Lisky90

Lisky90

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All Content by Lisky90

  1. Can anyone identify pt problems/issues by smell? I am precepting right now; while assessing a pt yesterday my preceptor said "her sputum has that pseudomonas smell"...she smelled like gauze to me....
  2. I work in an LTAC. Just about a month ago, a 40yo woman with ALS was admitted. She is in the advanced stages of ALS - tube feeds, on a vent, controls her call light by turning her head. She can mouth...
  3. I'm so tired after doing 14 hours today...but, I can't get this off my mind and this is the perfect place to get some feedback...so I'll try to be as brief as possible. This was my first day back at...
  4. I'm not sure how I should feel about this???

    Thank you so much to all of you for taking the time to read this...and thank you so much more to all of you who responded, and for some of your encouraging words. I feel so much better this AM after...
  5. I'm so tired after doing 14 hours today...but, I can't get this off my mind and this is the perfect place to get some feedback...so I'll try to be as brief as possible. This was my first day back at...
  6. Ty-yen-ol...my preceptor for OB used to say that all the time...didn't feel that it was my place to correct her but, pts used to look at her funny when she offered it that way and she never
  7. what do you all think about 12 hour shifts?

    Love 12s...Where I work, there is still the same amount of pt care that needs to be squeezed in to 8 hours vs 12 but, at 3p I still have 4 more hours to complete things...charting, dressings, etc....
  8. Crazy stuff can happen

    I just busted a gut out loud all alone in my kitchen after reading (my kids who were in bed had to come out and see what I thought was so funny)...OMG!!! That must have been awful...it was bad enough...
  9. Share Your Funniest Patient Stories...

    I had a confused pt that had a capped trach. I took the cap off for trach care and put it down on his tray in front of him but, then thought better of doing that as he was confused so I said, out loud...
  10. This may sound like a silly question but, what makes an ICU nurse different than a tele nurse? I am still a pretty new nurse (one year since graduation)so, I really don't know what I would/should say...
  11. Crazy stuff can happen

    Oh my...I hope I didn't totally gross everyone out with my Foley story. That all happened to have happened the day that I had posted it. I think my grossest medical story however, was when I was an...
  12. Most interesting Micro-organism!!

    pseudomonas is a good one...there are now many strains that are becoming multi drug resistant...which warrants a "critical value" phone call from the lab, when sensitivities are finished. Also...
  13. Crazy stuff can happen

    I have a good one...from today as a matter of fact. One of my patients, who is a parapalegic called me in to tell me he thinks his Foley is clogged and needs to be flushed. His urine cx just came back...
  14. KCI wound vac question

    The last time I did one, the sponge went directly onto the wound...I believe there was one once that I did that had orders to put gauze and then the sponge on the wound. You are right though, if there...
  15. Today I started off my 7a-7p shift with 5 pts: 1. Pt on a trach collar tolerating PMV, with unsuccessful attempts to cap...very anxious and crying...high maintenance but, not too complex 2....
  16. Good morning...thank you to everyone who posted. I really needed some honest answers...to know if this is this crazy or if I am just new and slow...or whiney...lol. After I reflected back on the...
  17. Kussmaul's respiration

    I agree with you that it is an honor to be in the presence of someone in their dying moments and that it is indeed a profound and unsettling experience. I have sadly, had the honor, in the field of...
  18. I had a bad day

    I work in a hospital that specializes in vent pts. One of my patients since July is a 40 year old woman who was dx'd with ALS last November. She rapidly progressed from a young, vibrant mother of...
  19. I had a bad day

    Thank you to all of you for all of your kind words. Today was a really hard for everyone involved in this pts care. The whole atmosphere at the hospital was very sad; it is a very small hospital....
  20. Do you use a clipboard? notecards? cheat sheets? I just finished working as a CNA and start tomorrow as an RN. Over time I developed my own cheat sheet and had my own little "system" of doing things...
  21. I love your idea of the master copy. I have now been an RN for almost 4 months...when I started this post it was the night before my first shift. I have since tried numerous things to stay...
  22. As a student, I worked as a CNA on a postpartum floor, spending a majority of my time in the well baby nursery. I did not do newborn assessments, however because I was a student, many times nurses...
  23. OH...you have no idea how encouraging your words are to me right now. A. to know that I'm not alone and B. to know that I'm not crazy!!! I try to tell my friends and family how crazy this job is...and...
  24. MEEEEE!!! Chicken with my head cut off is the perfect description. I spend the day trying to remember sooooooo much...that half the time I don't even hear people talking to me...or that if what they...
  25. Don't put that in your nose!!

    When my daughter was two she stuck a peice of modeling dough up her nose. It was the kind that felt like playdoh when it was squishy but dried into hard styrofoam - my older daughter was using it to...