MendedHeart

MendedHeart

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All Content by MendedHeart

  1. IVP vs Drip

    MendedHeart replied to Matt8700's topic in Emergency

    Agree with this poster. If it's ordered intravenous, it's an IVP. If it's ordered Infusion, it's an Infusion Cut and dry, if you deviate you are not following orders or the Medication

  2. Chest Drains - removing one at a time?

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

    Really, Insertion? ??? Do you have a reference

  3. Chest Drains - removing one at a time?

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

    I'm floored that you, as a Nurse, can do this. this is something Nurses usually cannot do, not in scope in most states. You could do research on it and publish. As far as policies, you need ONE...

  4. Chest Drains - removing one at a time?

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

    We have had MDS/PAs pull them out all at once. There should be no problem removing both at once . I'm curious as to why you need a policy for an MD

  5. Frustrated

    MendedHeart posted a topic in General Nursing

    Scenario: Post-op day 6 from a midline abdominal wound debridement. Wound vac in place since surgery. Pt to be discharged to SNF. Wound vac removed and wet to dry placed until pt arrived to SNF. Wound...

  6. Frustrated

    MendedHeart replied to MendedHeart's topic in General Nursing

    I'm with you. I felt uncomfortable with it from the start of

  7. Frustrated

    MendedHeart replied to MendedHeart's topic in General Nursing

    It's always has a good seal immediately but after several minutes the tubing started getting clogged with clotting blood and blood was pooling in large pockets under the drapping. I wonder if it was...

  8. Was I right, wrong, or am I going crazy

    MendedHeart replied to nursingaround1's topic in General Nursing

    Someone explain to me what a troll thread is, I've seen it in a few

  9. NCLEX Question Type! PLEASE HELP

    MendedHeart replied to MrMango's topic in NCLEX Exam, Programs

    Prioritization is the specific name for these questions. Who's the sickest, who may die first, what can wait. Use the process of elimination to get rid of one or two options. Check this link out...

  10. Is this legal?

    MendedHeart posted a topic in General Nursing

    Billing insurance and/or Medicare/Medicaid for an ICU bed when the patient ratio is 3:1 and it's technically not an

  11. Is this legal?

    MendedHeart replied to MendedHeart's topic in General Nursing

    Ok that makes sense, I guess my problem is the patient ratio then. I just don't understand how an insulin gtt which has a different level of care than the ICU beds, but the Nurse - patient ratio is...

  12. Is this legal?

    MendedHeart replied to MendedHeart's topic in General Nursing

    I'm am referring to the "level of care"

  13. Is this legal?

    MendedHeart replied to MendedHeart's topic in General Nursing

    I'm not sure what this situation falls under because I'm sure it's very unique. There are 3 beds on the stepdown unit that are hardwired. The patient that go to these beds are usually fresh carotid...

  14. Vasoactive drips

    MendedHeart replied to Momma1RN's topic in Medical-Surgical

    We take and titrate Nitro, Nipride, Insulin, Dopa, Dobut, Neo, Primacor, heparin, Integrillin,Amio, Dilt......... We also take Art lines with a 3:1

  15. Medication Error Question

    MendedHeart replied to BonnieSc's topic in Medical-Surgical

    Right

  16. Vasoactive drips

    MendedHeart replied to Momma1RN's topic in Medical-Surgical

    I work on Cardiac stepdown and we take drips and titrate them as well. Our ratio is still 4

  17. Most Ridiculous Med Order

    MendedHeart replied to fitzfan82's topic in Emergency

    MD ordered Isopropyl Alcohol topical to extremities for fever...lol. Old school treatment and was contraindicated in

  18. Venting

    MendedHeart posted a topic in General Nursing

    Silly post but just feel like getting out how I'm feeling. I go on a much needed vacation from work in less than 24 hours. One more shift left. Work is kicking my butt. I've been in Charge almost...

  19. Venting

    MendedHeart replied to MendedHeart's topic in General Nursing

    Thanks, yea we have a grid that we go by that tells us how much staff to keep based on patient number/census and we have to call people off based on a list of whose turn it

  20. Venting

    MendedHeart replied to MendedHeart's topic in General Nursing

    ^^^^This is definitely an interesting way to do it. I've never heard of that before. It may be tricky how to low census staff though, how do you all handle

  21. Wake Tech ADN Fall 2015

    MendedHeart replied to Nurse-DreamJob's topic in North Carolina Nursing

    It's a shame the Nursing program has to cut out the pinning ceremony, it was very nice. Great Nursing

  22. Do We Need More Nurses?

    MendedHeart replied to wanna_be's topic in General Nursing

    We have had Nurses by the handful retiring every month in the last couple months and many more following due to a pension

  23. Venting

    MendedHeart replied to MendedHeart's topic in General Nursing

    Yea Night charge makes day assignment and vice

  24. 5-Wire Telemetry. Which lead tracing do I interpret?

    MendedHeart replied to winzer's topic in Cardiac

    Ive been taught to go with Lead II for initial interpretation and measurements and is our protocol for QT and

  25. COPDer de-satting? What do you do?

    MendedHeart replied to Krazziekid78's topic in General Nursing

    I had a patient a few weeks ago who had an order to keep sats >74%. He lived between 75 and 83