AceOfHearts<3

AceOfHearts<3

Critical care

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All Content by AceOfHearts<3

  1. Work Politics... oh boy...

    Race was never
  2. Drexel vs Gwynedd Mercy

    Have you gone to info sessions with both schools? How do they compare credit wise? Cost wise? Drexel's ACE program includes a lot more courses/credits than most accelerated programs- is that a good...
  3. WILT 11/5: No Fast Track for YOU...

    I learned just how much abuse I will take from a belligerent patient before standing up for myself. This was the first time a patient was truly belligerent (and not just grouchy) and it was the first...
  4. I think you did the right thing too. I think any patient- male or female- should be further evaluated for this. It's also important to rememebr that females also don't always prevent with the...
  5. MIMS:"hydromorphone causes fatality"

    Morphine can cause death, fentanyl can cause death, hydromorphone can cause death- ANY narcotic in a high enough dose can cause death. Saying that ANY drug can cause death when given too much. That's...
  6. So where IS the nursing shortage?

    What area of the country do you currently live in? Northeast PA (Scranton, Wilkes Barre area) has a shortage. I've never personally worked there, but I had considered it. It's about 2 hours from NYC...
  7. Beyond standard patient information (e.g. age), are there any questions or information you like to record prior to any fluid data? No, everything is already in the electronic health record What is...
  8. advice from nurses- patient unfair to tech

    This can happen all over the hospital. I was once interrogated and slammed by a patient's mother (patient was in her 40's) because we weren't answering the call bell- the call bell the patient refused...
  9. WILTW 10/29: Trauma for breakfast

    I learned how it feels to have your car break down on you. I was really looking forward to no car payment in the next 6 months, but I just don't think that will be the case anymore. I just really...
  10. Being Pulled into the Office for calling CAT

    It wouldn't take 5 minutes to check a blood sugar. That's something that the CNAs do at my facility, so at my place it would have been delegated. The CNAs on my unit will automatically take a blood...
  11. unfair assignments

    It's really not worth it. I understand your feelings as I was tempted to say what I really thought when leaving my previous career, but it's really not worth any potential negative consequences. All...
  12. E- I use my timer/alarm clock and calculator. Everything else I need I have on my work computer. I use my timer to remind me to recheck a BP in an hour, to restart a heparin drip I've paused for an...
  13. WILTW 10/22: ENT and the Priapism

    I learned just how fast a QT interval can return to normal after reducing a dose of Betapace. My patient had a prolonged QT at 0700 and when I did the tele strip at 1430 the QT was within normal...
  14. Exact difference between comfort measures & hospice?

    This thread is from June 2011. The link must not be functional anymore because it is over 5 years
  15. Ncp for diarrhea patient

    So many things you could do with this, Vertical Horizon pointed you in the direction of some great ones. What does excessive diarrhea do to the acid-base balance? Or the fluid volume balance? There's...
  16. Terminated After Two Months!!

    What stands out to me is that not only did she/he miss that the lasix gtt had been d/c'ed, but so did the night nurse if it ran until the next morning (which it sounds like it did since she said it...
  17. holidays... sick call...

    As I head into work on Christmas Day this year I am going to be happy and thankful that I am there for work and to not visit a loved one. My mother has been hospitalized twice on Christmas, the one...
  18. Math question!

    I've noticed that too. I've worked out a whole list of problems one time ready to help step-by-step and someone just posted all the answers. Call me geeky, but I've always enjoyed dimensional analysis...
  19. no dosage test

    My facility requires annual competencies and med math is included. There's no way around it and there shouldn't
  20. Relocating and Confused

    I met met a friend in school in NC and she was originally from LA- a born and bred California girl. This was before I did nursing and she got a job up in Wisconsin after we graduated. She was really...
  21. Advice for struggling medsurg nurse

    I've been working as a nurse for about a year on a very busy tele unit. I honestly think this is something that just takes time. If you miss it once and it's pointed out you'll probably never forget...
  22. Patient huddles: how to improve compliance?

    It's dependent on the unit's culture and starts at the top. If this is something that is important to your manager (and it should be) she/he will lead it until it becomes habit and others feel...
  23. ADN in 2016 completely useless?

    It really depends on the area. Plus, even new grad BSNs have trouble finding jobs in NYC. If you are able to move Wilkes Barre, PA (about 2 hrs from NYC) hires ADN nurses and Geisinger will even help...
  24. WILTW 10/8: Flexed to Tenacity

    I learned that a jerky doctor can really get to me on a day that I'm stretched too thin. Normally I just let it roll off my back and shrug it off, but it really got to me this week and I ended up in...
  25. Confused with IV

    A lot of times deciding on if it can be piggybacked, y-sited in, or has to run in a separate site depends on facility policy. At my facility heparin is ALWAYS ALWAYS run as a primary- it absolutely...