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Management of severe EOL pulmonary edema
atropine drops sl....dries up secretions to help stop the gurgling soum nds also helps :)
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Do you keep your license(s) in your wallet?
We don't get hard copies anymore either...but when we did I used to carry mine in a plastic pocket on my work badge until my boss asked me to take it out and put it in a safe place telling me a story about how someone had stolen her friends nursing license and got a job pretending to be this nurse...there was lots of red tape for her friend....
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sterile vs. clean dressings?
Yes Mcknis...if its a closed wound you certainly do not want to do a wet to dry. And remember you need an order for wet to dry dressings. The thought process or at least what I remember being taught long ago is you pack it wet and as it dries the dead icky stuff (like my nursing terminology..im tired im sorry) adheres to the dry dressing and when you pull it out you are performing a type of debridement so the wound heals from the inside out. If you were to put a wet to dry dressing on a closed wound you will be making a breeding ground for more bacteria and can then make a closed wound an open one. Hope this makes sense and again im tired and sorry if it doesnt.
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Grr! "Customer Service" Nursing Gone Crazy!
I had a pt tell me the other day "You are paid to wait on me hand and foot" my response "No maam I am not. I am paid to help you get better and you can open your own straw. Thats helping you get better so you can go home and take care of yourself" uggghhhh!!! Just reminding myself how much I love being a nurse regardless of the nonsense that comes with it
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Can I go by a nickname as a nurse?
At my facility your badge would like like this: Elizabeth "Liza" your last name,RN. It is the lewis blackman law that requires your legal name on your badge here.
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Has your hospital changed visitors policy r/t the flu?
Noone under 19 and if you have any s/s of the flu
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11 Things Your Nurse Thinks (But Will Never Tell You)
No Im sorry I cant stop doing chest compressions on this patient to turn your mothers television down. You cant see the down arrow? (yes this seriously happened. The daughter walked right into the room where we were coding a pt and told me her mothers television was too loud and would I mind just running it to turn it down? Afterall it would only take a second....OMG are you kidding me????
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If you have rec' d the H1N1 vaccine - please report
Had mine, all I got was a sore arm for a few days.
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Can I write "RN" if only have license number online
LOL so do I. Its funny....hey CONGRATS!!!! Its an awesome feeling isnt it?? Good luck to you
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Hospitals cracking down on who can enter
My hospital at this time is not allowing anyone under the age of 19 to enter unless to visit a very critical pt. This is due to the swine flu breakout. Otherwise normally anyone can enter at anytime.
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Two Patient Identifiers
We ask name and dob which is checked against the emar then we scan their armband. If you are on the wrong emar it will tell you and wont let you go any further.
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Barocde Scanning
We use barcode scanning at my facility. I know it has saved me a med error or two....
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Mandatory Flu Shots
My facility is mandating both vaccines. There are 3 reasons you dont get it 1) is medical (allergic to eggs, hx of gilliaine barre) 2) religous reasons and I forget the 3rd but if you have these accomodations you get to wear a mask every minute you are on hospital property except your 30 minute lunch break...otherwise end result you get terminated. I dont agree either but jobs are hard to find right now and some battles arent worth fighting at this moment so I got both of mine.
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My hospital's new PPE policy!
Our policy is almost the same. Except the eyewear. We have also been told that "according to manufacturer" you can reuse masks as long as they are not soiled. We were told to put them in a paper bag though not our pockets. There is a shortage of N95 masks already (1 in particular I forget the name but its the one we used most frequently). If a pt is suspected to have the flu they are placed on contact and droplet so in we go with gloves, gowns and masks.
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use of capnography as 'vital sign'
I dont mean to sound stupid but what is capnography/ETCO2?