Bedside_Life RN

Bedside_Life RN

Surgical Intensive Care

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All Content by Bedside_Life RN

  1. Clinical Mistakes

    During orientation, the NA came to me, horrified, and reported a HR of 240's during morning vitals. This patient was not on tele, so I asked them to get a manual b/p and apical pulse. As I was rushing...
  2. A full head-to-toe Assessment?

    First and foremost get comfortable and confident with assessing; this is THE strongest tool you will have in your toolbox. The reason they want you to go over every aspect is so that you are competent...
  3. Nurse Patient Ratio

    OMG, where do I begin.... I will not say the state or facilities but I have worked as a nurse at two very large hospitals, both nationally ranked, magnet facilities on the east coast, one of which is...
  4. Need help with nursing interventions.

    Although there are other critiques to your plan of care that could be worked on I wish I could like kuriin's comment x100. This can have huge impacts on the psychosocial aspects of this patient. This...
  5. Need help! Scope issues!

    Call DHHS or your state BON to identify your scope of practice. But if I had to guess, I would stray to the side of caution and politely explain that a nurse has to administer medications........
  6. Goal vs. Expected Client Outcomes

    A goal is something nurses decide that is specific to that patient. For example, you would not set a goal for your paraplegic patient to ambulated in the hall three times a day. how expected client...
  7. More sterile questions!

    Before removing the "TSM" the patient and the Nurse should don masks. The lumens (or extensions) should be replaced when the caps are changed. The time that you should sterilize these ports should be...
  8. If you could go back and choose....

    KelRn......."I entertained the idea during college of dropping out and opening a bakery or an ice cream store. Some days (basically any day that involves me dealing with DCF) I wish I'd done that."...
  9. IVs and CVADS

    Thank you for clearing this up..... the 10-15 minute wait time comes from the priority of needs of the other six patients requiring care. I was not aware of this being a problem. This is the perfect...
  10. IVs and CVADS

    Nuns2016, with so many responses I would suggest you call the BON in your state. They will be able to provide you with the most recent scope of practice. When posting questions please take the time to...
  11. IVs and CVADS

    When the patient has a Power PICC (saline lock, not Hep lock) with continuous maintenance fluids, I stop the infusion 10-15 minutes prior to flushing and drawing back.... Is this not best...
  12. IVs and CVADS

    To keep it simple, only draw back from a PIV or Midline initially after insertion. Otherwise, these cannot be used for blood draws. You can draw blood from a PICC or Port as long as you follow the...
  13. Fundamentals of nursing

    If your next test is on vital signs alone..... Ask your instructor if the questions will be based on Airway, Breathing, Circulation of priority of needs, or the new practice of Circulation, Airway,...
  14. Fundamentals of nursing

    Fundamental Success is decent, but you have to understand the basics. I cannot stress this enough. Yes you will have to memorize material but you have to, have to, have to, be able to apply it. This...
  15. September 2014 Caption Contest: Win $100!

    "I am sorry, but a trained robot could do a better job than this
  16. Verbal Anesthesia. Oh how therapeutic!

    In Nursing there are so many therapeutic interventions at our fingertips. With this being said, the utilization of these skills are often sidelined due to time restraints and the ever changing...
  17. What PPE to wear?

    If you question the possibility of being exposed to any body fluid you cannot over protect yourself. Keep gloves and an isolation gown in your side pocket.... You'll be surprised what you come across...
  18. memory aids

    For tests, memorize the values in whatever text is being used. All facilities have different ranges for what they believe is normal. If it is for a test, remember, that most of the time, lab values...
  19. Question about Fundamentals

    Okay, I will not express my thoughts about how this instructor teaches her class, but she may be used to teaching senior students. My advice would be to stick to the objectives she has provided you...
  20. NICU or Med/Surg

    Take the opportunity to explore NICU as an intern; since there is so much interest in it. When you are being interviewed for a med/surg position you can apply those acute skills learned in your NICU...
  21. I would first of all figure out what you have to make on this last test, and take into consideration what you will have to make on the final. If you learn the GI material and learn it well you will...
  22. Nursing student in need of some advice!!

    Okay, Iwant to first of all say Congratulations for getting accepted into your nursing program and I also want to share with you some information (lets even go so far to call it an assessment-remember...
  23. Nurses working in outpatient surgical services

    The position is for ambulatory general surgical services and surgical
  24. Hello all, I am transitioning my career from a highly demanding, high acuity, and very busy (this being an understatement) Medical Surgical and Telemetry unit, at a very large hospital, to outpatient...
  25. Okay, so how I begin this process is finding out the proportion of drug to total volume. So 400 divided by 500, leaves a ratio of 0.8mg per 1mL of solution. Since you have to know the ratio in mics,...