smile_through_it

My first loss in the ER.. 70y.o. comes in hypotensive and vomiting large amounts of blood. Alert and oriented x4. He was a DNR but wanted blood. I rapidly infused two units of blood... And his blood pressure continued to decrease. In a matter of 30 m...

Hgb 2.8 ... Alive and saying she'd come back tomorrow for a transfusion because she didn't have time tonight.

Mag of Serum alcohol of 685- drunk, but alive!

When I worked in memory care we had a retired RN who would come up to the staff and ask if she could give you report for the night. She'd also push other residents around in wheelchairs.

I don't have all my credentials listed on my badge but I'm darn proud of every single letter in that alphabet soup. :) I've worked hard to get where I'm at. But I do agree that when you have more letters than your name it can get confusing!

I remember when I was fresh off of orientation. EMS brought in a guy who woke up throwing up blood. He was 86. No family around. AOx4. In about 10 minutes he was hypotensive. He agreed to let us give him blood but was a DNR. I couldn't get the blood ...

I have worked both on a cardiac floor and the ER. On the floor it stinks getting that change of shift admission but you have no idea what is going on in the ER. The three hour time lapse since the bed was assigned could be due to the cardiac arrest t...

I have never even thought to reuse it. We have plastic ones but ew, I wouldn't want to clean a BM out of that! I flush the majority of the stool down the toilet but then I pitch it.

I went to PA college before the name change and feel I got a very good base of knowledge to start my nursing career. LGH is not required to hire you but employers like that you have been using their system for two years and have a better understandin...

Tonight I had a pt who twist his ankle, walks two blocks then call the ambulance. When he gets to me he says he can't stand and pivot due to 10/10 pain and can't scoot to the bed... So we slide him. MD comes in right away, does the whole assessment (...

I also have POTS. My case is not super severe but I sometimes become symptomatic. I take medication that helps. I have worked on an inpatient cardiac unit and am currently working in the ER. I think it would be a good idea to take your concerns to yo...

Bugs in ears!

Has anyone taken the Capstone course at Chamberlain college of nursing in their online RN to BSN program? I will be taking it in July and would like to have an idea of how much work it will be. Thanks!

I had someone yelling out and moaning in pain and self inducing vomit. I would pull the curtain shut, she would rush to the sink, turn it on and then a few seconds later turn it off, rush back to bed and then 'vomit' the sink water all over the bed. ...

When there is a code blue in the hospital the residents respond. It always makes me giggle when they are flipping through their medical books and the experienced RNs are like 'um, what do you think about epi/amio/shocking?' And the resident is always...

I worked on a tele floor and now am in the ED. I see both sides of it. When most pts come to they ED they have family in the room and they usually don't want to say 'excuse me nurse? I wet the bed.' They want to wait until family leaves and usually ...

One night another nurses pts labs came back with glucose of 43. I go to help and grab the D50. We go into the semi-private room. Pt is alert and talking but nurse is to give d50 per order. We keep the light off because we did not want to wake pt on o...

I had a 23 year old with abd pain.. her mother answered every question I asked. Including that she was not sexually active and she didn't miss her period... well when mom walked out of the room the patient informed me 'what mommy doesn't know doesn't...

My confused patient last night told me he just got off the phone with the police because he saw the marijuana I was carrying and he knows I'm selling it.. the 'marijuana' I was carrying were his flowers his daughter brought in for him the day before!...

I had an overweight pt who was a stand by assist and she insisted she needed 2 people to help get her out of the chair so she could go to the bathroom. I went to get the aid and she was shocked bc this patient was very capable of doing it alone. So I...

Saw a nurse who went against protocol and pulled 'Tylenol' for a patient and gave it without using our electronic MAR (scan pt, scan med) and gave the pills... she went back an hour later to scan it, she gave 2 lopressor pills instead of 2 Tylenol..

I have just completed an 8 week stats class.. it was a challenge. I am average when it comes to math but this class was one of the hardest I've had. You need to really stay on top of the work and you'll be okay.

I had a patient tell me that he was admitted because they found ammonia in his lungs... needless to say he had pneumonia. I also had a patient tell me she was not using any drugs.. he drug screen came back positive for meth and cocaine... when I ask...

I recently had a patient that wanted me to give her a vaginal suppository. She was perfectly capable of doing this on her own and had no reason to need assistance. If I'm 100% sure a patient is able to do something on their own I always use the line...