Loo17

Loo17

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All Content by Loo17

  1. Where I work they frown on that. HR says it looks deceptive. Our software has a section for volunteer work
  2. Trauma ICU or NICU?? Advice please!

    Why are you looking to leave your current job after only 4 months? Knowing what you don't like about that job might make it easier to offer
  3. Narcan with negative tox screen

    They probably thought that there was a slight change in mental status with the initial smaller dose so they went for the gusto with the 2mg dose. Plus if there was a chance the patient OD'ed on...
  4. 30 minutes unpaid and we are not allowed to leave the hospital
  5. New to LTAC

    Lots of vented patients with many co-morbidities. Many of the patients I saw were obese, vented, with g-tube or TPN for nutrition. These patients were failure to wean in the ICU and came to LTACH...
  6. Getting report during change of shift

    I work in the ED and trust me its just as frustrating on our end. It seems that the hospital bed manager always makes beds available at change of shift-probably due to staffing. We (the nurses going...
  7. You don't need to worry about the titrate to solve the problem based on the information you provided. An actual titration order (or facility policy) would have a goal BP or MAP, you would titrate...
  8. IV Medication Setup

    You follow the policies at your facility and the doctors order. The meds are already mixed in fluids, if you dilute them more depends on the order. You cant just piggyback with extra fluids without an...
  9. Any suggestions on shoes???

    Its important to buy the right size with danskos. They are supposed to be loose unlike most shoes. If your heel is right up against the back they are probably too
  10. Do you clean bedpans or throw them out?

    Wish we could do this. Employer told us doing that costs the hospital too much money because biohazard waste is very expensive to dispose
  11. Medication test Kindred

    I took the test at a different kindred so I am not sure if it is the same but we went over the information during classroom orientation prior to taking the
  12. Results

    I didn't think traffic violations were
  13. Do you clean bedpans or throw them out?

    Where I work, bodily fluids (including stool). Can not be thrown in the regular trash. The stool needs to be placed in the toilet or if it is watery, in a biohazard
  14. Every place I have worked has had a policy regarding calling out on a holiday. Where I work now has a policy stating if you call out the last scheduled day before, day of, or day after a holiday that...
  15. When to piggyback This

    Where I work the initial Zosyn dose is over 30 min with all over doses being delivered over 4 hours Q8H. The ID docs say that this improves patient outcomes and reduces length of stay by keeping...
  16. Ultrasound Guided IVs

    I found the article below to be quite useful. Ultrasound-guided peripheral I.V. access: Guidelines for practice - American Nurse
  17. Dobyour patients get set up with a visiting nurse? As a previous visiting nurse I find this is a crucial part of the puzzle and can be a great opportunity to reinforce hospital teaching in their home...
  18. Do you carry around your stethoscope?

    As I said, I always have my stethoscope available and use it when applicable. I am simply saying for the most part one could get by without. Most of the docs I work with are great, the best nurses...
  19. Do you carry around your stethoscope?

    I am not saying I agree with the OP but nowhere did they ever say they would chart what they didn't do. Charting in the emergency department is different than on units. You could easily get by not...
  20. Do you carry around your stethoscope?

    I do carry mine and use it however...in the ED where I work I think a nurse could easily get by without one. A patient comes in SOB, the med student, resident, and sometimes attending physician...
  21. Vancomycin rate question

    Infusing Vanco too fast is dangerous clinically, not just because it is a vesicant. Micromedex (our pharm reference) recommends infusing no faster that 10mg/min. Infusing faster can potentially lead...
  22. Educating patients on ER use

    Urgent care wants the $50 upfront before being seen. They have the option to turn you away for non-payment. The ED will take $5 payments until the bill is paid. When you have no money but need to be...
  23. restraint/seclusion order question

    I would agree with the above poster. Any time the restraint or seclusion is changed we also need a new order. Our orders in the ED are only valid for 4 hours and need to be renewed after
  24. Undershirts

    I buy these athletic type tops by Cuddle Duds similar to underarmour but less expensive. Target, walmart and kohls sell them but I usually buy them at tjmaxx or marshalls for $10. They come folded...
  25. Could I have done anything else?

    That is horrible. I hope you are able to find greener pastures one day soon! Good