annie.rn

annie.rn

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All Content by annie.rn

  1. Need help with vomiting patient

    annie.rn replied to Kerry45's topic in Hospice, Palliative

    This is probably a long shot b/c of the stage of illness and her lack of desire to do anything too invasive (I don't blame her) but do you think she would ever consider having a gastric tube inserted...

  2. Break away valve for central IV lines

    annie.rn replied to nightnurse93's topic in Patient Safety Issues

    I'm always willing to give new things a try

  3. probably a very basic med question.....

    annie.rn replied to onthemark's topic in Patient Medications

    That's what I was thinking, too

  4. Nursing Dose

    annie.rn replied to guest449786's topic in Patient Medications

    I understand where you are coming from. I'm more concerned though when the pt. hasn't been given both at the same time before and because the pt.'s pain level is high the nurse gives both. I see that...

  5. Valedictorian caught cheating

    annie.rn replied to pinknursepower's topic in LPN, LVN Corner

    Oh, wow! Never mind what I said,

  6. Nursing Dose

    annie.rn replied to guest449786's topic in Patient Medications

    No. Never heard of that expression. I have heard of nurses giving the prescribed dose but then topping it off a little...i.e., if the dose calculation is .85 ml, they'd round it up to 1ml. Like when...

  7. Valedictorian caught cheating

    annie.rn replied to pinknursepower's topic in LPN, LVN Corner

    I think I've read through all the replies so if I'm missing something I apologize in advance. Has anyone tried to talk to this girl one on one? Perhaps you could approach her with a petition...

  8. Break away valve for central IV lines

    annie.rn replied to nightnurse93's topic in Patient Safety Issues

    Only the physician would be able to replace the valve once it has broken away? That's a major "lim fac" in that doctors are rarely around at night in non-teaching hospitals. This would cause an...

  9. Break away valve for central IV lines

    annie.rn replied to nightnurse93's topic in Patient Safety Issues

    If I understand what you are saying, the breakaway part would be at the point where the IV tubing and the PICC (or other central line) tubing connect? If that assumption is correct, I can see pros and...

  10. Heparin

    annie.rn replied to bear14's topic in Medical-Surgical

    Heparin can effect platelets. There is a phenomenon known as HIT or Heparin Induced Thrombocytopenia. I was taught to hold heparin for platelets less than 150,000. Also, any dramatic reduction in...

  11. "What to Expect When You're a Patient"

    annie.rn replied to Graduatenurse14's topic in Patient, Colleague Relations

    You still are. :-) And based on your consistently excellent posts, a very good one.

  12. Kid, you made my day!

    annie.rn replied to sourapril's topic in General Nursing

    That's wonderful! In no way do I agree with his parents' actions. However, they ought to be applauded for raising such a smart and obviously impressive young man

  13. I thought we learned that in nursing school!

    annie.rn replied to Emergent's topic in Patient, Colleague Relations

    This is how it was done by my previous employer. The fair was open all day for two or three days and we were paid to attend. We went on our day off and could spend as much time as we wanted getting...

  14. Sepsis Screening?

    annie.rn posted a topic in General Nursing

    Hi there, I would like some opinions about a clinical situation. At the community hospital I work at, we do a sepsis screening w/ each assessment and anytime the patient's temperature is greater or...

  15. Sepsis Screening?

    annie.rn replied to annie.rn's topic in General Nursing

    Very interesting. Thanks so much for this. I wish I could talk to the doctors more to ask them their rationales for doing things but I am on night shift. Also, most of the doctors aren't too open...

  16. Sepsis Screening?

    annie.rn replied to annie.rn's topic in General Nursing

    No. I hope I don't come off as a student doing homework. I am an experienced nurse wanting to discuss practice issues concerning

  17. Sepsis Screening?

    annie.rn replied to annie.rn's topic in General Nursing

    The respiratory status worried me, for sure. Thanks for info. and the links. I will def. add them to my reading

  18. Sepsis Screening?

    annie.rn replied to annie.rn's topic in General Nursing

    I believe so as bolus, lactate, BC and abx. are the four orders included in the sepsis bundle. However, the MD can choose not to do any or all of the orders. The pt. was a 23 yo., healthy guy. I've...

  19. Sepsis Screening?

    annie.rn replied to annie.rn's topic in General Nursing

    This would be awesome! It would set my mind at

  20. Sepsis Screening?

    annie.rn replied to annie.rn's topic in General Nursing

    We are supposed to but in practice it doesn't happen. We don't have a dedicated

  21. Nurses have an Attitude Problem

    annie.rn replied to SunriseDay's topic in Pre-Nursing Students

    Best. response. ever. Bet there's lots of us nurses who would give the OP one

  22. Sepsis Screening?

    annie.rn replied to annie.rn's topic in General Nursing

    I'll do my best from memory. This is for an adult (I work adult Med/Surg). First level of screening: Completed q shift and if temp. greater than 100.3 F. HR >90? RR>20? Temp > 100.9 or WBC...

  23. Sepsis Screening?

    annie.rn replied to annie.rn's topic in General Nursing

    On our unit we do really well with implementing the early sepsis screens and everyone is good about calling the MD's when a pt. screens positive. However, it seems like the MD's aren't on board with...

  24. Sepsis Screening?

    annie.rn replied to annie.rn's topic in General Nursing

    Thank you. I did just that. I'm big on very detailed documentation. I document what I told the doctor, what orders I asked for based on my findings, the orders I then received, when received orders...

  25. Sepsis Screening?

    annie.rn replied to annie.rn's topic in General Nursing

    Hi there, I would like some opinions about a clinical situation. So, I had a young patient who had a lap appy after a perforation. He was post-op day one, going on day two (night shift). I was told...