elthia

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All Content by elthia

  1. elthia

    Nurse locator devices...

    Phones and tracer tags. Saved a couple of nurses butts a couple of times, like when a pt and family stated that nurses never checked, and there was a log of nurses being in the room q 15-30 min...
  2. elthia

    make up?

    Never could wear make until I discovered the joys of mineral makeup, now I always wear makeup I have really bad keratosis, my cheeks are horribly red from it, and the skin on my arms is dry and...
  3. I once did a quick down and dirty version of guided imagery/deep breathing while holding a pt's hand when he was having an adverse drug reaction. After he was discharged, he came back and gave me the...
  4. elthia

    hairstyles on nurses....your opinion

    Natural occuring shades of hair only allowed at work per policy, neat and well groomed. However,I use clips take less than 30 seconds to put my hair up in a tidy french twist. I buy a new one every...
  5. elthia

    MORAL DILEMA

    The patient had been informed about his diagnosis and prognosis, he knew what his treatment plan was, and made an informed decision to choose otherwise. That is not committing suicide, that is...
  6. http://www.accessdata.fda.gov/drugsatfda_docs/label/2010/009218s108lbl.pdf COUMADIN® TABLETS (Warfarin Sodium Tablets, USP) Crystalline COUMADIN® FOR INJECTION (Warfarin Sodium for Injection, USP)...
  7. elthia

    What is your biggest nursing pet peeve?

    When the pt has 2 IV's that both expired 2-3 days ago, and he has veins like a horse, we have had 2 patients on po abx now due to infected IV's on my floor. Seriously, it's that bad, and 4-6 shifts...
  8. One of our HUC's they have been trying to transfer to days forever, but she wont' go....thank all that's holy. Admissions has been trying to steal her, so has staffing. She takes over the staffing...
  9. elthia

    That one patient that haunts you.

    The man with bone mets that broke through his sacral spine, and has hanging on the trapeze bar for dear life for hours at at time because no amount of pain meds, even the fentanyl drip wasn't touching...
  10. morphine dilaudid toradol zofran phenergan dilute in 10-20 ml give via running IV and not in hand only lopressor cardizem labetolol digoxin valium zofran protonix lasix haldol inapsine coumadin...
  11. elthia

    Report without Orders?

    Crazy thing was, the pt was a&ox4...and she didn't WANT to go to the ICU, and refused to use the bedpan...she wanted to WALK to the bathroom. I kinda liked
  12. elthia

    Nurses can cry too

    Then it sounds like he knew what he wanted and accepted his outcome gracefully. You did well...Sometimes in the end, helping patients die with grace and dignity, or just giving them that last shot...
  13. elthia

    Report without Orders?

    I once had a pt that was sent up with a HR of 20 (junctional on the monitor, confirmed on 12 lead), rectal temp of 96.5, spO2 of 85% on 4 liters. White as a sheet. This was before we had emergency...
  14. elthia

    Nurses can cry too

    With 5 vessel disease, kidney failure, multiple organ edema, .even if the pt was on IABP, or had an emergent heart pump placed, anything from an impella to BIVAD's with emergent dialysis included...
  15. elthia

    Nurses can cry too

    An NG tube most likely would not have relieved any pressure, this man most likely died from severe R and L sided heart failure along with renal failure. L sided =adventitious lung sounds, tachypnea,...
  16. elthia

    Will the nursing shortage ever end?

    Personally I think its location, location, location and the position. Where I live and work, except the ICU, all the floors are short. My floor has 5 in orientation, and 4 new hires, and we are the...
  17. elthia

    Float ICU RN to Med-Surg?

    Wow...7-9...I work Tele/cardiololgy/cardiovascular/thoracic surgery and our usual ratio is 5-6 on a bad night 6-7 and that's only if we are short 2 nurses. We always have
  18. elthia

    Nurses can cry too

    Flash pulmonary edema, or sometimes known as rapid onset pulmonary edema is like that....pt's often are on a tightrope their intake is greater than their output and they compensate and suddenly the...
  19. elthia

    What you'd REALLY like to say....

    Yes, I know I am good with IV's, but quit freaking leaving me ALL the daggone IV sticks. I stayed over 45 minutes getting an IV on the noncompliant diabetic with crappy veins who was going to the cath...
  20. elthia

    amazing natural remedies

    Fresh ginger root on a burn will stop the pain every time. Sinus congestion....hot water with fresh rosemary and peppermint, bend over it with a towel and breath in the steam... be careful not to...
  21. :lol2: I've been called Althea before...but never Elvira....visions of goth with cleavage dancing through my
  22. I went to the local Borders, and the shelves were full of Romance novels, they didn't even have a good selection of our favorite modern authors, but the children's section was huge. 1 1/2 shelves...
  23. elthia

    Thoughts about Organ Donors?

    I am not an organ donor. Let's just that "something is rotten in the State of Denmark." I used to want to be, until........I guess I've become jaded and have observed too much. Bad personal...
  24. Yes, I got out late, and I spent all my night in the hospice pt's room. But that family needed me. Yeah, there was nothing to do for the BP in the tank, the anuria, the Crappy O2 sats, the pt...
  25. Ours is a bought program, but it's still able to be made "personalized" to the hospitals needs. That's what the big bucks where shelled out for. Someone in IT isn't just wanting to do their job if...