iluvgusgus

iluvgusgus

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  1. I am a skin and wound resource nurse for my unit and I have to do PU prevalence for my unit every wednesday. I have to turn 30 pts and assess their skin for PUs and clean BMs with the nurse if we find them, I even change dsgs for them of it is a PU u...
  2. I did feel put on the spot because these nurses are turning these pts every 2 hours whether I am there or not... so when they know I am coming around are they waiting for me to do the honors? I don't know. That's how I felt because they have had oppo...
  3. Yes Flexiseal! thank you. Whenever there is a BM to clean, I thought it was just "nurse etiquette" to be the one doing the cleaning while your helpers hold and roll your pt. And I like your screen name too. I personally do not like sticking my finger...
  4. Pushing flush too slow?

    I've never heard of doing push/pause for a PIV...that's usually for a PICC or CVL which needs more pressure to flush? Maybe that was too much pressure for the vein, she sounds like she had poor veins in the first place.
  5. The "increase minimum wage" issue.

    It all comes down to economics. Raising the minimum raise is inflation if it causes everyone to desire higher wages in relation with the rise in the minimum wage and the price increases that come along with it. People working the minimum wage jobs wi...
  6. Thank you all for your input. I was a teamplayer and did what they asked me, I am not a difficult person to work with I have earned merit raises based on my teamwork. I work in an ICU and turning 30 pts from 8-3, documenting, and doing multiple dsg c...
  7. PTT vs PT/INR

    No matter if the pt is on heparin or coumadin, DVT prophylaxis fits answer #2 the best and is the broadest answer.
  8. Dating a former patient

    Do yourself a favor and run the other way! You are setting yourself up for heartache.
  9. ICU especially hard on back?

    ICU is hard on the back. When I worked M/S I rarely had back pain. Now that I am in the ICU and I turn both my pts every 2 hours or more often plus transport them plus help get them on the mri/CT scan table when needed I have back pain every night. W...
  10. <20 BS Hypoglycemic episode- Need Advice.

    He just sounds like a very brittle diabetic and sometimes theres nothing you can do to control the BG well.
  11. My husband is in nursing school

    So when I was in nursing school, I barely had time to eat dinner and driving more than a half hour for a study group wouldve cut into study time and I wouldnt have ever done that. I think 8 hours in a study group is excessive, maybe 2-3 hours.... to ...
  12. ICU pay differential?

    They only require it for nurses trained as charge nurses and there are frequently 2 or 3 nurses who frequently charge on staff as "stat" nurses helping with new admissions and codes as they arise. They are very experienced and I would trust them with...
  13. I do not want to give up.

    If you are willing to relocate to get a job, inbox me.
  14. ICU pay differential?

    Umm... I think you should be grateful that you are being given the privilege and PAID training to take care of your hospital's sickest patients. Yes, it is obviously specialized training, that they are paying for you to receive. You can take that tra...
  15. Ebola in the pregnant patient

    I dont see how refusing a patient assignment would be patient abandonment if you didnt accept them as your assignment nor received report on them? That's not how it works and that would not be right, and yes I will be refusing to care for an ebola pt...
  16. Am I being bullied? Or is this normal?

    I had a similar experience with a couple night nurses when giving report. The tone in their voice, their eye rolls,their sighs, kept suggesting that I was incompetent, and then they would nitpick report to death and if something wasnt done because th...
  17. hyponatremia and 3% NaCl

    If they are on 3 percent NaCl they usually have Na levels q 2 or q 4 hours. We usually treat ICPs>20 sustained for 5 minutes, not 20 mintues. If they cant get them down they sometimes order ICPs>25 for 5 minutes call surgeon.
  18. When a Mom Miscarries

    I agree. There are 5 stages of grief, the OP is apparently feeling anger and displacing it. My own mother birthed a still born child which died 2 weeks before the due date and she was aware that the baby had died and carried it to term for 2 weeks. S...
  19. How Do You Explain to People Why You Chose Hospice?

    I agree with this. I work in the ICU and I feel like I am prolonging some pt's suffering in the ICU and I have a lot of moral discomfort doing that. Even though I was very uncomfortable with death and dying pts before, I would rather be on the other...
  20. When a Mom Miscarries

    How do you know everyone in that office is carrying a healthy baby? You do not know the complications/fears/emotions of others either.
  21. Propofol Increasing HR?

    Our hydralazine orders are usually hold for HR >100. So that might have been what did it....
  22. Infective endocarditis, influenza, fully ventilated.

    I dont know how we could help you since we are not at his bedside, it might be worth the trip to see what is really going on, because hearing it over the phone and seeing it are 2 very different things.
  23. I had a male pt who needed to get up to the toilet every 2 hours to pee, he refused to use the urinal....that was aggravating! especially since he had a bunch of lines going on and he couldve used the urinal!
  24. Learning not memorizing

    In nursing school, they will repeat any of the A and P stuff as it applies to nursing and it will click and probably make more sense and be easier to remember, because you will see the "why" of things such as , "why are we learning about the loop of ...
  25. There are days I regret going into nursing, such as my last shift where I got kicked so hard in the stomach I got the wind knocked out of me. That sucked. I work in a teaching hospital, so everyday I work I feel like I am in school, I learn a lot eve...