Firewood

Firewood RN

Cardiac Diagnostics

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  1. IV Shearing???

    Hello, Today I had a patient that I was placing an IV in. I got in, got a blood return and started to push the cannula in, but hit a valve. The needle was in the cannula but not all the way, so I...
  2. Colonoscopy Post Vital Signs

    The other day I was working post endo and I realized that the BP wasn't set to go off after the fact that the pt was discharged. It read 130/60 3 times so in essence, in 30 minutes I got 1 BP as it...
  3. Colonoscopy Post Vital Signs

    Aren't the post endo vital signs mainly for the purpose of anesthesia recovery? Not so much for blood loss? Also, isn't a bleed outside the colon into the peritoneum (so blood loss wouldn't be...
  4. Colonoscopy Post Vital Signs

    I'm new to endo, so I was more worried about an extra colonic bleed that you can't
  5. Advice Please! Skilled Nursing to Assisted Living

    No problem! Happy to add my 2 cents for what it's worth...you have to protect yourself and your
  6. Advice Please! Skilled Nursing to Assisted Living

    Hello, I've never worked in a skilled nursing facility, everything I've done has been hospital. But 1 nurse on days and none on nights for 80 pts seems dangerous. Sounds like you would be...
  7. I just noticed something the other day that I never paid attention to before. Here's a fabricated example of what I saw on a pt discharge from the hospital to ECF form that has me perplexed:...
  8. Follow up appointment same day as pt discharge???

    Thanks for the response JKL33. I wonder if others have noticed this before or am I the only dweeb who
  9. CKD and I&O

    I had a GIB pt the other day who had a hx of CKD. His creatinine and BUN were normal. His Gfr was >60. His uop for the shift was ~ 1000cc. He had an IV of NS at 100cc/hr and his 24 hr total was...
  10. Hello. I had a pt last week on a protonix gtt, 80mg/500cc at 52cc/hr or 8mg/hr. per order per protocol. I inadvertantly hung a second Protonix gtt at 130cc/hr. (80mg/500cc). By the time I caught the...
  11. Recurring Protonix Nightmare

    Thank you toomuchbaloney, you are right. After letting go, I feel much