nbnurse95

Hi, Just wondering how pt's with epidurals for post op pain management are cared for in your hospital. I work on a surgical unit with many ortho and abdominal surgeries. We have a room with 3 beds which is our "concentrated care" room. Right now our ...

We usually give heparin s/c to our post-ops. If they have an epidural, we have to withhold the heparin for 2 hrs after removal of the catheter.

Depending on the Dr's orders, we can change the epi rate according to the pt's pain or sedation within certain parameters. We can change the bag etc. We also remove the catheter when the epi is d/c'd (2 RN's must check that the catheter tip is intact...

Hi Fiona59, Thanks for the information. I work in New Brunswick. I think our policy is going to change soon. I doubt that many hospitals have the same policy we do.

I work on a surgical floor. We have 4 teams of 7 pt's each. Each team has one RN and one LPN. One RN in charge without pts. We have a secretary from 0730 - 1530, another from 1000 - 1800, and another from 1400 - 2200. We also have a "concentrated car...

Hi siggie13, I checked the policies and order forms at my hospital. Our TPN for Central lines is as follows: Amino Acids 5%, Dextrose 16.6% and Lipids 10 or 20%. and for IV lives: Amino Acids 2.7%, Dextrose 9% and Lipids 20%. There are also a few d...

The Travasol is definitely a different recipe than the one we use with Central lines and we're NEVER to run the Travasol alone peripherally. We always MUST run it with lipids.

Recently we've starting adm TPN through reg IV's. It's not as convenient since you only have the one line to work with so we usually have to start a second line for meds etc.

I've been working on the same surgical unit for over 11 years. Often 6, 7 or 8 pts each. We have always had hourly rounds. Chances are I'm so busy running around that I see most of them every hour anyway even if it's just a for a moment. If I'm in a ...

At our hospital it's very rare for a dr to allow blood to be drawn from a PICC.

1. surgical unit rn 2. 40 3. 10.5 4. all shifts, including every 2nd weekend 5. new brunswick, canada 6. $2269.50 (cad) or $2037.16 (usd) every 2 weeks (this doesn't include night, evening, or weekend premiums) your welcome

I work on a busy surgical unit and right now RNs are drawing the daily blood work at about 6:00am every day. I know that in some hospitals the phlebotomy dept goes to each unit to do it but the RNs would do stat tests during the day. So, who does th...

During one night shift an elderly man died on our unit. He was in a four-bed ward so we transfered him to a private room so that his family could come in to see him. While we were transferring him, another nurse answered one of her call bells. There ...

:rotfl: :chuckle :rotfl: :roll

Hi, I'm in New Brunswick. Been on surgical for over 10 years now. Love it.

Thanks for your replies everyone. I'm checking this because we are so busy that I thought it would be a good idea to give this work back to the lab or phlebo. I just need some back-up. Thanks again to everyone who's answering.

Pantoloc is only stable for 6 hrs I believe after it's been reconstituted. We mix a 40mg vial in 100cc NaCl. Each bag runs at 20cc/hr (over 5 hrs) to be safe then a new bag is hung. That's if the Dr orders a continuous infusion. If it's ordered OD, i...

Does your hospital have this problem? Fri Jun 3, 5:39 PM ET SASKATOON (CP) - A Saskatchewan family is furious that their 84-year-old father had to wait more than two days in a crowded and noisy emergency room before he was admitted to hospital for ...

I had one strange thing happen. It was around 4:00 am. I was preparing an IV med for one of my pts. As I stepped out of the med room a visitor was there waiting for me. (she was with her dying brother) She asked me to come to her brothers room quickl...

Well, I can tell you that no one understands a nurse more than another nurse. ERNURSE4MS is right; nursing is stressful. I'm not saying that you don't support her, all I'm saying is that we do see some unbelievable things somtimes that are SO unbelie...

My cousin also had a baby, breastfed, who had thrush. She also had a hard time to get rid of it. Was your nephew born by C-section? My cousin's ped told her that due to the doses of antibiotics given pre-op, it's fairly common to see the newborn deve...

Well, we get our recognition pins during this week. (5 years, 10 years, etc...) The DON and assistant DONs open their offices for cake, coffee, Nurse-of-the-year presentations,( one RN and one LPN from each unit ), a slide show of photos of us. They ...

me again. they finally called me to answer the skill testing question. my prize should be here in 6-8 weeks. :balloons: (2x12)-3+6= thank god i got it right. how embarassing if i didn't. :uhoh21:

We have a policy that also allows for about 5 sick days a year. But we don't have such strict conseqences. We would recieve a letter during our yearly evaluation to make us aware of our absenteeism (spelling???) and we'd be "watched". If our sick con...

I'm an RN on a surgical unit. Been there for almost 10 years. Due to a bed shortage, we've had a lot of medicals for quite a while now. My favorite pts are the surgicals, they keep me the busiest. The medical pts are sometimes admitted for quite a lo...