elthia

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All Content by elthia

  1. elthia

    remember when...

    We still use cholestryramine with aquaphor for diaper rash at my institution, when it is ordered for adults some of the nurses get confused, but it works wonderfully. I remember working as a nurse...
  2. elthia

    If I see one more post titled....

    BUT I did google it and nothing showed. You are so mean...this is what the mean about nurses eating their young. It's just because I am so pretty and smart, and I deserve that dayshift charge nurse...
  3. No, we respect peoples wishes period. It doesn't matter how demented they get. JMHO. That's like saying someone is a DNR, until they pass out and then we can code them. It's
  4. Yes it will make a difference as to where she is, especially if her mother chose the place beforehand. Just because someone gets dementia does not mean that we throw their advance directives out the...
  5. You do not know the backstory on these pt's, you have no right to judge these people and their families. To you what may be a sweet little old lady may have been a cruel vicious woman who in her...
  6. Sometimes it isn't a case of handling the stress. Some people need to be in locked wards for their safety. My uncle was the sweetest, kindest man when he began to suffer frontal lobe dementia he...
  7. elthia

    Patients' "home remedies"? What have you seen

    I have had several older gentlemen tell me they used WD40 for arthritis. I had a pt try to cure his chest pains with home accupuncture...he later came to the hospital and needed an emergent
  8. elthia

    This radio ad ENRAGED me

    We had a pt with a rare heart tumor...and his family kept saying "that cancer center is very interested in his case". Well it turned out they were, for a risky experimental tx
  9. elthia

    Please Help my narcotic situation

    That's good to know that surgery may still be an option...the last pt I had with a fx...he had such bad osteoporosis that the surgeons said surgery was not an option, the hardware just wouldn't heal....
  10. elthia

    What is the abbreviation ELU stands for???

    http://www.medilexicon.com/medicalabbreviations.php?keywords=elu&search=abbreviation Might
  11. elthia

    What is the abbreviation ELU stands for???

    I followed the http://www.acronymgeek.com/ELU and one of the definitions it gave was....... Ewok Lovers United
  12. elthia

    Please Help my narcotic situation

    Sometimes if the fx requires surgical repair, and the pt is elderly, frail and has multiple comorbidities, you have to weigh the risks. Sure, you can be all gung-ho and and put the pt under for...
  13. Ahh...but I am sure it can be given by G-tube in long term care, which is yet another alternate route. If ordered po, or no route ordered and the agency nurse comes in to fill in behind you, who has...
  14. elthia

    Patients' perception of your demeanor.

    I have found most of my patients think I am calmly efficient, I am not a touchy feely rainbows, butterflies, and unicorns nurse. I do laugh and joke with my patients, if I catch them up walking in...
  15. I know I am being nitpicky here, but coumadin can be given IV, I give it IV frequently. This is a very good example of why orders need to be complete and not open to interpretation, sometimes nurses...
  16. elthia

    VENT ! Well they won !I am quiting

    DO NOT QUIT First off...the VA is unionized, even if you are not a member they HAVE to help you. Utilize the union. Second...consider filing FMLA, you can use sick leave, vacation time or LWOP (leave...
  17. elthia

    IV antibiotics compatible with D5W ?

    Sometimes I hate to say it, I think of those pictures of the impostors the state boards sends out with its quarterly newsletter when I see threads like this. This is basic pharmacology, and any...
  18. Bit of a thread hijack here. when I was a working as a student nurse, I sat a 1:1 with a suicidal pt who had a psych hx and polysubstance abuse. He sat and stared at me until he fell asleep. when...
  19. We are not reimbursed for lunches that we are unable to take. So I always make sure I take my lunch one way one way or the other. Even if it means I have to carry my phone with me to watch for call...
  20. We just had CMS come through our hospital not too long ago...nothing was said about charting stop times on IV antibiotics on our audits...and believe me CMS looked at EVERYTHING. Of course CMS is...
  21. elthia

    Antibiotic Tubing

    I agree...I was taught the more often you break open the lines, the higher the chances of contamination and risk for
  22. I have done it before...I hate it. What in the world should I be doing as charge nurse on a ortho floor, when I barely can set up the CPM device or a trapeze setup with lots of help....what I know...
  23. You are getting floated to stepdown trauma...oh, by the way, you are going to charge once you are there. We are short nurses who can care for LVAD pts, so you have all 3 that are on the unit, plus 2...
  24. elthia

    How Long?

    I worked as a Nurse technician my last year of nursing school. I was hired for a job before I even graduated. Took my boards 2 days before
  25. At a former job I was written up because I told a pt I "I want you to understand" while doing pt teaching. The pt considered it insulting, and "no one speaks to him like that". The supervisor took...