TU RN DNP, CRNA

Anesthesia, ICU, PCU

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All Content by TU RN

  1. TU RN

    Why low Hg, Hct, and RBC postop?

    Even though textbooks might disagree with me, in real practice a 9.3 hemoglobin on a female postoperative patient is not concerning at all. I don't think I've ever seen a female hemoglobin above
  2. TU RN

    Half Question/Half Pet Peeve

    I'm a male, was rejected the first year I applied to nursing school, waited a year and studied subjects that I was interested in (for a lot more unnecessary money), then applied again and got in....
  3. TU RN

    Anxiety about blood draws

    Fear and confidence. Blood draws and IVs are all about fear and confidence; on both the part of the patient and the phlebotomist. The anatomy is easy enough to understand, and the actual skill is...
  4. TU RN

    Heparin Drip!

    If you're a new nurse you're in a pretty crappy situation. Hopefully with somebody with more experience can weigh in, but I too am a new nurse and have been confronted with similar issues. Not only...
  5. TU RN

    What is the lowest HGB you have seen?

    Bump. This isn't so much for the lowest Hb, but such a significant drop. I had a post-op patient with a drop from 11.5-5.2. EBL was 300mL. There was a complication where the patient's ureter was...
  6. TU RN

    Do you calculate drip rates anymore?

    Just got done running IVF by gtt rate all night. Nothing serious, just NSS, but you gotta do what you gotta do when there aren't any more pumps than what you got for the stuff that absolutely needs...
  7. While I completely agree that Kaplan is the single greatest way to succeed in NCLEX and following their schedule is fool-proof, I have to advise against promoting a lackadaisical approach to NCLEX....
  8. TU RN

    What caused the hypothermia?

    Acidosis in the ABG pretty much seals the deal, but to take the path less traveled just for fun (not sepsis), I had a quadriplegic patient with a high SCI (C3) and dysautonomia. Autonomic dysfunction...
  9. TU RN

    Does nursing really suck that badly?

    Love
  10. TU RN

    preparing for a GI bleed scenario ?

    Serial (q4-6hr) CBCs, check your labs like a fiend, consent for blood transfusions in chart, type&screen&cross on record, confirmatory specimen if necessary (know the blood bank policies for...
  11. TU RN

    Carrer switch to nursing

    I make $30/hr with 10% diff on nights and 10% diff on weekends. I work night shifts and as a new nurse (graduated in May 2013) I often get shafted with the Fridays. When I go in to work tonight I will...
  12. TU RN

    Does nursing really suck that badly?

    You say you want bare bones perceptions of nursing and advice from people who have already been in nursing, but I can even see you're focusing on the positive comments and selectively believing what...
  13. TU RN

    Does nursing really suck that badly?

    Stick with business. Wait, let me preface with I've only been a nurse for 6 months, working independently off orientation for 3 months. Maybe that invalidates my opinion. I got into nursing for all...
  14. TU RN

    ughhh... Hail all the floor nurses

    I'm done with people (non-nursing) saying over and over how they "couldn't do what you (nurses) do day in and day out." I don't know why. I should appreciate that somebody is acknowledging that my job...
  15. TU RN

    Stereotyping Male Nurses

    "Nobody can make you feel inferior without your consent." -Lynyrd
  16. TU RN

    O2 bad if pt already 100% RA?

    There are lies, there are damned lies, then there are statistics. Maybe he was using those articles to push an opinion or agenda (even though this makes no sense since he stands to gain nothing by...
  17. TU RN

    O2 bad if pt already 100% RA?

    Wow awesome response LearningByMistakes!! Thank
  18. TU RN

    $11/hr as a registered nurse

    What do I think? Being paid $11/hr is absolute crap for a
  19. I'm glad psu said it above me, somebody is usually on your back trying to force the patient upstairs or out of the ED at the expense of quality care. Same goes for us upstairs. Does every nursing...
  20. At my hospital it's not patients coming up soiled, but all the AC IV sites. The patients have other sites, but the AC is an easy stick to send the person up and fill the bed again. There's no way...
  21. TU RN

    Tissue oxygenation and perfusion

    While we're making automotive allegories, might I suggest that the sympathetic nervous system (vasoconstriction/dilation) acts like the transmission, "changing gears" to meet the body's increased or...
  22. TU RN

    "Get out of here... go do some 'doctor' stuff..."

    Great story! And an attending? What a truly admirable person. I've had doctors run to the pharmacy/lab and help with turning patients before, but nobody older than a
  23. TU RN

    Leaving the nursing field after 3 years

    I've been getting multiple mass texts the past few days asking to come in due to staff shortages. That is people out on comp, people calling out (for Christmas Eve, hmm suspicious). It's starting to...
  24. TU RN

    Prejudice in Nursing

    I'm a white male and MDs are frequently mistaking me as some doctor. Not that I'm offended by it, but it clearly shows that there's profound race bias out