0.adamantite

We have a feeding tube declogging protocol. Otherwise I would have tried harder to get in touch the MD. The call centers I talk to have the MD's cell phone number and if they do not answer their pager in 30-40 minutes you can call back and they will ...

I have a CZ ring but nobody knows the difference. I can get it replaced whenever I want for free at the jeweler so it looks brand new. We were able to afford a much more expensive setting ($4k) with the centerstone .5 carat CZ (which was free). Event...

46k down from 80k+ in a little less than 3 years. Our combined income (me & partner) is 70k. We pay roughly $1200 a month towards the loans, but our minimums are about $350.

As a PCA - I used to work at a nursing home with the same group of residents. I would dream about doing a toileting round on them, taking each one to the bathroom in my sleep, in the same exhausting pattern I had been doing for years. I would never w...

Something just happened. You may never know. I've had this happen once or twice. These deaths are very devastating and unfortunate. It could be that she threw a massive clot. There may be an autopsy depending on the medical examiner's protocol or fam...

I would totally do this!

I don't exercise and my eating habits (quality of food, quantity of food, times of meals) are atrocious. I have to take 2 pills a day and forget to take them constantly!! I also enjoy a malt beverage or two. I curse too much while not at work.

This is an easy one .. I do read the chart Floor nurse extraordinaire! Except some questions can't be answered by the chart.

BAHAHAHAHAHA! I could have written this post!

Haldol and a few big security guards after calling a Code Restraint Personal Requested (RPR).

Typical orders for the alcohol withdrawal patients we see would be seizure precautions, K & Mg checks (like q8h), bedside swallow eval, fall risk precautions, CIWA scale (with scores greater than a certain number triggering transfer to a higher l...

More threads like these, please! As a new-ish nurse I love to see the critical thinking process of more experienced nurses, and nurses in other specialties.

I need to know about patient behaviors because I need to know if there have been any changes. If I have a patient who is agitated and nobody told me in report, I'm going to wonder if there has been a change. I also like to know if patients or family ...

I don't particularly care either way unless it's clinically relevant. I think we do need to know the patient's biological gender. However if I get in report that they prefer to be identified as something else, I'll respect their wishes and go on my w...

At 2.5 years into being a practicing nurse, I feel that I am on Patricia Benner's "Advanced Beginner" stage in my nursing career. I am no longer a novice, but not anywhere near a highly skilled / experienced RN. It seems that most people around me ar...

Hmmm, bring on the people like this! I'm not a new grad, but I'm willing to work all the weekends and holidays I can get. I need the money to pay off my student loans.

I learned about Dave Ramsey from this board and who ever mentioned him, I owe you a huge favor. I have paid off about $30,000+ of student debt with him. I will soon be paying the remaining balance, every penny of it with no forgiveness or reimburseme...

One time a coworker and I were doing post mortem care on a patient that had died in a not so pleasant way. Think fluids oozing out of orifices. Family wailing all around the room. Very tense and tragic situation. They wanted to be present during the ...

I agree. This patient is at risk for seizures with a sodium that low. Also, a K of 2.4 is very low. However, I work on an un-monitored floor so I have a few "dumb" questions. How could the patient have a K of 2.4 with a Cr so high? Of note, I have se...

I'm a floor nurse, med-surg, the lowest of the low I know you guys are having a hard time, just like me. So I put a smile on my face when you call (or I call you) because they say when you smile that your tone of voice is nicer. Inside I'm groaning ...

I agree with other posters that obesity is a very complicated factor and all 3 points the OP listed probably combined with other factors are what can cause an individual to be obese. However the quoted piece above I see again and again and again. Not...

I'm not a critical care nurse and do not work with patients who are intubated. Therefore, I may not be educated enough to comment on the matter. But as a patient, if I have a tube shoved down my throat please keep me sedated - I can't imagine how ter...

Yes, nobody has addressed the issue of wearing rings. This is far more disgusting to me than my occasional regular nail polish wearing. Do those of you saying that you dont wear nail polish at work also remove your rings before the job?

I wear regular nail polish sometimes at work. I think its less nasty than those people who wear their rings at work. Can you image all the germs in those crevices etc. I leave my wedding and engagement ring at home. They are too precious to me to get...

I asked a similar question in the past. How about those patients with like no body fat who have big, bloated bellies too? I hate giving the shots to these people. I am talking about people who are extremely malnourished. Do they even have any body fa...