RNexplorer

RNexplorer

Member

  • Content

    58

  • Visitors

    3,422

  • Followers

    0

  • Likes

    2

All Content by RNexplorer

  1. Feeling like a terrible nurse

    RNexplorer posted a topic in General Nursing

    At times, I feel worried about my ability to perform adequately in this profession. Patient was admitted from the cath lab. I was confused with the access site description. There was a single lumen...

  2. Nursing Dose

    RNexplorer replied to guest449786's topic in Patient Medications

    I know this is an old thread, but I'd just like to comment. I understand wanting to always follow the doctor's orders, but there are certain situations in which there isn't time to wait for a new...

  3. What's Rude?

    RNexplorer replied to Ruby Vee's topic in Patient, Colleague Relations

    What's rude is nurses who make fun of patient's bodies. It is cruel and distasteful. I don't want to hear you criticize someone for the size of their genitals, the shape of their nipples, or...

  4. Interpersonal skills during a code

    RNexplorer posted a topic in Critical Care

    Regarding interpersonal skills during a code situation, what are your thoughts/opinions on this issue? - What interpersonal skills do you think help or hinder a code? - Do you think respecting your...

  5. Interpersonal skills during a code

    RNexplorer replied to RNexplorer's topic in Critical Care

    No, this is not an essay question. I was just curious what people's thoughts are on

  6. If You Could Have Any Skill to Deal with Difficult People -- What Would It Be?

    RNexplorer replied to PancakeSaturdays's topic in Patient, Colleague Relations

    I wish I could handle difficult people by being more assertive rather than emotional. Sometimes I just have to shut my mouth because I feel tears welling up inside and don't want other people to see...

  7. Feeling like a terrible nurse

    RNexplorer replied to RNexplorer's topic in General Nursing

    Thanks for this information. Do you know of any really good resources on CVADs?.. There are so many types and I'm often confused about them... Yes, I assessed the site and checked for blood return....

  8. Feeling like a terrible nurse

    RNexplorer replied to RNexplorer's topic in General Nursing

    Thanks for your response. It has really helped me put things in perspective and create something positive out of the situation. I will definitely find the answer and add it to my knowledge base....

  9. Feeling like a terrible nurse

    RNexplorer replied to RNexplorer's topic in General Nursing

    HeySis, thanks for the encouragement. The problem is I'm not a new grad. I've been working for 3 years as an RN. I don't have this problem on every shift, but it happens once in awhile... There's...

  10. CCRN Resources giving different answers!

    RNexplorer posted a topic in MICU, SICU

    For the following basic question, elite reviews and Barron's are giving different answers: What vent settings would be important to have for a patient with asthma? - Elite reviews: "a longer...

  11. PICC line contraindications

    RNexplorer posted a topic in Critical Care

    I'm just wondering why one of the contraindications for PICC line insertion is renal failure? Lots of ESRD patients have access devices... so I'm confused why a PICC line is contraindicated? Please...

  12. Heparin Drip

    RNexplorer posted a topic in Critical Care

    When your patient is on a heparin drip, and aPTT comes back at say 45 and you need to give a bolus... Do you think it's reasonable to bolus at a Y site closest to the patient? Or do you disconnect...

  13. what to expect during a buddy shift?

    RNexplorer posted a topic in MICU, SICU

    I tried to do a search on this topic but was not able to find an answer, so I decided to post the question myself... I'm starting a new position in a MICU with a 3 month orientation. I'm just...

  14. what to expect during a buddy shift?

    RNexplorer replied to RNexplorer's topic in MICU, SICU

    Thanks for the heads up!! I will try to enjoy the learning process and realize that things will be easier when I start out on my

  15. what to expect during a buddy shift?

    RNexplorer replied to RNexplorer's topic in MICU, SICU

    Thanks for your advice mbrookeRN. My experience in the ICU is minimal - less than 6 months, and I received very little orientation at my most recent position. I will definitely use my preceptor...

  16. Intubation - confused about orders

    RNexplorer posted a topic in Critical Care

    I have a question about the intubation I saw today... Is it normal for neuromuscular blockers to be ordered before the sedative....??? I had drawn up etomidate and rocuronium... And I kept thinking...

  17. Intubation - confused about orders

    RNexplorer replied to RNexplorer's topic in Critical Care

    In shift change at the start of my shift, I was told that the patient refused to wear the BiPAP because it was really uncomfortable... I'm not sure why he was okay with the non-rebreather.... I...

  18. Intubation - confused about orders

    RNexplorer replied to RNexplorer's topic in Critical Care

    The patient was not actually hypoxic... his pO2 levels were actually elevated. And I'm not too sure exactly how the patient would respond to the BiPAP... But I think it could lower the CO2 even more...

  19. Intubation - confused about orders

    RNexplorer replied to RNexplorer's topic in Critical Care

    In response to Mully: If the patient is having lots of shortness of breath due to pulmonary edema (common in CHF), he/she may be tachypneic... Tachypnea, in turn, will cause too much CO2 to be...

  20. Intubation - confused about orders

    RNexplorer replied to RNexplorer's topic in Critical Care

    That's a good point and made me wonder at the time... It all seemed so weird to me. Sorry, I can't remember the exact numbers. However, I do recall a normal pH, on the upper end of normal (7.41 to...

  21. Intubation - confused about orders

    RNexplorer replied to RNexplorer's topic in Critical Care

  22. how to be a better team player when struggling with your own work?

    RNexplorer posted a topic in Critical Care

    Team work is really important to me, and I can see that it is essential to ICU success. I wish I could be a better team player, but I'm finding it really hard to keep on top of some of my assignments....

  23. Intubation - confused about orders

    RNexplorer replied to RNexplorer's topic in Critical Care

    I agree with you about all of this... I feel awful that I did what I did. I guess I need to have more confidence in my own knowledge and intuition. I don't know why I followed the charge nurse's...

  24. Intubation - confused about orders

    RNexplorer replied to RNexplorer's topic in Critical Care

    Thanks for everyone's comments. I'm new to the ICU, and I discussed this with the charge nurse BEFORE even setting foot in the patient's room. I told her the medications I would expect to give...

  25. how to be a better team player when struggling with your own work?

    RNexplorer replied to RNexplorer's topic in Critical Care

    Nurse to patient ratio is usually 1:2. We have 1 CNA for the floor -- approx. 14