Guitar_Heroine

Guitar_Heroine

Med-surg

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All Content by Guitar_Heroine

  1. Frequency of changing IV tubing

    Guitar_Heroine replied to Issa_mohamad's topic in Infusion, Intravenous

    If changing the site when "clinically indicated" and not at set intervals as per old practice, I wouldn't wouldn't consider it necessary to change a newer set of tubing/bags etc for a new site. If the...

  2. Frequency of changing IV tubing

    Guitar_Heroine replied to Issa_mohamad's topic in Infusion, Intravenous

    We change q96 hrs for continuous infusions, but our policy is every 24 hours for intermittent (honestly the 24 hour changes are not well adhered to, and even though it has been policy for a few years...

  3. You Know You're A Nurse If...

    Guitar_Heroine replied to Joe V's topic in Nursing Humor

    The forklift at Costco makes alerts you and makes you seek the source of the "alarm" of the overhead page in the grocery store makes you pause and listen for the location of the

  4. Refilling water pitchers

    Guitar_Heroine replied to sizzlev's topic in Patient Safety Issues

    Besides ICU we don't routinely screen pts for MRSA. All pt pitchers are left in their room and filled with ice in plastic bags from the kitchen. And vital sign machines cleansed with sani wipes or...

  5. My student nurse blog

    Guitar_Heroine posted a topic in General Students

    I'm starting up a new blog aimed at my experiences as a nursing student. As it is summer, I'm kind of at a loss of what topics to address. Any suggestions or questions from incoming nursing

  6. Aides who go over your head

    Guitar_Heroine replied to Not_A_Hat_Person's topic in General Nursing

    Sounds like a lot of fun personalities... sorry for the rough night! I don't work in LTC but these sound like issues that administration should be addressing - as a relief charge I would want my...

  7. Critical Care Internships in Colorado, Idaho, Washington

    Guitar_Heroine replied to nemeth100's topic in General Nursing

    Depending on what kind of Critical Care environment you're looking for... You'll want to go to Sacred Heart in Spokane if you want transplants, VADs and it's the regional trauma

  8. Autopsy Question

    Guitar_Heroine replied to Dream Girl's topic in General Nursing

    So sorry for your loss! It must be hard waiting for an answer. Usually the people I've seen pass so young from RA end up with complications from treatment, often methotrexate. Hope the ME can give you...

  9. foley catheters

    Guitar_Heroine replied to troy09boston's topic in General Nursing

    I always take someone in to help with positioning for women, but we have a LOT of bariatric and respiratory patients which makes positioning difficult. I like to grab a couple sterile gauze 2x2s to...

  10. Handling Seekers

    Guitar_Heroine replied to traveler85's topic in General Nursing

    We get a lot of these patients too. And of course the dilaudid makes them itchy and nauseated so they want benadryl and phenergan. My favorite line: "it only works if you push it fast!" I write down...

  11. Lovenox question.

    Guitar_Heroine replied to LuVnLpN08's topic in General Nursing

    Sometimes there's no way around two injections and I really don't understand the reasoning of those other nurses. We send a lot of people home with Lovenox and it's great when they do need two shots...

  12. This was surprising

    Guitar_Heroine replied to voraciousj's topic in General Nursing

    Ya know, I think it would take longer to cheat! I wonder if maybe they just want to make sure there wasn't a glitch with the test administration system and it didn't give you some easy question 75...

  13. This was surprising

    Guitar_Heroine replied to voraciousj's topic in General Nursing

    Never heard of that! I took mine 2 years ago and passed in 17 minutes with 75 questions (I get nervous and take tests fast too) and didn't have any

  14. Dilaudid shortage - anyone else seeing it?

    Guitar_Heroine replied to roosmom's topic in General Nursing

    Yes! We use them a lot on our floor and pharmacy will only bring up a couple at a time, so we are constantly calling for more. Really makes me wish we could be choosier about who we give it

  15. Question about patient's death and ethical issue

    Guitar_Heroine replied to AZO49008's topic in General Nursing

    I always focus on the more positive things, for instance letting the family know I was with their loved one when they passed and they weren't alone, that he or she looked comfortable. I also let the...

  16. Smelly co-worker

    Guitar_Heroine replied to MA Nurse's topic in General Nursing

    If it's gone on this long I would expect she needs to be addressed directly, but perhaps if the manager sent out a memo to everyone stating that there have been complaints and reminding all employees...

  17. npo question

    Guitar_Heroine replied to julezzz26's topic in General Nursing

    I suppose it matters why they're NPO. I had a surgeon once tell me that chewing gum increases gastric secretions by quite a

  18. trouble with blood glucose check

    Guitar_Heroine replied to turtle rain's topic in Geriatric, LTC

    Also it helps to have gravity on your side and hang their arm over the side of the bed and so that the palm faces down. Sometimes it seems to work better for me if I squeeze above and below the...

  19. Back-priming secondary tubing to reuse it

    Guitar_Heroine replied to fallrisk2008's topic in General Nursing

    I'd be interested in this too. Our management is pushing for us to do this more rather than use different tubing for each abx but it makes me wonder. I don't know what exactly has been through that...

  20. DKA- how often do you see the same ones

    Guitar_Heroine replied to HyperRNRachel's topic in Emergency

    I've heard it called diabulimia but I'm not sure if that's an official

  21. Malpractice insurance = bad idea?

    Guitar_Heroine posted a topic in General Nursing

    A lot of my coworkers have been debating lately about carrying malpractice insurance. I've always been a cautious person and carry it, especially because I don't know what the future holds and am...

  22. treatment of "vip's"

    Guitar_Heroine replied to UtErRnEmt's topic in Emergency

    It's funny because we recently had a traveling gov't official wheeled through the ED straight up to the floor for something your average Joe could have spent 8 hours waiting to get a bed for. Same...

  23. which shift do you prefer and why?

    Guitar_Heroine replied to nrsman1's topic in General Nursing

    I love 12's and wish my current floor had them. When I worked them I'd usually work opposite the same nurse, so the continuity was great and we just reported back and forth to each other for our...

  24. Fear of physicians and taking telephone orders

    Guitar_Heroine replied to Joni's Mom's topic in General Nursing

    I know it sounds silly and people tease me about it, but I work nights and when I have to call one of the nasty doctors, I STAND up while talking on the phone. It makes me feel more assertive! Some...

  25. Failed NCLEX

    Guitar_Heroine replied to jj1976's topic in NCLEX Exam, Programs

    Have you tried a strategy book like the one Kaplan makes? A lot of the NCLEX isn't so much nursing knowledge as knowing *how* to think through the questions and that book helped me go about it...