GrnHonu99

GrnHonu99 RN

Neuro, Critical Care

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All Content by GrnHonu99

  1. nailbed pressure

    I am confused. Peripheral resp. is what I am illiciting. I was taught you couldn't test central pain in the
  2. Restraining an intact patient

    Well part was her condition i'm sure, but part of it was just her. Im pretty sure she had some withdrawl sx's going on as well. Her male friend told me they both quit drinking the week before. She had...
  3. What qualities to succeed in NICU?

    1. i love learning. 2. research everything. good...knowledge is key, but sometimes youwont have time to look up everything and you will just have to trust yourself and rely on your knowledge base. 3....
  4. What qualities to succeed in NICU?

    You have to be very observant and flexible. sometimes neuro changes are so subtle..as subtle as a pt. not talking to you for an hour. Also, you have to be able to be flex. bc in neuro world the brain...
  5. nailbed pressure

    A trap squeeze is testing central pain and nailbed pressue is testing periph. pain. If pts are following verbal commands no need to test
  6. nailbed pressure

    yep. I usually use: show me two fingers (however im not even picky on which two)...I use thumbs up...wiggle your thumb..but this one isnt great bc sometimes you cant tell if they are wiggling it. The...
  7. nailbed pressure

    I work in the neuro ICU in a huge neuro hospital.....55 Neruo ICU beds on my floor alone Our neuro assessments are per unit protocol. Glasgow-if pt not following verbal commands test central pain...
  8. Restraining an intact patient

    Sitters are great. I wish we had more. I had a patient one night who wasn't a neuro patient, so already I was out of my element. This pt. was a psych/medical pt. who swallowed an entire bottle of...
  9. Tx of neruologic fever

    sometimes if its truely neuro in origin pts wont respond to pharmacological methods. Cooling blankets...ive seen pts paralyzed to prevent
  10. Is night shift a good learning environment?

    If you are going to work in a level I trauma/teaching hosp. as I do there are dr's around all the time giving orders. I work NOCs and wouldnt work days if you paid me 3x. Im also a new grad. Working...
  11. RN Survey :)

    1. My love of medicine and the human body. Ive just always known i'd be in the medical field somehow. Also the realm of opportunities in the nursing field is amazing! 2. I just like being a nurse. I...
  12. Restraining an intact patient

  13. Restraining an intact patient

    exactly. I thought if i restrained her it would just make her that more agitated and in turn raise her ICP. A sitter was just not an option, we dont have the staff for them. If any of you out there...
  14. Restraining an intact patient

    Yes, I should have restrained her. My dilemma was more on how to approach her and restrain her without her going completly nuts. We restrain people all the time in the N ICU, most of them completely...
  15. What would you do?

    So what exactly is this person on your unit for?? If she has no purpose there then she has no purpose there. What is her job??? Arent they missing her
  16. do you ever have "stupid" days at work?

    I have the same issue! LOL...I stand in front of the omni cell thinking..I am the worse nurse ever, i cant even remember my pts
  17. do you ever have "stupid" days at work?

    one night i was so tired at the end of my shift...i was pouring glucerna into a kangaroo bag....oops it was half in the kangaroo bag and half all over me! Time to go
  18. ethical dilemma....nurse lied.

    Tough situation. At that point in time you made that decision. In this part. sitation the pt. is ok. Learn from your mistake and move on. I have to agree with the other posters that say not a word....
  19. Hello Mr. VIP! I'm your servant nurse for the night!

    Ive had pts like that and they arent even VIP status. I work in the neuro ICU so we don't get many pts that actually use the call light but when you do they are usually on it the entire night. Exs of...
  20. How do you give morphine sulfate IV?

    We don't have any hard fast rules, we give per recommended dose. I usually give morphine via MIVF so I wont dilute it. If I give it through a periph IV then I usually just mix it with some ns so I...
  21. Is Kaplan Testing Worth The Money

    Don't bother, HUGE waste of money. You can buy the Kaplan book for 20 or less online and it teaches you all the same stratagies. It even comes with a CD with a mock NCLEX. There are several other...
  22. HESI is Wrong ! Let's File Suit

    I agree and disagree. My school used the ATI but it's basically the same thing. We took it at the end of our program, very end. We had 3 chances to pass it. Out of 26 of us, 16 failed the first time,...
  23. We don't use fans on my unit. I use Tylenol, two doses usually does it...I have also used ice baths, icepacks in various places, cooling
  24. "I'm an uncertified medical assistant"

    all the medical assistants ive ever known were certified. Huge red flag when she said the words "this practice doesn't care if you are certified"-eek get out of
  25. subdural drain...what to do?

    I have irrigatated a SD drain, however, usually if it stops putting out then that means there isnt anything else to come