SilleLu

SilleLu

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All Content by SilleLu

  1. Pausing IV, clotting?

    SilleLu posted a topic in Patient Medications

    Question from a past clinical rotation. IV kept occluding, couldn't walk away before it was beeping even after. As a student at the time, I was not allowed to do any IV care without the RN or...

  2. Are Big City Hospitals Really Getting Hit With COVID-19 Pts?

    SilleLu replied to EPS's topic in Disaster Preparation

    400+ beds, SE michigan but not Detroit. 3 ICU units, a makeshift ICU in an unused area, 2 out of 3 med/surg units, 1 large tele unit were ALL made into Covid units and ALL had a good number of covid...

  3. Accused of not giving dilaudid

    SilleLu replied to KMULL002's topic in General Nursing

    I'm wondering if you pushed the medication slowly, which of course is correct, while other nurses had been pushing it faster, giving her the quick buzz. Might explain why she is accusing you of not...

  4. Iv antibiotic running as primary?

    SilleLu replied to SquatsNScrubs's topic in General Nursing

    How is the abx ordered? Our are all ordered IVPB, so to me that means if I run it as primary I'm not following the order as written. I would hang it piggyback even if I had a choice, for the reason...

  5. Doctors Say the Darnedest Things - WIN $250! Nurses Week Contest 2018

    SilleLu replied to Brian S.'s topic in General Nursing

    Patient in respiratory distress, lungs sounded horrible, RR in the 50s, accessory muscle use, shallow, sat ok on just nasal canula however. Lasix given but patient getting worse by the minute....

  6. I think I might hate nursing

    SilleLu replied to Lexi256's topic in General Nursing

    I too was a CNA before I was an RN... The work of RN is more mental than physical, although I still do a fair amount of the physical care as well. So what is an RN doing while sitting at the computer...

  7. Patients Say the Darnedest Things - WIN $250! Nurses Week Contest 2018

    SilleLu replied to Brian S.'s topic in General Nursing

    Sweet little couple both mid 90s, both sharp as tacks. Wife recovering from hip fx. I was helping her off the bedpan and pulling up her undies and pj pants. Husband pipes up, "I would have helped her,...

  8. What is your Nursing Super Power?

    SilleLu replied to adventure_rn's topic in General Nursing

    Getting complicated discharges done. The patient that has been medically stable for weeks, doctor are willing to write discharge orders, but difficulty getting patient placed somewhere? Gone on my...

  9. New Grad & Scheduling Difficulties

    SilleLu replied to 02468's topic in First Year After Licensure

    Sounds like a hard decision if they won't change your preceptor. I recently accepted a new 12 hour position at my hospital and at no time did they bother to mention that during the three months of...

  10. Assertiveness Training Needed

    SilleLu replied to Emergent's topic in General Nursing

    , THIS!!! In two years in a hospital with over 1,000 RNs (granted I've only been on a handful of units), I've seen plenty of 'normal bad behavior'. I've called out a few of them on it when it has...

  11. New at Charge, HELP!

    SilleLu replied to JcorbinRN's topic in General Nursing

    I was asked by my manager to do charge after 1 year, was new grad to boot. This was in a 40+ bed med-surg unit. I told her I didn't know enough yet and I still went to my seniors with questions. Her...

  12. Questioning a doctors order

    SilleLu replied to MrsJt's topic in Patient, Colleague Relations

    Not questioning doctors orders can be dangerous. Dr. ordered toradol for my patient just last week. Patient's chart clearly states allergy with anaphylactic reaction. Doctor missed it, pharmacy missed...

  13. Orders from hell...

    SilleLu replied to Leonardo Del Toro's topic in General Nursing

    "Walk this patient in the hallway without oxygen and then figure out how much oxygen he needs and record it to satisfy hoop-jumping to get patient what he

  14. Alternative to shouting a name

    SilleLu replied to heavydmg's topic in Emergency

    I don't work in ER. However, having been on the other side, I wonder if a system like the OR waiting room would work? The patient is given a number/letter code which can be shared with family as the...

  15. 4th semester nursing student and feeling doubtful

    SilleLu replied to ns808's topic in Nursing Student Assistance

    to OP...we've all made mistakes. Yes, your nurse should have checked. Yes, you should have clarified. Learn from this mistake, and from the next one (yes, you will make another one). If every nurse...

  16. 4th semester nursing student and feeling doubtful

    SilleLu replied to ns808's topic in Nursing Student Assistance

    Some pumps don't...we have Alaris and if the drug is piggybacked, it will draw from the primary without alarming. That is assuming the primary is already running and it's the secondary clamp that...

  17. Switching back to primary IV

    SilleLu replied to Jenny9292's topic in General Nursing

    On our pumps you could just disconnect the piggyback bag and tubing from the primary, no need to change anything, other than new VTBI as PP stated. The primary solution is programmed separately from...

  18. delete please

    SilleLu posted a topic in Dialysis, Renal, Urology

    delete

  19. Why don't you just read the chart?

    SilleLu replied to Guest219794's topic in Patient, Colleague Relations

    I do both. I review the chart but also expect a verbal report as many times all the charting hasn't been done before they try to send the patient. Have caught several inappropriate placements this...

  20. Strange stethoscope question

    SilleLu replied to Username invalid's topic in General Students

    I was going to suggest MDF brand, I don't have one, but used a coworker's and was impressed by the quality vs

  21. Questions for a Registered Nurse?

    SilleLu replied to Allienya's topic in Nursing Student Assistance

    OP, you will not get anyone to answer this here. Go out into your community, that is the intent of the assignment. You have no way of knowing if a random internet poster is an RN or

  22. When did you last see a nurse wearing the old school garb?

    SilleLu replied to DesiDani's topic in General Nursing

    My mom going to work, probably 35 years ago...I wore her cap for my pictures. It was a big deal when she switched from the white dress to white

  23. new grad RN with 2 job offers, what would you do??

    SilleLu replied to zumbaRN4's topic in First Year After Licensure

    Take the RN position. Current hospital can string you along as long as they feel like once you give up another

  24. Low census--what do you do?

    SilleLu replied to compassionresearcher's topic in General Nursing

    Union hospital Overtime and per diem cancelled first Nurses can sign up to request to be cancelled for a particular shift, that list goes by seniority Then mandatory cancellation by lowest senior...

  25. How do I peel pill packets without meds flying everywhere!

    SilleLu replied to hs4zu's topic in Nursing Student Assistance

    If you try opening over a med cup, have a second med cup for storing the already open pills. At least three times I was overly forceful trying to open one of those awful (must be made of steel)...