smf0903

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All Content by smf0903

  1. The attenuated virus can cause illness, especially if someone is immunocompromised. The IM vaccine is dead, nasal spray is ALV. I don't think the nasal spray is being used this flu season
  2. I have done quite a bit of reading on this topic, and I still can't quite grasp what this situation was so will present it here in the hope of better understanding it. Patient with an extensive psych...
  3. smf0903

    Trying to wrap my brain around this one...

    Wowza!
  4. smf0903

    Trying to wrap my brain around this one...

    This was why I didn't understand the situation because I thought DI would present with hypernatremia like you pointed out. Unless the pt drank like crazy prior to admission, there was no polydipsia....
  5. smf0903

    Trying to wrap my brain around this one...

    Thanks KatieMI...pt was on tele and monitoring both serum and urine lytes. Nearly everyone on our floor is on strict I/Os (pretty rare not to be for us). I couldn't understand the reason behind the...
  6. smf0903

    Administering opiates

    I have never seen opiates diluted in a mini bag, ours are given IVP either diluted in a syringe or diluted with the running fluids if compatible. I just had a very good friend of mine fired from a...
  7. smf0903

    Narcan pens for kids to use on parents?

    Nope, nope, nope. Aside from the ick factor for some little one to have to save mom or dad who are ODing on the bathroom floor, I wonder how something like that would even be feasible? Mom and/or dad...
  8. smf0903

    How to answer nursing school questions?

    If "maintain patent airway" is one of the answers, it IS the answer. And "massage the boggy uterus" is always the OB answer Practicing nclex-style questions always helps. Don't read extra into the...
  9. smf0903

    Student in need of help!

    Two words: female urinal Good luck to you!! Keep us
  10. Yes we covered sickle cell rather extensively in theory, and I took care of quite a few pediatric patients with sickle cell in clinical. One of the advantages for us as learners (not at all a plus for...
  11. smf0903

    Why do hospitals promote Flu shots so bad?

    There is a great documentary on amazon that discusses the influenza pandemic of
  12. Agreed but this is a student still learning and putting pieces together. We didn't learn about sepsis/shock/MODS until our last semester. Students are learning how to see the forest, not just the...
  13. "Is the NANDA dx the be-all-end-all?" Yes, yes it
  14. We only use those for topical flushes and just twist the cap area off and squirt directly on the wound or whatever. I am really curious if anyone uses those for drawing up flushes because my...
  15. smf0903

    Genetics

    Genetics is like any other science...if you like it and you easily "get it" you'll do great. If you struggle with sciences well then you may end up hating it! I loved my genetics class. It was...
  16. Yes it is lovely! This was the first facility I've ever been in the used multi dose vials of NS to fill syringes for flushing. We used to only use prefilled for flushing central lines and
  17. We just went to prefilled flushes at our hospital. And by "just" I mean like 3 weeks
  18. This strikes me as a "No, no, no way" situation. I can see all kinds of legal, personal, and employment issues that could arise from this. The fact that they want it "as a favor" and not contracted...
  19. smf0903

    Teaching

    I try to work teaching into my chit chat so it's not so "beating them over the head". Passing meds? Ask if any are new or how they take them at home...sometimes info can be given at that time. Asking...
  20. smf0903

    Giving report (just a little vent)

    Or when oncoming tries to do a full assessment as you're giving bedside
  21. smf0903

    What's Rude?

    I really hate that people talk on their phones in public. I know this is a commonly accepted thing now, but I wish it wasn't. I don't want to hear about your lady parts smell, or that your friend...
  22. smf0903

    What's Rude?

    Our badges are doubled so that if it flips over our name is still facing out. Mine would forever be flipped the wrong way of we didn't have them like
  23. smf0903

    What's Rude?

    Nursing: Patient rooms that aren't tidied up. I hate to see alcohol pads, IV bag tops, bits of this and that on the floor. Or 573 blankets rolled into a ball either on the bed or tossed into a chair....
  24. smf0903

    showering: before or after work

    I shower before and after...but I am admittedly
  25. smf0903

    ABG

    First, take another look at what you labeled the imbalance