elthia

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All Content by elthia

  1. elthia

    Wired Jaw :( Food Ideas Please

    elthia replied to AnnieOaklyRN's topic in General Nursing

    Butternut squash soup is really tasty, should be next to the Campbell's in the soup aisle. Also, you could add some cream cheese to soups to give a different flavor and some extra calories. ( I add...
  2. elthia

    Pain meds IV push

    elthia replied to krista312's topic in General Nursing

    with my patient population, i'd be worried about the fluid overload....i have some that get q1-2 pushes but are end stage heart failure...that would be a heck of a lot of
  3. elthia

    How are staffing issues at your facility/department?

    elthia replied to Queen2u's topic in General Nursing

    Getting w orse and worse. Our new staffing ratio is
  4. elthia

    How can you be nonjudgemental?

    elthia replied to Kristy02_RN's topic in Patient, Colleague Relations

    I think you did fine, I wouldn't sweat
  5. elthia

    Not Seeking Medical Advice, Just want to know I am not alone

    elthia replied to lawandaluxnurse's topic in General Nursing

    Yep...the last cyst, I collapsed, couldn't walk, ran a temp, puking my guts out. The ED MD was nice, but his attending lectured me about coming to the ED about this isn't something you come the ED...
  6. elthia

    Not Seeking Medical Advice, Just want to know I am not alone

    elthia replied to lawandaluxnurse's topic in General Nursing

    Thanks...now I don't feel like such a wuss for the last time I went to the ED with an ovarian cyst that was bleeding. I'd rather have a 3 week migraine than another cyst, but even on birth control,...
  7. elthia

    Albuterol vs. Xopenex....

    elthia replied to deespoohbear's topic in Patient Medications

    If a pt tends to be hypokalemic, take care with albuterol...too much albuterol can drive can lead to low serum potassium levels. Like insulin, albuterol drives potassium from the serum into the cells....
  8. elthia

    holding lasix d/t BP reading

    elthia replied to dudette10's topic in General Nursing

    I also like to consider who I am giving the lasix to. The post CABG with the EF of 35-45% with the BP of 92/42 and HR 118, I would call the MD and clarify. 99% it is held. The acute on chronic CHF...
  9. elthia

    Saline flush without a physician order?

    elthia replied to stephenfnielsen's topic in General Nursing

    Ahh...I so needed this thread. I have an orientee that I have been precepting that has been an experience. She doesn't want to flush IV's without an order, because Saline flushes are medicine. Until...
  10. elthia

    Should this be reported??

    elthia replied to nicenurselpn's topic in General Nursing

    I have...not on purpose...I had a pt having an acute MI, he was on heparin, and needed to start on a glycoprotein IIb/IIIa. His troponins were rising fast, and we were waiting on the cath lab to come...
  11. elthia

    What is the difference between Level 1, Level 2, and Level 3 hospitals?

    elthia replied to MJ-12's topic in Nursing Career

    Primary care is your regular physician. Secondary care adds on capabilities like PT,OT, psych, etc. Tertiary care is specialists like oncology, neonatalogy, cardiac surgery, and such. Quaternery...
  12. elthia

    Has anyone ever worked for VA hospital?

    elthia replied to feelsgoodtobeRN's topic in Nursing Career

    It was the worst toxic experience I have ever had. The ancillary staff would often leave campus during the middle of the shift to go shopping. We were the subject of a Nightline investigation that...
  13. elthia

    There but for the grace of....

    elthia replied to xtxrn's topic in General Nursing

    A pt on a heparin drip got up and walked around after her nurse left her room. I was sitting at the nurses station and heard a crashing sound. She fell so hard she had a goose egg on the back of her...
  14. elthia

    Lots of blood... starting IV's HELP!

    elthia replied to Epona's topic in General Nursing

    Are you using Insytes? If so, then you need to hold pressure on the catheter and vein after you withdraw the needle, to occlude the vein as you put the saline lock on, preferably you already have the...
  15. elthia

    Nurse pressing charges

    elthia replied to Girlygirl69's topic in Patient, Colleague Relations

    i agree with ruby. if he had road rage and caused an accident which led to someone being severely wounded or killed he would be prosecuted, even if that was not his intent. the nurse could have had...
  16. elthia

    What have you found in your pockets at the end of your shift?

    elthia replied to Poi Dog's topic in General Nursing

    Alcohol preps Saline flushes Blue caps for IV tubing. Kelly forceps with roll of micropore tape on end is clipped to scrubs. 3 inkpens Empty pill containers that didn't scan that I forgot to turn in....
  17. elthia

    Things you'd LOVE to tell coworkers...and get away with it!

    elthia replied to General E. Speaking, RN's topic in Patient, Colleague Relations

    So sorry I had to change ONE patient in your assignment from the night before...but you are a RN, and the float nurse we are getting is an LPN from a different floor and can't take that pt. SO quit...
  18. elthia

    Things you'd LOVE to be able to tell patients, and get away with it.

    elthia replied to AngelfireRN's topic in Patient, Colleague Relations

    Go ahead and sign out AMA or keep treading that path to self destruction, I don't really care. I have other patients that WANT to live, and I'd rather spend my time and effort on them. So don't cry...
  19. elthia

    Night shift -- can you just take it easy, please?

    elthia replied to SoundofMusic's topic in General Nursing

    I really would love to work at a place where night shift is slow between 1200-0400. Please don't over generalize, We have Glytec insulin drips, and sometimes the it can require chemsticks up to q 30...
  20. elthia

    "The Golden Hour"

    elthia replied to Tait's topic in General Nursing

    That would be heavenly...unfortunately no we don't have it. In my facility nurses do the first set of vitals on the patients. So when I had a code at 2030 yesterday...I sent the aide to finish my...
  21. elthia

    Night shift -- can you just take it easy, please?

    elthia replied to SoundofMusic's topic in General Nursing

    I hate shift wars...I truly do. Each shift is varied and unique. The same doctors, NP's, and PA-C's that are polite and shake my hand during 0900 meetings and inservices are rude and yell at me when...
  22. elthia

    Best way to unclog a PEG?

    elthia replied to BrazoriaLVN's topic in General Nursing

    The bicarb activates the pancreatic enzymes which then "dissolve" the clog a digestive
  23. elthia

    Cardiac Vascular Nursing Certification

    elthia posted a topic in General Nursing

    I was thinking about going for certification...not because of the fancy letters, but because there is so much that isn't taught in school, or on the floor. My health is better, and after 7 years...
  24. elthia

    Best way to unclog a PEG?

    elthia replied to BrazoriaLVN's topic in General Nursing

    Our MD's order a solution of 1 capsule of pancreatic enzymes with 1/4 amp bicarb. Instill and let dwell. It will unclog a PEG or J-tube like nothing I have
  25. elthia

    Elevated WBC's after cocaine use

    elthia posted a topic in General Nursing

    We had a patient sneak off the unit, and shortly after his return he c/o not feeling well. He desatted from mid 90's to the 70's, he went hypertensive, HR was elevated. RR were 30-40. He was...