smf0903

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All Content by smf0903

  1. smf0903

    Non opioid pain options

    smf0903 replied to JBMmom's topic in General Nursing

    We do IV acetaminophen relatively frequently. We do toradol for things like pancreatitis and it seems to work much better than morphine or dilaudid. That being said, we also sometimes have to pick the...
  2. smf0903

    Waste of Insulin

    smf0903 replied to WeirdNurseKelly's topic in Medical-Surgical

    This is how our hospital does it too. Through the Pyxis we can change the #of units we're going to pull (humalog is our most used insulin and it defaults to 10 units unless you change it). We don't...
  3. smf0903

    Do you calculate drip rates anymore?

    smf0903 replied to goingback's topic in General Nursing

    Calculating gtts went by the wayside at our school until hurricane Katrina. There were quite a few faculty members who volunteered after Katrina hit. They said the number of people who couldn't figure...
  4. smf0903

    Tips for getting faster at admissions? Please share them

    smf0903 replied to Dunkingirl's topic in General Nursing

    Meeshie took the words right out my mouth: practice makes perfect. I want to also add, I've gotten pretty quick with admissions and I love doing them because I get a ton of info (usually). I hated...
  5. smf0903

    Can someone PLEEEEASE explain INSULIN DRIPS?

    smf0903 replied to H_2_O's topic in MICU, SICU

    In our facility, patients on insulin gtts are NPO depending on the doctor. As someone else stated, most of the patients in DKA don't even feel like eating so not much of an issue. I know this thread...
  6. smf0903

    Alert & Oriented Patients Who Pee and Poop on Themselves

    smf0903 replied to All4NursingRN's topic in General Nursing

    Yes! We have had ambulatory patients, a/o, the whole shebang just go as you are describing. We had one such patient who vomited from the bathroom (yes, they were IN the bathroom when they started...
  7. smf0903

    Can I earn a Bachelor's in Biology at the same time as I earn an Associate's in Nursing

    smf0903 replied to mhite226's topic in General Nursing

    You can if class schedules permit. I did the same thing but couldn't take classes toward the bio degree during the last 2 semesters of nursing classes, it literally was not feasible due to schedule...
  8. smf0903

    Weight-based dosing question

    smf0903 replied to ilovebirds's topic in Nursing Student Assistance

    Was the patient obese? There's a formula for dosing weight for patients over a certain percentage of ideal body weight. I don't remember it off the top of my head but I would suspect that's the case....
  9. smf0903

    Ventilator oral care

    smf0903 posted a topic in General Nursing

    Does your facility use kits for oral care for vent patients? If so, what brand? Sage recalled all of their oral care kits, along with a bunch of other stuff, and we have had to put multiple packs of...
  10. smf0903

    Ventilator oral care

    smf0903 replied to smf0903's topic in General Nursing

    Thanks everyone! I was wondering if anyone else had come up with a better way other than scabbing various pieces/parts together to keep up with the high quality oral
  11. smf0903

    Post 9/11 GI Bill and Nursing school

    smf0903 replied to dhenderson88's topic in General Students

    I used the post-9/11 GI Bill for school and yes, clinical hours are used when figuring percentages for
  12. smf0903

    CDiff Handwashing Protocol

    smf0903 replied to JoeShoes's topic in General Students

    We doff in patient's room and dispose of PPE in there then wash hands in room. Hand sanitizer is not indicated for CDiff because it doesn't kill spores (although I understand what you're saying about...
  13. smf0903

    Experience with female external catheters

    smf0903 replied to Mmededov's topic in General Nursing

    And please don't test on a 115-pound, 5'6" woman. The vast majority (at least where I work) are 250-300lb+, edematous women whose thighs are not the size of a baseball bat. Good luck to your team!!!...
  14. smf0903

    IV bolus

    smf0903 replied to CaliMSN's topic in General Students

    From above. You should see a steady flow from your bag/bottle in the drip chamber if pulling above the
  15. smf0903

    Dumb question...How do you clean up poop?

    smf0903 replied to NEMurse95's topic in General Nursing

    We have disposable wipes that we use. We use chux to protect linens if they're still clean while moving the patient to clean them up. If the patient is having a lot of bowel movements we will use a...
  16. smf0903

    DNR-CCA vs. DNR-CC

    smf0903 replied to Cp42185's topic in Critical Care

    I'm not sure if criteria varies from state to state but for us DNR-CC is comfort measured only. DNR-CCA we will do everything up to the point of cardiac and/or respiratory arrest. We can intubate...
  17. smf0903

    Why do we do codes?

    smf0903 replied to scrubs0204's topic in General Nursing

    For the
  18. smf0903

    What was the age of your oldest surgical admit?

    smf0903 replied to Gampopa's topic in Medical-Surgical

    Not the oldest ever but funny story...we had an 87-year-old who was trying to figure out what to do with her mom while she was at the hospital and subsequent rehab. At first we didn't think she was...
  19. smf0903

    License at Risk? Put up or shut up,,,

    smf0903 replied to Jedrnurse's topic in General Nursing

    Multiple
  20. smf0903

    License at Risk? Put up or shut up,,,

    smf0903 replied to Jedrnurse's topic in General Nursing

    Two people, both narc discrepancies (multiple
  21. smf0903

    "Do you want to live?"

    smf0903 replied to nutella's topic in General Nursing

    We have a couple of hospitalists who are adamant about discussing code status. Those that are are very thorough and specific when talking to patients and families. Other physicians won't touch the...
  22. smf0903

    Dr. Feelgood

    smf0903 replied to BsnBull's topic in General Nursing

    Horrible bedside manner and how he treats staff aside (because some people are just like that) no WAY would I be giving test results and diagnoses to patients and families. That is his job. Period. I...
  23. smf0903

    IV Piggyback

    smf0903 replied to rockster26's topic in General Students

    I agree with what everyone said but wanted to add that I'd give the zosyn a little early so that the Vanco is on time. We give priority to vanco because of trough level times that are scheduled. Zosyn...
  24. smf0903

    How to calculate continuous bladder irrigation?

    smf0903 replied to ERsn's topic in General Nursing

    Our CBI lines are a y-line so we can hook up two 3000 bags...going into a 4000 drainage bag. I walked in on one running wide open at change of shift and thought the drainage bag was gonna blow! It...
  25. smf0903

    Remove Foley catheter and IV when resident dies?

    smf0903 replied to Ash0315's topic in General Nursing

    We still have to call the ME if the patient died less than 24 hours after being admitted, even if hospice. But, like you, I've yet to hear of someone having to have an