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elthia

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elthia's Latest Activity

  1. elthia

    This Does Not Make Sense - But happens anyway!

    As a charge nurse, I have a key to the bio hazard boxes...I guard it zealously.
  2. elthia

    how quickly someone can go downhill.

    I think you did the best you could. Even after nearly a decade, when I have a pt crump, I am left shaking like a leaf after the dust settles. It gets better, quit second guessing yourself. No one on this BB was there, none of us know the entire clinical picture like the you or the doctor who was making the orders.
  3. elthia

    If I Said on Here What I Wanted to Say.

    Hey...my DH's best friend told me I am Rebecca Sunshine, and I need to grow up or I am going to get walked all over in this bitter cruel world. So I am right there with you....doing my happy dance.
  4. elthia

    This Does Not Make Sense - But happens anyway!

    After a code on my floor, we cannot have a pt on a vent, even temporarily with the ICU staff, and code team, while awaiting on a bed in the ICU. BUT...we can bag the pt by hand for up to and over an hour....while we play musical beds in the hospital True story. Which do you think is safer for the pt.... of course this happened awhile back, I pray to all that's holy it never happens again.
  5. elthia

    Only 5 units of insulin per injection site??

    Now we do have some of the endocrinologists order the larger doses of lantus to be given as split doses, but it is clearly ordered that way. As in...Lantus 110 units subcut, to be given as 55 units in two divided injections in separate sites for a total for a total of 110 units. Considering that our insulin pens are single use only, this requires a new needle for each injection, as the safety lock engages after each injection. This is the only time I divide a dose, as I have an order to do so.
  6. elthia

    Who are all these people dying in your arms?

    Exactly. To me it is just as important to emphasize the fluid restrictions on a fresh open heart, to monitoring the INR on a atrial fib, to giving the ABX on a pt with vegetation on the heart valve. To neglect any of these can kill a pt, but I don't go around every day saying I saved a life.
  7. Brown recluse spider bite to the penis. The pt avoided coming in for awhile, he tried to care for it at home. When his penis turned gangrenous he decided to seek treatment. It was too late, when the resident went to examine the extent of the damage, the majority of the pts penis fell of on the doctors hand. The doctor calmly covered the pt up with the sheet, walked down the hall, into the dictation room and freaked out. The poor resident kept saying, "it fell of in my hand, I barely touched it!".
  8. This story reminds me of the old military habit of seasoned coffee mugs. My father and a couple of my uncles had a few mugs that hadn't been washed in years. My dad threw a fit if you washed his coffee mug. I heard stories of Navy men who had mugs so seasoned that in a crisis, you could just add hot water to the mug and make coffee. :barf01:
  9. I do tele/ med surg. I like it. Most of the pt's have similar diagnosis. So I know what is normal for the course of each surgery/diagnosis/exacerbation and then can go from each variation. I know how to intervene when someone strays from the course, and can make suggestions on how to get back on track. I know what to do in an emergency. I know when something doesn't look right, and bares close watching even if the labs and VS seem ok for the moment. I like watching pt's get better and improve each day after open heart surgery. Day one out of the unit they can barely walk 100 feet, by discharge they are getting up and around by themselves. It's nice to see people improve and get well. I don't do peds. I tried it, and I don't like having parents who don't want to make the child with a chronic illness take the meds, and then when the kid ends up sick it's the hospitals job to fix her. Of course we have to do that without hurting the kid. I don't like parents who look at you and say, my kid isn't going to like that med. Well, you are the parent, you need to set an example. Saying the kid isn't going to like that in front of the child, already makes the kid not like it. I don't like L&D, I never could understand fetal monitoring strips, and the para, gravida lingo. The whole specialty has its own special language and code that seems designed so only special few initiates can understand.
  10. elthia

    If I Said on Here What I Wanted to Say.

    I think many are not looking for help or opinions, they are looking for validation. The poster is unsure of their interventions, or perhaps the poster is being criticized for some interventions and now they are looking for validation that what they did was right. They feel all self righteous. An example I encountered in real life. A nurses duty is to protect the pt. The doctor ordered an anti seizure med for my pt IV, and he wants it be given over 10 minutes vs the normal 30-60. My pt is not an epileptic. He's an idiot. It is completely unsafe. My duty is to my pt. I am not doing this. I refuse, I am going to hold this med. What do you think? I am completely right aren't I? Then why you try to find out more....the more irate, and the angrier the original party gets. When in reality, American Headache Society recommends for intractable migraine Depacon over 10 minutes, and MD's who are board certified in migraine medicine have been prescribing like this for years. No amount of education or literature would change her mind. Eventually we had to change the assignment, and even then she threatened to report us all for "unsafe practice" and "trying to kill" the pt.
  11. elthia

    If I Said on Here What I Wanted to Say.

    I do this all the time. I have 4 times the amount of erased posts than posts that actually make it on the board.
  12. elthia

    Been so sick... working urgent care

    One of my doctors recommends for me to use nasal irrigation during cold and flu season. http://www.neilmed.com/usa/index.php http://www.ncbi.nlm.nih.gov/pubmed/10892694 http://www.fammed.wisc.edu/research/past-projects/nasal-irrigation http://en.wikipedia.org/wiki/Nasal_irrigation There are a lot of recipes out on the net, but it is important to boil or use filtered water. Our recipe. Boil 1 pint of clean water. add 1 tsp kosher salt. (important to not use iodized, or sea salt that can have impurities) Let cool, then add 1 tsp baking soda. After every use, Clean the neti pot or nasal irrigator and let air dry. I use the nasal irrigator, my husband uses a neti pot.
  13. elthia

    If I see one more post titled....

    Yes, but the minute you say that a pregnant nurse can take a pt with MRSA or VRE, then certain people start screaming that you are a bitter old barren hag who just hates pregnant women and babies. Now don't get me wrong, if it is something that we know will affect the fetus, german measles, CMV, etc. I totally agree that a pregnant healthcare worker should avoid that pt. However, being pregnant does not get you a free pass to avoid all pt's with unpleasant diagnoses. It also shouldn't get you a free pass to sit at the desk all shift. We even had a pregnant nurse who was criticized on my floor because she was in martial arts, and she trained up until her last trimester. She didn't spar, but she trained, and she kicked and punched the boxing bag. Her last trimester, she did modified training with her doctors approval. A lot of the nurses thought she was putting her baby at risk, and said if she went into premature labor or miscarried it would be all her fault. She went into labor at 41 weeks, perfectly healthy labor, perfectly healthy baby.
  14. elthia

    How honest are you?

    Oh, I understand completely...I just reread my post and wanted to clarify. Sometimes I wish I could be as elegant as some of the other posters when it comes to phrasing things, unfortunately I am not. For me it is a struggle to put down in words a scene I wish to convey, that is so poignant yet I feel important to share. I often feel I don't do it justice in my attempt to find the right words.
  15. elthia

    How honest are you?

    I think the woman who yelled at her husband...she wasn't yelling at him to be mean, I think it was to protect the mother who lost her son. It's the same feeling I have about not wanting to look up any news reports about that day. It was gut wrenching.
  16. To revive an old thread....I was reading the how to stop visitors from using an empty bed thread found here https://allnurses.com/general-nursing-discussion/how-stop-visitors-638241.html and this incident came to mind. Rather than starting a new thread... I revived an old goody. I had a really crappy near code one time. It was a comedy of errors. I was floated to a floor, where the powers that be, decided to allow the family members of patient stay in the room. 2 cots, and a blow up air mattress in a small private room. You couldn't get in the room to assess the pt. The charge nurse on that floor didn't care, even though the hospital policy states 1 visitor overnight depending on the nurses discretion, and there 3 people on 2 cots and a mattress. Well they didn't like it when I turned on the lights to hang the IV abx, because it woke up Aunt Sally sleeping in the corner.I was yelled at for accidentally hitting someone in the leg, then bumping someone else with the VS machine when I went in to do VS on the 70 year old, CHF pt in with exacerbation. I almost stepped on the wife's head, because her air mattress was between the bathroom door and the bed. Later, at 0200 when I was hanging another set of IV abx, I tripped over Uncle Jo sleeping on the cot at the foot of the bed. I was then fired from the room. At change of shift, the charge nurse was hanging another IV abx, and hits the staff assist button. CHF multifamily had dropped his sats. We call the ERT. SO....then if the room is too tightly crowded for one nurse, how is the ERT going to fit in. We run in, and pull wife off the blowup mattress, so we can put it in the bathroom, but she's unsteady, so someone has to run and get a chair. Uncle Jo, is yelling at us that if we ruin the mattress we are going to buy a new one. His cot and him went into the hallway, Aunt Sally's cot got folded and pushed against the wall,( not with her on it) SHE went to the foot of the bed rubbing her hands anxiously and refusing to leave. Apparently, the family refused the Q4 VS,because the previous nurse (yours truly) kept them all up so much, and sleep really is so much more important for all of them. A drop in O2 sats was never noticed, with coming daylight the pt's circumoral cyanosis and grey skin became apparent:rolleyes:. An adjustment in O2, then some bipap, and problem solved, but not completely. CHF multifamily ended up going to the ICU where the ICU staff promptly kicked all the family out, even though the room there are 3 times bigger, could it be all the equipment they need, and not the family? I reported to the nursing supervisor that I was asked to not be the pt's nurse anymore after 0100, and that I had already given report off to the charge nurse regarding the amount of visitors and cots in the room. I don't know what happened after that. oops, maybe I posted this in the wrong thread....still a great thread!