elthia

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All Content by elthia

  1. elthia

    Elevated WBC's after cocaine use

    Thanks...
  2. elthia

    When an employee is a patient

    it's half a dozen of one, and 6 of the other. i think there is more to this story. like why were you wanting the md paged and when. frankly, if a patient wants me to call the doctor for something...
  3. My settings are very private, and I have no coworkers as friends, I don't list my employer, I don't list my occupation, and I make no posts about work. Due to strife with my stepchildren's mother,I...
  4. I got concerned when I was house sitting for a friend, cleaned the litter box and there wasn't much output. I was worried her poor kitty was sick. Was all set to take it to the vet, tracking it...
  5. elthia

    med-surg..the "trailer trash" area of nursing??

    I don't understand it either. I work med-surg tele and I love it. I plan on becoming Cardiac vascular certified and to me med-surg is so much more holistic than ICU. How can I take care of an...
  6. elthia

    VA Manager not allowing annual leave

    I used to work for a VA. Make sure,you have a paper trail, and make sure you have copies of the emails with you along with your union rep when you talk to your nurse manager. No paper trail, no...
  7. I know I am not an ICU nurse. I know I am not on the ERT (emergency response team). However I am a daggone good nurse, and I KNOW my patient, and I KNOW the criteria for calling the ERT, AND MY...
  8. elthia

    Drug tested and scared

    Again yerba mate and coca de mate are different entities. A different link. http://www.rain-tree.com/yerbamate.htm If you read this, you will see that yerba mate is a holly tree that contains...
  9. elthia

    Drug tested and scared

    I believe the tea you are drinking is Yerba mate...and the tea from your article is mate de coca. Your tea is from a shrub in South America, the other is a tea made from the leaves of a coca plant....
  10. elthia

    "I'm a Nurse Practitioner!"

    The other day I walked into a pt's room. Me: Hi, I'm elthia, and I'll be your nurse tonight. Wife of pt: Aren't there privacy laws!!!!!!! Me blinking in confusion: I'm sorry, is there a problem? Wife:...
  11. elthia

    You Might Be An "old" School Nurse

    I remember going going back and forth with this nurse one day about how we need to dye this pt's tube feeding. The pt had a trach with breakdown around the stoma, and had a peg. He came from home,...
  12. elthia

    when a male patient pulls foley out..

    If a pt is having bladder spasms r/t to the foley, a PRN order for B&O suppositories helps, (belladonna and opium)...it relaxes the smooth muscles of the bladder, and the pt sometimes will then...
  13. elthia

    Dreaming about work?

    I've thrown away alarm clocks because they sounded too much like IV pump alarms. On a really bad night, I've come home, and sworn I can still hear the tele alarms. I've woken up thinking I need to...
  14. elthia

    pet peeves when nursing students arrive

    Wait till you find a different service where the resident isn't. We just had a resident FIRED in his last year, PGY3 due to lots of documentation and complaints, cursing, yelling, throwing charts at...
  15. elthia

    pet peeves when nursing students arrive

    Seriously...doctors call it "scutwork"....and are notorious for scutting out the med students and interns. Medstudents don't get paid. Residents make 40-45K a year and work 80+ hour weeks....
  16. elthia

    what would you do!!!!

    Personally, I've answered a code blue alarm, found a doctor leaning over a pt, " stating we need to bag him". I asked if there was a pulse, got no answer but " we need to bag him", found no pulse...
  17. When I was in nursing school..one of my instructors previous job was for the BON of my state. She told us a little story. There is no limit to how many times someone can take the NCLEX in my state....
  18. elthia

    pet peeves when nursing students arrive

    We do a combination of paper and verbal report at my hospital...if you are a nursing student...it's ok to make a copy of the paper report sheet...but don't remove the original, the next shift needs...
  19. elthia

    Helping pts cope with painful procedures

    Panting doesn't help me...deep breathing does... I've had herniated disks in my neck, I've had bowel obstructions, and I'm a migraineur. I live with pain. I've explored nonpharmacological pain...
  20. elthia

    Helping pts cope with painful procedures

    http://www.ideafit.com/fitness-library/deep-breathing-and-pain-management http://journals.lww.com/smajournalonline/Fulltext/2009/07000/The_Effects_of_Deep_Breathing_Training_on_Pain.5.aspx Some...
  21. My moral/ethical courage almost cost me my job, and had my nurse manager use her friends to audit every chart I was in looking for a way to cost me my license. Luckily I charted too well. I quit...
  22. elthia

    Psych patients on medical floors

    We have taken care of psych pt's on my floor many times and it's very difficult. If they need a 1:1, then we have to pull an aide off the floor, often we have to decide which aide is the "best fit",...
  23. elthia

    Shhhh! ---It's all a crock!

    I normally tell my pt's and their families that I round every 1-2 hours, after 2300 do you want me to knock or just peek in, if everything looks ok, I am not going to wake you up unless it is for...
  24. elthia

    "Potty Talk"

    We had a picture of our Assistant nurse CEO in a newsletter staring at us in the bathroom, as if I wanted to see HIS face while I'm peeing! Our breakroom is covered with posters about specimen...
  25. elthia

    Shhhh! ---It's all a crock!

    I work in telemetry, tele alarms are constantly going off, 1/4 the pt's are on bipap at night, not to mention tube feeds, q 4hour vitals, 0300 labs, and now we have glytec insulin gtt alarms, IV...