sweetieann

sweetieann

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All Content by sweetieann

  1. PICCs

    sweetieann posted a topic in General Nursing

    Just a question, I know that with peripheral IVs with continuous fluid infusions, tubing is changed q 72 hours at most hospitals. Is this the same if the person has a PICC line inserted (or is the...

  2. picc line dressing change

    sweetieann posted a topic in General Nursing

    Just a quick question-- Are routine dressing changes (q 7 days) usually ordered at your facility for your patients, or is this strictly "nursing

  3. trachs

    sweetieann posted a topic in General Nursing

    I haven't dealt with trach tubes in quite a while. I am trying to remember about cuffed trachs, when they should be inflated, etc. If a pt was in long term care (ie-they didn't just freshly get the...

  4. droplet precautions

    sweetieann posted a topic in General Nursing

    I see on various websites/textbooks that pneumonia is listed as "droplet precautions." However--I never see this done in the real world. Why is that? (Ps- I also looked up an old thread on here...

  5. med error--real world answer?

    sweetieann posted a topic in General Nursing

    So I caught someone's med error. I work night shift and have to check over the new orders. It was for pepcid, pt to get before each meal and at night, and the nurse who took the order off (we still...

  6. med error--real world answer?

    sweetieann replied to sweetieann's topic in General Nursing

    no, i appreciate you honesty. i contemplated this--however, the nurse who didn't end up giving the HS dose (because it wasn't marked) is also working today and would have seen that this dose was added...

  7. JCAHO

    sweetieann posted a topic in General Nursing

    Just curious: if a JCAHO surveyor asks you a question and you totally flub, can you be fired for this? Do they take your individual name and report it to administration? I have no experience with them...

  8. what do you think??

    sweetieann posted a topic in General Nursing

    So we had a patient who kept trying to pull out their NG tube (they were very combative about getting it inserted as well, biting staff, etc....but it was medically necessary and the pt is on a...

  9. discontinued I/O??

    sweetieann posted a topic in General Nursing

    When can I/O generally be d'c'ed? I have been told intake should equal output, but I know this won't be perfectly equal. I've heard measurement can generally be discontinued when numbers are within...

  10. what would you do??

    sweetieann posted a topic in General Nursing

    Took my pt's AC blood sugar and it was 60. She said she didn't feel low at all. Rechecked it immediately after and it was 138. How do you know which one to go by/what do you

  11. can these all be given together?

    sweetieann posted a topic in General Nursing

    Hello everyone, Just wondering...if there is a pt going through alcohol and opiate withdrawal and are being medicated, can they receive serax, clonidine, and vistaril all at the same time for their...

  12. can these all be given together?

    sweetieann replied to sweetieann's topic in General Nursing

    thanks! if it were you, would you give the clonidine per protocol and serax per taper and maybe hold off on the vistaril (PRN) since they are already getting serax? or would give you give both...

  13. quick cap change question

    sweetieann posted a topic in General Nursing

    Are central line/PICC cap changes sterile or clean technique? I see a policy stating to don non-sterile gloves to change, and my preceptor told me the same thing...but I always thought it would be...

  14. gut reaction

    sweetieann posted a topic in General Nursing

    Dr. writes order "lantus 7 units at 8pm. Hold Lantus if blood glucose les than 100 at 8pm." Dr. then changes order a few days later to "Lantus 5 units at 8pm." ........would you interpret that with...

  15. would you be able to understand this?

    sweetieann replied to sweetieann's topic in General Nursing

    thanks! that makes much more sense since peds pts are so fragile, I wish ours worked that

  16. would you be able to understand this?

    sweetieann posted a topic in General Nursing

    Pediatric patient came in with IDDM toward the end of the night. Her insulin orders written by the PA on admission were totally unclear. Called doc on call (as by the time pt came to floor, PA had...

  17. multiple pain meds at once?

    sweetieann posted a topic in General Nursing

    Ok, there is patient on my floor ordered both PRN Motrin and PRN excedrin migraine (contains aspirin and tylenol). Got me thinking as to which meds could be given in close proximity to one another?...

  18. precautions

    sweetieann posted a topic in General Nursing

    Was wondering how it is handeled with c diff precautions are d/c'ed in ltc setting? ie-are ALL clothes/linens/bedding/comforters washed? Say patient has a single room, had c diff and staff used...

  19. c. diff

    sweetieann posted a topic in General Nursing

    If a patient is in a private room and has c diff, and then get's "cleared" of it and can be off of precautions...does their room and belongings need cleaned? Can't they re-innoculate themselves if...

  20. c. diff

    sweetieann replied to sweetieann's topic in General Nursing

    but what if they get cleared of precautions while still inpatient? I work at a psych hospital. Pt has a private room and had c diff. He is now cleared fo precautions but will remain in private

  21. PICC line cap change question!

    sweetieann replied to sweetieann's topic in General Nursing

    ulivivt~THANKS SO MUCH! I finally understand now. This is exactly what I needed to know. Thanks everyone, actually, for your responses

  22. PICC line cap change question!

    sweetieann replied to sweetieann's topic in General Nursing

    what if it is the type of picc with no clamp on it at all (i have heard of these)? it's ok to change the cap on these with no

  23. bolus insulin for meals

    sweetieann posted a topic in General Nursing

    I have a question regarding boluses to cover meals. Say a pt is getting glucometer checks before meals. At what point would you hold off on giving meal coverage? example: Say pt's blood sugar is 70...

  24. diabetic orders question

    sweetieann posted a topic in General Nursing

    Have a patient who is carb counting to determine bolus for meals. Their order is 1 unit insulin for every 60 grams carbs. Just wondering your gut reastion to this: Pt gets 45 units carbs. Do you give...

  25. bolus insulin for meals

    sweetieann replied to sweetieann's topic in General Nursing

    thanks so much! i thought there should be a parameter, too. hopefully the Docs rewrite the orders, or they can except a few pages from me with