0.adamantite

0.adamantite

Acute Care - Adult, Med Surg, Neuro

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All Content by 0.adamantite

  1. Why so reluctant to give pain meds?

    0.adamantite replied to Baubo516's topic in Patient Medications

    Oh my god, I would report this RN. I had a very similar situation. I had a patient actively dying who woke up gasping for breath, face contorted in a silent scream. (I had been caring for this patient...

  2. Could Be Fired for IV skills.

    0.adamantite replied to Caffeine_IV's topic in General Nursing

    How are you supposed to be 100% successful. Have you seen renal patients or chronically ill patients who absolutely have nothing left for access or blood draws? Patients that have been in and out of...

  3. Would you feel uncomfortable with your coworkers caring for you?

    0.adamantite replied to richardgecko's topic in Patient, Colleague Relations

    I was cared for at my facility and it was fabulous. They knew I worked there and was an RN so I feel like I got the "VIP" treatment. I work with some awesome co-workers. I have cared for coworkers as...

  4. Warfarin and Lovenox

    0.adamantite replied to PsychNurse42's topic in Patient Medications

    I know Lovenox is dosed based on weight. What was the patient's weight? Lovenox is used as a bridge until INR is therapeutic. I have never given a dose of Coumadin that is higher than 7.5mg however I...

  5. Nursing and the Ebola Virus

    0.adamantite posted a topic in Disaster Preparation

    For those of us in unaffected countries, are you concerned about the ebola virus spreading? Would you care for ebola patients? I live in an area with a very high density of African immigrants and come...

  6. The flu vaccine & GBS

    0.adamantite replied to emtb2rn's topic in Disaster Preparation

    Hmm I think the chances of me dying from the flu are much higher than dying from getting the vaccine, even though I'm sure there's things about the vaccine science probably doesn't know yet....

  7. Creepy Crawlies

    0.adamantite posted a topic in Patient, Colleague Relations

    Anybody have any good stories of insects, vermin, etc on patients? We have seen bed bugs, cockroaches, head lice, scabies, and lots of maggots. On EMS reports many of our patients are reported living...

  8. Nursing and the Ebola Virus

    0.adamantite replied to 0.adamantite's topic in Disaster Preparation

    So sorry for your diagnosis. I am keeping all of the front line staff (ER, EMS, etc) in my thoughts at this time. I guess my fear is not that the disease will spread like crazy through the general...

  9. Do you chart lies?

    0.adamantite replied to RNdynamic's topic in General Nursing

    I always chart the times I did things. Sometimes that means if I only am able to turn the patient twice during the shift (8 hours) due to being busy, then that's all that gets charted. I don't have...

  10. Nursing and the Ebola Virus

    0.adamantite replied to 0.adamantite's topic in Disaster Preparation

    Nigerian Nurse Who Treated Ebola Patient Dies Of The Disease Nigerian RN caring for ebola patient dies from the

  11. Nursing and the Ebola Virus

    0.adamantite replied to 0.adamantite's topic in Disaster Preparation

    Hilter reference, thread over. I evoke Godwin's Law Godwin's law - Wikipedia, the free encyclopedia Just a bit of off topic, carry

  12. Nursing and the Ebola Virus

    0.adamantite replied to 0.adamantite's topic in Disaster Preparation

    So from what I read from the other posts, patients require Standard, Contact, and Droplet precautions and Airborne if aerosol generating procedures in a negative pressure room. I wonder if most...

  13. Nursing and the Ebola Virus

    0.adamantite replied to 0.adamantite's topic in Disaster Preparation

    Do you have a link? I thought I read that the patient was in "grave but stable"

  14. Nursing and the Ebola Virus

    0.adamantite replied to 0.adamantite's topic in Disaster Preparation

    It IS relevant, because the virus is spreading if a few select west African countries, and in my area of the country, we have high numbers of immigration from that region. We also have high numbers of...

  15. Nursing and the Ebola Virus

    0.adamantite replied to 0.adamantite's topic in Disaster Preparation

    Yes, I am a racist. You got me, ding ding ding :sarcastic: This ebola scheme is all part of my master plan to refuse care of all non-white patients. It couldn't be because this virus is spreading...

  16. Nursing and the Ebola Virus

    0.adamantite replied to 0.adamantite's topic in Disaster Preparation

    Thank you everyone who is participating in this discussion. I agree that the ebola virus should not have been brought to the United States under any circumstances. My heart goes out to these...

  17. Hard Time Dealing With Patient Rights

    0.adamantite replied to ThatNursingDude's topic in Patient, Colleague Relations

    Patients requests re: caregivers are USUALLY accommodated, however it is not required at my facility. "No male caregivers" is usually the only time that these requests are granted. However even then...

  18. PICC line or Port a Cath & Running Blood

    0.adamantite posted a topic in Patient Safety Issues

    I have a few questions - When you have a multi-lumen PICC line, is it safe to run blood in one port and other solutions (such as TPN/lipids) in another port simultaneously? As long as the rate is not...

  19. Prophylactic SubQ heparin injections

    0.adamantite posted a topic in Patient Medications

    Many of our patients have subQ heparin injections q8 or q12 hours for DVT prophylaxis while hospitalized. In nursing school I was always taught to give heparin injections in the abdomen and no where...

  20. correct placement of sq Lovenox

    0.adamantite replied to Arlenec's topic in Patient Medications

    Well that would be impossible for me, I am quite thin and do not have love handles. I would prefer the injection in my thigh, my "meatiest" part of the

  21. Why are hospital television documentaries okay?

    0.adamantite replied to Semolina's topic in Nursing Professionalism

    I love watching those shows. That being said, I don't believe that's what the majority of their work day is like. I bet they have reduced assignments. I work on a heavy inner city med-surg floor and...

  22. PICC line or Port a Cath & Running Blood

    0.adamantite replied to 0.adamantite's topic in Patient Safety Issues

    I'm not worried about exceeding the rate the PICC can handle, but many of our patients are at risk for fluid overload and I wouldn't want them running at 300 ml/hr for 3 hours. I've been told that...

  23. correct placement of sq Lovenox

    0.adamantite replied to Arlenec's topic in Patient Medications

    I've never heard this

  24. Slamming in IVP meds and Running Incompatible Meds Together: Is it as bad as they say

    0.adamantite replied to RNdynamic's topic in Patient Medications

    I always push my IVP medications over at least 2 minutes because I'm a rule-follower. I know many other nurses don't because I've had patients complain to me that I'm "pushing the Dilaudid too slow."...

  25. Just a bad shift...

    0.adamantite posted a topic in General Nursing

    I've had a string a bad shifts recently, and today was no different. A crashing patient in room A while my admission rolls into room B ... the blood is done in room C ... the UAP rings my phone, room...