Here.I.Stand BSN, RN

SICU, trauma, neuro

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All Content by Here.I.Stand

  1. Here.I.Stand

    Auditory exams in nursing schools

    Good for you! I don't think that allowing a separate quiet room or the like is doing anyone any favors. Pts don't care if you need a quiet environment -- especially when they are
  2. Here.I.Stand

    Need advice on ethics

    Why in hades would someone take a photo of a deceased person?? And I assume it was taken on a cell phone??? Uff da. Bad idea of epic
  3. Here.I.Stand

    Going to Patient's home without patient consent

    Another thought: say you showed up to offer the nurse visits. Would the client necessarily feel free to decline? Is the agency satisfied with a "no," or do they expect you to probe and "educate?"...
  4. Here.I.Stand

    Going to Patient's home without patient consent

    There is no way ever, EVER, I would go to a pt's house without permission. If pt that were me, I would be livid. If I agree to home nursing, I am very capable of contacting the agency... and knowing...
  5. Here.I.Stand

    Auditory exams in nursing schools

    I am an auditory learner myself. In school, I would read my notes aloud (at home, of course). Hearing the material in my voice coupled with reading the notes really helped solidify
  6. Here.I.Stand

    Auditory exams in nursing schools

    Because as an adult learer, you are expected to hold more accountability for your learning. You are free to adjust your study strategies to your learning style however. Because that would be...
  7. Here.I.Stand

    Do I have critical care experience?

  8. Here.I.Stand

    What are your Thoughts on Bedside Reporting?

    I don't know about you, but I address questions and explain things to pts/families all day long. It's called teaching. I would dispute the point that the roommate has a "right to know" their info....
  9. Here.I.Stand

    Experienced RN/New to ICU...Help!

    Did you come out of nursing school with your cardiac knowledge? Of course not. You learned through experience. Neuro is extremely complicated as well, but you have demonstrated that you have the...
  10. Here.I.Stand

    Medical Assistant vent

    Oh, and as others have said, don't getting into urination contests with staff. It won't have any productive
  11. Here.I.Stand

    Medical Assistant vent

    That is an issue -- you should be learning from a **nursing** instructor, not UAPs. And if for whatever reason your instructor insists on inappropriately delegating/not doing her job... the...
  12. Here.I.Stand

    Sepsis protocols causing a future superbug??

    At my hospital we DON'T give antibiotics based on a protocol. I mean, in my early 20s my BP lived in the low 90s and as low as 80s/40s. Add to that some tachycardia from dehydration or exertion, and...
  13. Here.I.Stand

    Unfair Fundamentals Clinical Testing?

    How was the enema bag labelled -- as in, what is in the solution? I ask because I have never seen an enema bag labelled 0.9% NaCl, LR, 0.45% NaCl, 3% NaCl, NS w/ 20 mEq KCL or the words "For...
  14. Here.I.Stand

    Need some help....

    We know absolutely nothing about this person's educational
  15. Here.I.Stand

    Ethics paper ideas PLEASE!

    Futile care is a big issue in critical
  16. Here.I.Stand

    Gave Blood transfusion too fast maybe?

    The reason the hgb went up so little, is the pt only got one unit. And anyway, that's not fast at all. If the pt is actively bleeding out we zip multiple units in with a rapid infuser -- each one...
  17. Here.I.Stand

    Writing doctors orders without an actual doctors order

    Where is Dr. Sleepingbeauty going to be, when an RN gets charged with practicing medicine without a license? I mean if someone had a BG of 40 I'd give D50 first and notify 2nd... and I've sent labs...
  18. Here.I.Stand

    What did I do wrong???

  19. Here.I.Stand

    Nursing and the Sabbath

    I see this is an older thread, but it seems like this topic comes up quite frequently...so I'm responding. Exactly -- Jesus was dining with a prominent Pharisee, and the passage also references "the...
  20. Here.I.Stand

    Lines-Please help

    Some meds are highly irritating to veins. Should those be infused into a little bitty vein in the hand... or would a large vein with rapid bloodflow be better for those meds? Some meds can even cause...
  21. Here.I.Stand

    The pain scale has been harmful

    In my view, something like constipation can be more visually evaluated. We can see/feel a belly's increasing size and firmness. We can see documented the number of days with no BM. We can hear the...
  22. Here.I.Stand

    LTACH bed bath

    If you had C. diff, would you want to go more than a day without a bath? MRSA/MDRO might not be accompanied by the same nasty diarrhea, but those pts still get as sweaty as pts who don't require...
  23. Here.I.Stand

    Does your nursing school offer test review

    I attended in the early 2000s, and next day -- i.e. after the instructors had time to grade the exam -- we reviewed the exam as a class. It definitely helped to solidify the information. How is a...
  24. Here.I.Stand

    Can PT or CNA feed a stroke pt

    "PT or CNA?" Did you mean PCT as in pt care tech? Nurses don't delegate to physical
  25. Here.I.Stand

    Can PT or CNA feed a stroke pt

    As an LTC CNA, the CNAs invariably fed the residents; we had MANY folks with dysphagia diets. All modifications -- e.g. thickened liquids, texture modifications, no straws etc -- are care planned....