0.adamantite

0.adamantite

Acute Care - Adult, Med Surg, Neuro

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All Content by 0.adamantite

  1. Maybe Im missing something....

    0.adamantite replied to murse8181's topic in General Nursing

    Do they normally start tube feedings on patients with an ileus? Usually by day 3-4 of NPO status we would start TPN, particularly with SBO /

  2. Describe your 10/10 pain. Piggybacking off of recent pain discussions.

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

    I guess I was thinking the scale meant "10" being imaginable pain. Although it is hard to even imagine what a 10/10 pain would feel like before you experience it, I personally would not rate my...

  3. Guns and Wepons

    0.adamantite replied to exit96's topic in Emergency

    One of the busiest ED's in our inner city. We also have unarmed security (on site, but not in the department necessarily), no metal detectors. I am so surprised that they don't have them. The ED can...

  4. I have the time (to pee)

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

    I too am one of those nurses who doesn't take the time to drink enough water to need to pee. It's hard on my body and I'm going to make it my goal to drink more fluids during my shifts. On crazy days,...

  5. Describe your 10/10 pain. Piggybacking off of recent pain discussions.

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

    I always document pain accurately and if it is safe, medicate per orders. If the patient doesn't report relief from pain (no matter my thoughts), I report this to the MD and let them decide how to...

  6. What do you think of fibromyalgia?

    0.adamantite replied to Emergent's topic in Health, Stress Management

    I believe that it is a real diagnosis, perhaps psychosomatic like another poster mentioned. I remember reading that fibromyalgia and depression go hand in hand. I also believe it is a diagnosis that...

  7. Everything is our responsibility. Rant.

    0.adamantite replied to dudette10's topic in Patient, Colleague Relations

    Does anyone have the imaging staff call and ask questions that you have no way of knowing? I.e. xray calls and asks some technical question about does the doctor was this view or that view etc etc?? I...

  8. NPO

    0.adamantite replied to babaloo's topic in Medical-Surgical

    I see recommendations to start TPN or TF usually at 3-5

  9. The coveted Monday thru Friday job

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

    I can't imagine ever working Monday through Friday. Five days in a row? And only two days off? No thank you. Nursing is a tough job, but one of the reasons I picked it was the flexibility in...

  10. What caused the hypothermia?

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

    Oh yes I have seen hypothermia related to low blood sugar

  11. preparing for a GI bleed scenario ?

    0.adamantite replied to mhy12784's topic in General Nursing

    NPO, serial Hgb's, IVF, Protonix drips, vital sign monitoring (HR, BP, O2), type/cross, consent form, prepare to give blood. GI consult and scopes. Another thing is falls risk. With bad bleeds many...

  12. Overslept on 1st clinical day...

    0.adamantite replied to Brian's topic in General Students

    I got lost on my first day of clinical. I had practiced driving back and forth to the facility, but I've never been to a hospital in my life except when I was born. So when I got to the facility, I...

  13. Elevated BP's and PE

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

    I guess I know exactly why the patient got a PE, this was a pancreatitis patient. I have see all sorts of complications with pancreatitis, from ARDS, PE, afib, etc. It can be a nasty diagnosis. Hx of...

  14. Elevated BP's and PE

    0.adamantite posted a topic in General Nursing

    Without giving too many details, a while ago I had a patient who's BP's were difficult to control during one of my shifts. To avoid HIPPA, I don't want to give the patient's diagnosis. But throughout...

  15. ughhh... Hail all the floor nurses

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

    Hmmm, thank you thank you. (takes a bow) Floor nursing is a little bit of everything and a lot of

  16. Nursing Nightmares

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

  17. What is the lowest HGB you have seen?

    0.adamantite replied to I<3H2O's topic in General Nursing

    5.6 was the lowest I've

  18. Could I be the Victim of Workplace Bullying?

    0.adamantite replied to 1RN4Christ's topic in Patient, Colleague Relations

    I feel the same way. I often wonder how other nurses are sitting at the nurses station more than not, chatting or surfing the web or shopping. But on our floor, all the patients are heavy. I have come...

  19. Oversaturation? Why am I working short staffed?

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

    Sounds about right. Welcome to the jungle. Hospitals are becoming a dangerous

  20. $11/hr as a registered nurse

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

    I made more than that as a housekeeper. I would quit and deliver

  21. Nursing Nightmares

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

    Oh yes, I forgot about the dream where I was orienting on at a new job at the nursing home and they informed me that I had 500 patients (or some other ridiculous number) to pass AM medications to. I...

  22. Getting a meal break

    0.adamantite replied to kms6417's topic in General Nursing

    I have nothing valuable to say, except what is this "meal break" that you speak

  23. conscious pt terminal wean

    0.adamantite replied to taylynnfree's topic in MICU, SICU

    I always think about myself. I would not want to die gasping for air (my biggest fear) or in horrible pain. The morphine is a mercy and I am not afraid of giving it to my comfort cares patients. I...

  24. ER nurses bringing pts to the floor soiled

    0.adamantite replied to garn12's topic in Patient, Colleague Relations

    I also have learned to expect that patients coming from the ED will be desperate to use the toilet. They will scramble off the stretcher and barely be able to wait for us to organize lines, get them...

  25. Exit Strategies For Nurses Who Deal With Overly Talkative Patients

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

    This only works if you're forewarned. One time I had an admission that kept talking for 20 minutes, tears rolling down their eyes as they told me their life story. I felt horrible but was trapped,...