes is "Raccon

  25. Opportunities for RNs in the Field

    shadowflightnurse replied to EricTAMUCC-BSN's topic in Flight, Surface Transport

    First thought is that it is not up to the nurse to decide who transports the patient. The sending doctor is responsible for deciding the appropriate level and type fo care during transport. That being...