smf0903

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All Content by smf0903

  1. smf0903

    Case Study: Why Is She Having Hallucinations? The Mystery of The Dog in A Fedora

    smf0903 replied to SafetyNurse1968's topic in Critical Care

    A bite of some sort (out in orchards picking, lots of bugs)? Resulting in something like Lyme disease? Could be difficult to see depending on her tattoos and where the bite was
  2. smf0903

    Well, there goes our bonus!

    smf0903 replied to T-Bird78's topic in General Nursing

    Every doctor's office I've been in has these signs too. It's pretty ridiculous that it has to even be said. The patients would be mad as hell if the doctor or nurse was sitting on their phone during...
  3. smf0903

    IV meds and dilution

    smf0903 replied to Dragonfly949697's topic in Medical-Surgical

    A good drug guide has all of this information. Most places also have online drug reference that you can refer to (Lexicomp,
  4. smf0903

    So TIRED OF IT

    smf0903 replied to ThePrincessBride's topic in General Nursing

    That's a bunch of bologna and management needs to grow a set. We still get ahole patients and family, but our managers are good at backing us up. We've had people arrested right out of the ED or...
  5. smf0903

    The emergence of psychedelics in medicine

    smf0903 replied to amewhite's topic in General Nursing

    There is an excellent documentary on Amazon called Albert Hofmann's LSD that discusses the history of LSD and other psychotropics for psychiatric, end-of-life, and other treatments. There also was an...
  6. smf0903

    Accomadating patients racist request?

    smf0903 replied to remotefuse's topic in General Nursing

    Our policy is to send them out the damn door. Many healthcare facilities have been sued for "accommodating" racist requests from patients. We are fortunate that we have doctors who don't put up with...
  7. smf0903

    Walmart cashiers wearing gloves?

    smf0903 replied to Misstika's topic in Coffee Lounge's Lounge

    Maybe I should show this to a couple of our police officers who almost
  8. smf0903

    Walmart cashiers wearing gloves?

    smf0903 replied to Misstika's topic in Coffee Lounge's Lounge

    It's not an urban myth. Our police and other responders are required now to wear nitriles with just about anyone they touch or if they touch any possessions of whomever they stop/respond to. They...
  9. smf0903

    Outrageous Complaints

    smf0903 replied to DisneyNurseGal's topic in General Nursing

    We had a patient who refused a bath all day and then was POed when we wouldn't give him a bath while we were coding another patient
  10. smf0903

    Walmart cashiers wearing gloves?

    smf0903 replied to Misstika's topic in Coffee Lounge's Lounge

    It probably has more to do with the amount of drug dust on everything anymore. We have had oodles of people getting arrested out of our Walmart bathrooms and parking lots for dealing and ODs. We have...
  11. smf0903

    Who gets the write up?

    smf0903 replied to kosmopolitan's topic in MICU, SICU

    I'm trying to picture this...so did the patient get the central and had levo infusing to that AND as the primary on the peripheral site or still the peripheral and the patient went without levo the...
  12. smf0903

    In the ICU, do you get a tech?

    smf0903 replied to Blondekristi's topic in Critical Care

    We have a tech if we only have 1 or 2 ICU patients. In that case, we have an RN and a tech. The only other time we have a tech is if we're full, then it's 1 RN for every 2 patients plus 1 tech to help...
  13. smf0903

    Vaccination Rate for Flu vaccine

    smf0903 replied to SolumVolamus's topic in General Nursing

    We are a relatively small facility (~900 employees) and we had a 97% compliance rate last year. I have no clue how they document it
  14. smf0903

    Giving high flow oxygen to COPD patients

    smf0903 replied to dolphinmonkey's topic in General Nursing

    You're using the term "high flow", and I'm not sure if you're using it in reference to the 15L NRB or actual high flow. We use high flow nasal cannulas relatively frequently on our COPDers,...
  15. smf0903

    What in the world is this rhythm?!

    smf0903 replied to BSN_Studnt's topic in Critical Care

    I was trying to figure out what I was missing/not seeing because I thought it looked like straight-up sinus
  16. smf0903

    Worried about the future of ICU nursing

    smf0903 replied to Telenurse1990's topic in Critical Care

    I started in ICU about a year ago. There is one other person working nights in our ICU who has more ICU experience than me. I think that's shameful. Speaking from my own experience, I have found that...
  17. smf0903

    Charge nurse

    smf0903 replied to YstRN12's topic in General Nursing

    I've been asked quite a few times to apply for an open CN spot. My answer is heck no!! I don't want it, I don't want to deal with the b%#£€*ing about assignments, I don't want to come in...
  18. smf0903

    Med-Surg

    smf0903 replied to Udmert's topic in Nursing Student Assistance

    Personally I would suggest taking what others have said about this particular professor with a grain of salt. I had one clinical instructor who was a nightmare...I mean nightmare with a capital "N"....
  19. smf0903

    Death: It Never Gets Easy, Does it?

    smf0903 replied to Sotalol's topic in General Students

    Some deaths certainly hit harder than others. We recently had one, super sweet patient, awesome family. While this patient had a bleak prognosis, it wasn't anything that was imminent. However, the...
  20. smf0903

    Locking the Safety Needle Shield

    smf0903 replied to Davey Do's topic in General Nursing

    There a select few I wouldn't mind capping my syringes
  21. smf0903

    Locking the Safety Needle Shield

    smf0903 replied to Davey Do's topic in General Nursing

    It says not to use patient's eye, can I still keep using my own eye to
  22. smf0903

    Use of Ultrasound Guidance for PIVs

    smf0903 replied to bgxyrnf's topic in General Nursing

    We do ultrasound guided IVs on those who are really tough sticks. Our ED nurses and those of us in ICU were trained on ultrasound guided insertion, so there's always someone in the facility who can be...
  23. smf0903

    How to use an Aero Chamber with a vent patient

    smf0903 replied to Joycgranny18's topic in General Nursing

    We don't administer the respiratory meds at our facility, the RRT does them all. If I recall correctly (from checking in on patients when receiving tx) they can hook the chamber up to the tubing...
  24. smf0903

    Reasonable time frame for prn medication to be given?

    smf0903 replied to nicegirl2's topic in General Nursing

    Sorry but loose stools may not have been a priority for that nurse. There are literally a thousand reasons why your family member had to wait a whole hour-and-a-half for pen lomotil. While you may...
  25. smf0903

    Open visitation in the ICU

    smf0903 replied to Mini2544's topic in Critical Care

    We technically have visiting hours from 07:00-20:30. Two person max, strictly enforced. No one under 12. Flu season generally sees a period of time when no one under 18. We make exceptions for...