maolin

maolin

IMC, ICU, Telemetry

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All Content by maolin

  1. Medical terms you'd rather see changed....

    adult diapers -> incontinence briefs DNR -> AND (allow natural
  2. IV Ancef.

    IV Ancef is one of the abx that can acutally be given IVP over 3-5 mins (per Gahart IV drug guide). You could also mix as a IVPB and give over 30-60
  3. Help re Jehovah's Witness and death

    I took care of a JW just a few weeks ago. s/p heart transplant. We couldn't check H/H and he wouldn't have received a blood transfusion should complications have occured. I did some reading afterward...
  4. Preceptorship & Orientation on Same Unit

    I wasn't in this situation myself, but there are a couple of new grads in my orientation group that did their capstones in the unit. They are receiving the same orientation as I am - same classes,...
  5. Decadron question

    I had the same thing happened to me last week - it precipitated when I pushed into the primary line of LR. Drug book did not indicate incompatibility with LR. Was there anything else piggybacked into...
  6. The non-medical aspects of patient care

    "adjuvent" maybe? I think I see where your going with this - the perks a facility offers in addition to basic nursing/medical care. Jacuzi tubs in an LDR room, plasma tvs w/ premium cable channels,...
  7. Circ on a 2yr old?

    This is certainly a tough call to make. I think it definity needs to include consultation with a urologist, and maybe a developmental psychologist. To add to the others thoughts for consideration is...
  8. Which pressor to use???

    I'm chiming in because I want to follow this thread closely and see what the experienced pros have to say. I'm a bit more than halfway through my ICU orientation and still trying to learn the ropes of...
  9. Causes of unequal pedal pulses

    I had decreased pulses in my DVT leg r/t marked edema & venous congestion in that leg (massive ileofemoral DVT with >95% occlussion). Sluggish cap refill too. Seems it was so congested on the...
  10. A.n.d.?

    My mentor is actually a strong advocate of adopting this term to replace "DNR" in my local medical community. It's not yet a widely used or approved abbreviation from a documentation standpoint. She...
  11. Anyone not feel bad after taking NCLEX?

    I didn't thnk the NCLEX was as awful as I had imagined it to be. I think it was a challenging but fair assessment. I was confident in my education and preparation for the exam - I took it seriously...
  12. The rule of thumb I was taught was: stat=stop whatever you are currently doing, get the med and give immediately. now=finish whatever you are currently doing, get the med and give ASAP no label=give...
  13. IV push administration

    It is absolutely necessary, no, but it certainly wouldn't hurt either. As a student, it's better to get into the habit of always flushing before & after IVP meds. If there was an abx or...
  14. Hang Blood?

    I don't know about LVN's hanging blood - I suppose that would be dependent on the state board. As far as "hanging blood" it means administering a blood transfusion or transfusing other blood products...
  15. what was your hardest semester?

    First semester was hardest for me because it was complete culture shock. Unlike anything I had experience before - far different than "regular" college classes. After I got the hang of how nursing...
  16. Good for you! Your ambition, enthusiasm and previous experience will help you reach your goal of becoming an RN. Have you considered a community college ADN program? This is often a less expensive...
  17. :yeahthat: I can't tell you how comforting it is to know that it's not just ME that's getting this kind of vibe - not that all this newbie nurse stuff is comforting, but I don't feel so alone in the...
  18. patients who LIE about their symptoms!

    I'm confused - Would that the pt hadn't "lied" about her s/sx - would it have made a difference in the eventual outcome of receiving a "taxpayer" funded AICD? Or is it that if the pt not said...
  19. Pink Parking Permit?!

    What's the big deal? All the other 30k or so students that attend onsite classes at ACC will have pink parking passes too. It's not like the pink passes are to identify nursing students only - even...
  20. What do you call the teachers??

    Some core course instructors preferred Dr. Last name or Prof. Last name. The profs at the community college I attended varied from Masters to Doctorate prepared - but their job title at the college...
  21. Holding heparin bolus

    Good question - I'll be keeping my eye on this thread for more experienced answers. When I was on Lovenox/Coumadin therapy for a DVT, I asked the doc how this would affect my periods (especially since...
  22. Can I work in ICU despite back problems?

    Seek out a good facility that has a "no lift" policy, ones that use lots of lift equipment. My facility is wonderful about this - we have several tools at our disposal to eliminate sacrificing our...
  23. "tough" reenactment

    Now THAT is funny! :rotfl: Way to
  24. eating our young?

    Nicely said Rachel. I've been following this thread for a while. Your comments are spot on. I'd like to add that not all units are anti new grad. After reading all the horror stories and bitter...
  25. foley catheter question

    Now THAT is one supportive