jmgrn65 RN

cardiac/critical care/ informatics

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All Content by jmgrn65

  1. jmgrn65

    This cannot be ethical!

    I am appalled that anyone would think this is good practice, this blatantly unethical. Just like performing CPR on someone that is a DNR is wrong. Practicing intubation is just plain wrong. There are...
  2. jmgrn65

    Nurse having personal relationship with patient

    It is very unethical, and it is taught in nursing that it is wrong. Just like it is wrong for a doctor to have a relationship with a patient. Most facilities have a policy against it, and probably she...
  3. jmgrn65

    tips for dealing with an uncooperative pt

    I am sorry this is happening, I am not sure of what the solution is, hopefully someone else might have some
  4. jmgrn65

    Pulmonary Embolism

    I don't think PE will show up on a chest xray that is why we order a spiral ct or vq
  5. jmgrn65

    Common Sense & Nursing

    Do we work at the same place:uhoh21: I work with someone just like that, I amazed all the time how she can be a nurse. She has worked on the same floor for at least 20 years and knows less than a new...
  6. jmgrn65

    OR patients bypass PACU for ICU

    our Cardio-thoracic care unit takes open hearts directly from OR, they don't go anywhere else, sometimes they will have to move out other patients to get them in, for example an ohs patient that is...
  7. jmgrn65

    Scenario:What would you do?

    What is the point of doing vitals? if he isn't going to be coded what are you going to do with the info? I would have given the morphine, I don't usually do vitals after morphine
  8. jmgrn65

    Chest tubes vs. Blake/JP drains post OHS

    ours use only mediastinal drains, I don't see blake tubes on our OHS pts at
  9. I have know CPR to be a life saver outside of the hospital, I know of a patient that his wife did only compressions and yes he was in VT, he survived, it was a long road in the hospital but he is now...
  10. jmgrn65

    Chewing Ice!!!

    actually it is more related to low iron, at least that is what my hematologist said. Something to do with iron content in water/ice.
  11. jmgrn65

    NG/OG tube placement

    This is the same thing my facility had done, evidence practice is how we develop policies. we aspirate for gastric contents and if used for feeding we always get an
  12. jmgrn65

    Just got this in the mail is this a scam?

    if it smells like one it probably is, besides I don't know of scholarships that require money. Be wary of anyone who wants money up front. You can always ask your school they would
  13. jmgrn65

    what to do with a mean charge nurse?

    I have found that alot of the times once you confront the person and show them you aren't going to take it any longer that they back off.
  14. jmgrn65

    Cardioversion questions

    If the person has been in atrial fib. for an unknown time it is generally better to try meds first, because there could be a clot in the heart from the atrial fib, and cardioversion would dislodge the...
  15. I think that if it is required by the facility, then yes they should pay for it.
  16. jmgrn65

    Weird question... what do you all think?

    We just rec'd magnet status but while we were appling for it one of the things that we (as in Nurses) had to do is get new name badges made with all of our credentials even if it wasn't a nursing...
  17. jmgrn65

    diluting I.V lasix

    no don't dilute, generally don't dilute iv meds just push it
  18. jmgrn65

    Is this legal?

    we have a similiar one called hilrom, it doesn't detect us in the bathroom or off the unit only if we are near a hilrom box. It is just easier to find someone to help you but if they are off the floor...
  19. jmgrn65

    Hello I am taking a pole

    Well let me apologize I just intended it to be constructive criticism. Because spelling says a lot of a person, it is so important, and can really make a person look bad. It just takes a moment to...
  20. jmgrn65

    Hello I am taking a pole

    pole- like a tent pole, fishing pole, a long cylnidrical object poll- asking people for thier thoughts I am sorry for correcting you, but spelling is my pet peeve because it is so easy to spell...
  21. jmgrn65

    Student cath question

    suprapubic is inserted directly into the bladder similar to a g-tube except it is in the bladder usually done by a urologist. Nurses don't insert except possibly if one has fallen out then maybe...
  22. I would say that if only cpr was in progress then it should be stopped, no harm done, however if patient is intubated. then i would get a doctors order and then someone would have to d/w
  23. jmgrn65

    suffering with c-difficile

    Yes c-diff has a unique odor and is sometimes yellow in color however if it was negative the first time, then it may not be c-diff. Once it is positive it will be for a while, usually once you are...
  24. jmgrn65

    Addressing patients?

    I always call them mr. or mrs. unless they tell me differently. I call people that are close to my age buy thier first name. I introduce my myself and
  25. I know some have said this, but i will say it again. I want families and patients to treat us with respect, not tell me how to do my job - which one of us has the education? That is my pet peeve and...