MendedHeart

MendedHeart

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All Content by MendedHeart

  1. Blood administration help

    MendedHeart replied to mlauren's topic in Nursing Student Assistance

    We have a Y set up, after blood is done, we clamp blood, unclamp NS, squeeze NS into filter chamber, and run in at same rate ad

  2. Crazy days when I take a CABG

    MendedHeart replied to cabgnurse's topic in CCU, Coronary, Cardiac

    I work on a Intermediate floor. We recieve POD 2-3 CABG, valve,etc pts. We have 4 patients, dc CTs, and PW and mAnage Insulin gtts. We dont do the vent weaning, med weaning, and line dc's of

  3. Going alarm-free

    MendedHeart replied to LittleMamaRomeoRN's topic in LTC: Directors, Assistant

    this actually is a piece a new NPSG called Alarm fatigue, I think it is primarily meant for acute care but it may find its way to long term

  4. Well there goes the neighborhood...

    MendedHeart replied to Guttercat's topic in General Nursing

    what state is

  5. pls help me solve this... thank you!

    MendedHeart replied to exsassy's topic in Nursing Student Assistance

    ^^^That is not true at all. Reference a drug guide, it states that it is an appropriate

  6. Nursing home residents and night baths?

    MendedHeart replied to glenlorie's topic in Oklahoma Nursing

    I am unaware of any nusring "standard" that prohibits bathing at night. In my experience, it is ok and fair to bathe certain patients at night or early morning depening on situation and family...

  7. Carb counting and insulin in LTC

    MendedHeart replied to cactusj's topic in Geriatric, LTC

    The whole trusting of the CNA issue is a part of you rights of delegation. You as the nurse have to make that judgment call on an individual basis. Also, the cips and candy bar thing shouldn't come...

  8. Carb counting and insulin in LTC

    MendedHeart replied to cactusj's topic in Geriatric, LTC

    Yes, Ive worked in Alzheimer's units, regular units, and have done nurmerous roles from CNA to SIC to Activity Director. Never been an RN in a Snf though. It is not easy, but I loved it. I went to...

  9. Carb counting and insulin in LTC

    MendedHeart replied to cactusj's topic in Geriatric, LTC

    I can see how it could be challenging however, arent there CNAs and other staff that that can be delegated to? I eould not like to do it that way, but the formula its self doesnt take any longer to...

  10. PCTs - How many patients?

    MendedHeart replied to honeymylovely's topic in Patient Care Technician, Assistants

    On my floor it could be either or. Some days I had mostly independent, other days total cares more. Majority of surgical patients need assistance such as washing their back, feet and legs, and helping...

  11. Carb counting and insulin in LTC

    MendedHeart replied to cactusj's topic in Geriatric, LTC

    We do Carb counts with our surgical patients. The MD writes the order for it such as:: Humalog Insulin wm or ac Carb coverage 1:10(meaning 1 unit per 10 grams of CHO.) I have seen anywhere from 1:8 to...

  12. Blood Glucose Monitoring- What is your workflow?

    MendedHeart replied to janeybirdRN's topic in Diabetes, Endocrine Nursing

    I work on CV stepdown, CNA take BGMs and record directly in eMAR. They also call us or tell us if they are way high or low. We usually use SSI formula based on MD ordered per sensitivity factor and...

  13. PCTs - How many patients?

    MendedHeart replied to honeymylovely's topic in Patient Care Technician, Assistants

    Ive worked at several assisted

  14. PCTs - How many patients?

    MendedHeart replied to honeymylovely's topic in Patient Care Technician, Assistants

    This was my day as a CNA on a cardiovascular surgical floor in a hospital with between 6-9pts: 0645: receive report from off going CNA 0700: Begin vital signs, take blood sugars, and make sure...

  15. I need help to answer this questions please

    MendedHeart replied to irma2002's topic in Nursing Student Assistance

    I really dont think that is true. When I had this assignment, they accepted any form of interviews. Nowadays, society is accepting and often preferring alternative communication routes like email,...

  16. pls help me solve this... thank you!

    MendedHeart replied to exsassy's topic in Nursing Student Assistance

    Me too, It looks like eclampsia is the main reason to give IM Mag. Its probably situational as there is no increase in efficacy depending on

  17. I need help with doing a care plan for a patient starting on insulin

    MendedHeart replied to shellzbellz's topic in Nursing Student Assistance

    Im not understanding some of the terminology, and values, is this another

  18. pls help me solve this... thank you!

    MendedHeart replied to exsassy's topic in Nursing Student Assistance

    Eclampsia; Treatment and Prophylaxis: initial, 4 to 5 g in 250 mL of D5W or NS given IV AND simultaneous IM doses of up to 10 g of undiluted 50% magnesium sulfate solution (5 g in each buttock) From...

  19. Respiratory Therapists Inserting PICC Lines

    MendedHeart replied to Asystole RN's topic in Infusion, Intravenous

    Im assuming you are talking about my statement. First, I am a nurse not an RRT. I was just saying what our RRTs have the capability and knowledge to do at my hospital. Just as nurses can run a code...

  20. Respiratory Therapists Inserting PICC Lines

    MendedHeart replied to Asystole RN's topic in Infusion, Intravenous

    Nurses do PICCs at my

  21. Inadequat feelings

    MendedHeart posted a topic in General Students

    Just graduated a few months ago. I am almost done with my orientation period. I am so busy during the day I can't get lunch until late in the day. I leave on time, and sometimes feel like I have...

  22. Respiratory Therapists Inserting PICC Lines

    MendedHeart replied to Asystole RN's topic in Infusion, Intravenous

    Our RRTs not only give treatments but ...do ekgs, do ABGs, run codes, etc...as they are all ACLS

  23. Inadequat feelings

    MendedHeart replied to MendedHeart's topic in General Students

    **inadequate(spelling)

  24. Fundamental ATI question

    MendedHeart replied to RLtinker's topic in Nursing Student Assistance

    True..but I dont think the OP was referring specifically to.sepsis, just infection in general. I had a patient this week with WBCs up to 50,000 in the absence of infection..he had a lot going on but...

  25. Nurses laid off - Thanks to Obamacare

    MendedHeart replied to amygarside's topic in Activism, Healthcare

    The way it's going now, they are saving so much money now with the reimbursement standards , heck They'll prolly never go broke. Only a small reason the hospitals are suffering, however, I don't think...