janine3&5

janine3&5

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All Content by janine3&5

  1. fluid therapy with DKA?

    Okay, long story short: Had a pt today with DKA in the ER, and our ER doc ordered a 2 L bolus of IV fluids (NS, then changed to d5ns after blood glucose was less than 250) along with insulin drip....
  2. blood draw from heparin lock?

    I use the HL to draw labs whenever I can in the ER. When we first put in the IV, I attach the HL to a vacutainer to draw blood. After the HL's been used for meds, fluids, whatever, then I use a...
  3. I also had the chance to remove one as a nursing student. I was in clinicals on a surgical floor, the nurse I was working with talked me through it. I was under the impression that this is a nursing...
  4. Team Nursing with Paramedics........

    We have a few paramedics working in our ER; they function in the same position as nurses with their own pt assignments. However, they can't give any meds! I'm not sure of the rationale behind that....
  5. Length of stay in ED before admission

    I work in a very busy ER: 100,000 visits/year. Once a pt is seen by the doc, it takes another 1-3 hrs for labs and so forth to come back. They're usually admitted after 2-3 hrs. And that's when the...
  6. fluid therapy with DKA?

    I was surprised too with the Dx with that BS. I asked another nurse about it, who said it was DKA because of the ketones and ABGs. The patient was oriented, but lethargic, sleeping most of the time...
  7. fluid therapy with DKA?

    I'm so glad to hear these replies; I got the same response from a nurse at work today that I talked it over with. My understanding of the pathophys was a little off, but glad to hear I didn't screw...
  8. Co-workers with poor grooming habits

    I don't think you're being too critical at all, would you want someone like that taking care of you? Especially in the healthcare field, where hygiene is so important! I have to agree with every...
  9. Advise pls re: pointers for NCLEX exam

    Hey! That Springhouse book is great, I also used it to help prepare. I just took my boards a few weeks ago, and the test really focused on prioritizing care. For example, questions like, "You're just...
  10. Inspirational Songs for Pinning Ceremony

    We used "Go Light Your Candle", and one of our class members sang it. I'm not sure where you would get the lyrics or music, maybe just do a search on the internet. It's a pretty well known song, and...
  11. What Freaks You Out?

    Blood, poop, vomit, and even phlegm don't get to me, but that unwashed body odor stench does it everytime. Yesterday, I had a lady, about 300 lbs., who obviously is not able to reach all those little...
  12. a nurse's poem-I'm Sorry In Advance

    Beautiful poem, thank
  13. NCLEX review classes?????

    Most of the hospitals in our area offer review courses to employees. The hospital that I work at offers a week long NCLEX-RN review free of charge (I think we also get paid regular wages for...
  14. DO/MD?

    Quick question- what does the DO stand for; what's the difference between an DO and an MD? (Have noticed alot of our ER docs are DOs, just curious)
  15. paediatric nurses

    WOW, those are quite a few questions! Did you check in your textbooks? I remember that my Fundamental Nursing text discussed all of these right in the beginning of the book. Good
  16. No I wouldn't recommend nursing

    EVERYWHERE! (LOL) Been through all areas with rotations in school, if it's not poop, it's some other bodily
  17. How do I become a CNA?

    I'm not certified as a CNA, so I can't tell you how to become one. But I do work in the same capacity as a CNA while I'm in nursing school. CNAs are responsible for doing basic patient care, and...
  18. Tired of being a nurse??? Try this out

    I think I'll stick to my motto-"If it sounds too good to be true, then it is!" NO THANK
  19. Did I see an Angel today?

    That is all so strange! What kind of accident are we talking about-car? Who called for
  20. Student Nurse question

    There's a site- The SNURSE'S Bookmark (then click on Snursing links)- that has a great page about improving your chances with IV starts-some good general tips, common complications, etc. [This...
  21. OR or ER?

    Have you rotated through these areas yet in clinical? I started out wanting to be in OB, but once I went through different areas, I found out that there were other specialties that I liked even...
  22. Staffing Ratios- Need help

    I work in an 850 bed non-teaching hospital in FL. ICUs- usually 2:1, have student nurses as techs, 1 per shift or none. Rotate charge nurses, who take pt loads. Unit secretary on all shifts....
  23. Magnet Hospitals

    Finishing up nursing school and all area hospitals are sending recruiters to speak with the class-last week had a hospital who used up most of presentation talking about Magnet status as its selling...
  24. Clinical Disaster!

    I think the best thing that you can do to make procedures easier on your pt is to always stay calm- if you're calm and unhurried, your pt will be more comfortable with you. Also, always explain what...
  25. Stethescopes

    Littman Classic also- hey, maybe silly question, but how long are stethescopes effective? Meaning, after so many years, does tubing, earpieces, or whatever wear out or are they pretty much good...