MendedHeart

MendedHeart

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All Content by MendedHeart

  1. How to keep a quiet environment on the night shift

    ^^This. Hahaha. The quiet at night scores are low across the country. We, too, are working on this. Along with all the other great responses, we are not doing Hourly rounding between the...
  2. Multiple Questions

    I would call. We call with runs over 6 beats. We usually get orders to check Mag and K even if ordered in
  3. IV push failure - how I am failing

    I don't usually dilute morphine
  4. Prioritization interview question advice

    I think it's due to the lung anatomy. The right side is straighter than the left and is most often the site of
  5. Observed an Unconsented surgery performed

    Yep. Good question. Sounds like it might of been another cyst on left side possibly. If that was the case, I think its fine. I consented for ex lap and got a partial salphinectomy(sp) with lysis of...
  6. Head to Toe Assessment

    Don't forget psychosocial.
  7. Heparin Drip

    We don't bolus from bag but would like too. I use y site closest to pt and pinch above like pp
  8. indefinite suspension because of med error

    Makes more sense now. Should have held the Glipizide. Glad everything worked out. Learning opportunity here
  9. indefinite suspension because of med error

    Agree. At my hospital, below 70 requires intervention unless symptomatic under 8o. Definitely something else going on, that was my first thought
  10. indefinite suspension because of med error

    Metformin does not drop blood sugar. It decreases absorption of carbohydrates. There must have been some other med or insulin the patient got? A blood sugar of 75 is normal. It's not really your fault...
  11. Advice on CCU

    I have worked on my current unit, cardiovascular and thoracic surgery floor, for about 10 years. Of those, 7 as a CNA, and the last 3 as RN. Recently, Ive been getting the "itch" to try...
  12. I hate being a CNA

    Sorry but don't agree at all. In my state, being a CNA is required to even get into a Nursing school. Not to mention the skills one gets from being one are
  13. I hate being a CNA

    Some places don't even have CNA's. Nobody enjoys watching someone decline and die, but it's inevitable, a part of life and we all gotta do it one day. Like the previous poster was saying, it's about...
  14. I hate being a CNA

    Maybe you will learn to like it. Stick it out for a while. Think about it as service to others who can't do for themselves. It will give you a basic foundation for Nursing. Help you become more...
  15. septic shock

    I think if there was more information, it would be easier to answer the question. Depending on the scenario like if the patient is crashing versus if they are
  16. septic shock

    In my opinion, any patient that cannot move themselves should be turned every 2 hours. Not only to protect skin but to keep secretions moving. As far as sepsis specifically, I wouldn't really do...
  17. Flushing with Sterile Water

    Seems like they would get some flushes or 10mL NS bottles to save money instead of using a 500ml bottle and throwing it away after 24hrs. Seems too wasteful and costly to do that. Could you possibly...
  18. I think this may depend on pumps. We use "Smart pumps". One pump per infusion and even if something is Y'ed together with something faster, it Will still infuse at the correct
  19. As a single nurse were you able to buy a home?

    I agree that advancing to a BSN is probably a good idea...however it's not necessary to make good money and keep a job. Maybe I'm lucky but my employer offers reimbursement. It's possible to work full...
  20. I have a case study question, I need some advise

    You could also place her in the Tripod position as mentioned in the first segment of the scenario, especially with her advanced COPD. Have her breath in through the nose and out through pursed
  21. As a single nurse were you able to buy a home?

    It's it Ludacris to say not to buy a house if you have an associates degree or arefloor nurse, even a new Grad. I bought my first house with a single income within 1.5 years of becoming a Nurse with...
  22. Pain Assessment in the Cath Lab

    Follow the chain of command. Manager, Director, ethics committee, corporate compliance line if available. Joint commission and cms take pain management seriously but don't jump the
  23. What did I do wrong?

    I believe that the RN has to pull the meds and give them to the UAP to administer I think. My hospital would never do this I dont think. When I used to be a CNA, I took a Medication administration...
  24. Job market in Raleigh-Durham and Charlotte?

    Im in Raleigh at a local Hospital. Base pay is about $21 for new RN. BUT this is my first full year of nursing and with shift diffs, weekend pay, incentive pay and overtime, I made almost $80k this...
  25. What did I do wrong?

    My state BON recently made it legal for UAPs to give most type of meds with an exception to Im, IV etc.... and the facility/company has to adopt the practice for it to be