elthia

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All Content by elthia

  1. elthia

    Does it seem like it is usually the same ...

    elthia replied to GreenNurse's topic in General Nursing

    Bringing back on older thread. Yes...my pt's always seem to be crashing. I'm really getting tired of getting the really sick ones that have been trending down all day, and when night shift rolls...
  2. elthia

    Hospital declines

    elthia replied to ASSEDO's topic in General Nursing

    When I worked for the VA, we were in a beautiful practically brand spanking new hospital, so sparkly and pretty. And we had no toothbrushes or toothpaste, but I could give the poor late admits a...
  3. elthia

    Your Gettin a Patient - The Doors Open and In Rolls Your Pt.

    elthia replied to CarVsTree's topic in General Nursing

    No that isn't a home care pt. Home care pt's don't have chest tubes to low wall suction, aren't 24-48 hours post CABG/AVR/MVR/esphogectomy/thoractomy, don't have...
  4. elthia

    Your Gettin a Patient - The Doors Open and In Rolls Your Pt.

    elthia replied to CarVsTree's topic in General Nursing

    Sometimes floor nurses have emergencies too. I once posted on this board about how I begged the ED for some time before sending me a new admit, and the admit came up anyways while I was in the middle...
  5. elthia

    Your Gettin a Patient - The Doors Open and In Rolls Your Pt.

    elthia replied to CarVsTree's topic in General Nursing

    Sorry to be entering the discussion haphazardly, but was out of computer access yesterday. Per protocol at my hospital if the rapid response team is called on any new ED admit or any pt who was...
  6. elthia

    Your Gettin a Patient - The Doors Open and In Rolls Your Pt.

    elthia replied to CarVsTree's topic in General Nursing

    True, but when an acute care floor recieves an unstable pt from the ED, then those nurses have their hands tied, because many interventions and medications those unstable patients need are restricted...
  7. elthia

    Doctors' Chart Bloopers

    elthia replied to Brian's topic in Nursing Humor

    Vital signs q sh*t. We think he meant q shift but left out the "f'. Me being the smart aleck I am had to ask 'but what if he's
  8. elthia

    My Poor Hands have been Washed Raw

    elthia replied to SuesquatchRN's topic in General Nursing

    I found that using foaming alcohol washes will have my hands chapped and bleeding in less than 2 hours. I can use alcohol gels all day long with no problem. Don't ask why. I think it's the water...
  9. elthia

    where did i go wrong? please comment

    elthia replied to BandEmom's topic in CCU, Coronary, Cardiac

    I agree with everyone else. Sometimes when pt's go bad they go bad FAST. you trusted your gut instincts, the pt made it to the ICU (EF of 10% yikes), you did your job good. Take this as a learning...
  10. elthia

    Had a rough shift...need some input please!

    elthia replied to al7139's topic in Cardiac

    That situation meets the criteria for a rapid response team call per my facilities criteria. RT and an experienced ICU nurse answer the call, who then call an ICU fellow if the situation warrants it....
  11. elthia

    Dont you just love them

    elthia replied to teeituptom's topic in Emergency

    The nurse part of me sees: Ineffective coping R/t situational crisis, i.e. death of family, AEB illicit drug use and lack of hygiene. He needs bereavement counseling and to be taught better coping...
  12. elthia

    How do you feel about the patients that WON't take care of themselves?

    elthia replied to diapason05's topic in General Nursing

    i work with post open heart patients. 90% are educated about the rehab process before the surgery, and even with constant education , and premedication, and encouragement there are pt's that refuse to...
  13. elthia

    Antiemetics

    elthia replied to EZGM's topic in General Nursing

    I've used haldol with good effect at times, but it's hard convincing young residents to prescribe it for nausea/vomiting, but it works on dopamine receptors and is a fairly good antiemetic. It's the...
  14. elthia

    IVPB administration and potential problems

    elthia replied to maps4care's topic in General Nursing

    True. However, pt's don't have an allergic reaction the FIRST time time they are administered an antibiotic, unless they are already allergic. That is why it is important to check for allergies...
  15. elthia

    Does it seem like it is usually the same ...

    elthia replied to GreenNurse's topic in General Nursing

    The same nurses on my floor always seem to have to call the Rapid response team, but it seems that some certain lucky nurse always get the more critical patients. In a way it's a compliment, but then...
  16. elthia

    Funny Names

    elthia replied to nurserynurse55's topic in NICU, Neonatal

    Brylee MaLena Kimlani Safira Yeyisha Janae' Jaxon Draven Ta'Niya Centauri Jakhi Were all recently born in my home town. I always cringe at MaLena, no matter how you spell it I think of tarry
  17. elthia

    IVPB administration and potential problems

    elthia replied to maps4care's topic in General Nursing

    Start a second IV site and run 2 IVPB at the same time, so long as the pt isn't that brittle of a CHF pt, there's not really a chance of throwing someone into
  18. elthia

    Have I displayed drug seeking behavior??

    elthia replied to elthia's topic in General Nursing

    Well last week at my pharmacy I paid $132 for 6 pills. Yeah it sucked. If after 2 axert, I still have a migraine, I don't take any more triptans with that migraine. My downfall is the migraine...
  19. elthia

    Have I displayed drug seeking behavior??

    elthia replied to elthia's topic in General Nursing

    Thanks, I'll look into the toradol. It's just so frustrating. I had another migraine today, it went away with axert, but I threw up and had to go lay down for 2 hours until the second axert kicked...
  20. elthia

    Have I displayed drug seeking behavior??

    elthia replied to elthia's topic in General Nursing

    I'm going to start ordering axert from
  21. elthia

    Have I displayed drug seeking behavior??

    elthia replied to elthia's topic in General Nursing

    So far my eye exams have been ok, but that is one reason why we will do a lumbar puncture to measure my CSF pressure if I keep going into status migraine. I'm filing for intermittent FMLA this week....
  22. elthia

    Have I displayed drug seeking behavior??

    elthia replied to elthia's topic in General Nursing

    Thanks. It's just so nice to be feeling
  23. elthia

    Paid for precepting?

    elthia replied to Happy2bRN05's topic in General Nursing

    Yeah well, that's what happens on night
  24. elthia

    Paid for precepting?

    elthia replied to Happy2bRN05's topic in General Nursing

    I work at a teaching hospital, and I don't get paid to precept. However, I get volunteered to precept quite a bit. Usually I don't mind, but during the last 2 weeks of orientation it's a pain, because...
  25. elthia

    Natural Born Killer

    elthia replied to koalafiedRN's topic in First Year After Licensure

    That sounds like a very heavy assignment for a new grad. First off, on my floor, we try not to have the same nurse giving blood products to two different patients at the same time, it's a safety...