elthia

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All Content by elthia

  1. Maybe a solution would be having the nurses who use the progamming on a documentation committee to help make changes to the charting programs. There should be a committee for it somewhere in the...
  2. *Quit complaining that the night I was charge I only had 3 pt's. I covered 2 LPN's, pushed IV meds and drew labs for those LPN's, and when one had a pt go into SVT, hung amio, pushed lopressor and...
  3. elthia

    What's your nursing kryptonite?

    We had a pt with a peritonsillar abcess that broke through the soft palate...the smell was like a combination of gangrene and halitosis. Wet gangrene... I once had to put a NG tube down a pt who had...
  4. elthia

    How to hold back my crazy hair!

    http://www.africanbutterfly.com/index.htm A nurse I know of with super thick long hair uses these, and
  5. elthia

    Nursing habits

    I've gotten rid of alarm clocks because they sound too much like the IV pumps at work. I get nervous in crowded areas when around sickly people who have difficulty breathing after climbing stairs...
  6. elthia

    Adding NS to blood transfusion?

    At one place of work it was policy to add 30 ml of NS to the PRBC's, at another it wasn't. Follow your P&P at your current place of
  7. elthia

    what percentage of your job involves poop?

    Even if you aren't cleaning it up, every day you should be thinking about it. Every single pt gets asked when was the last time you pooped, and if you haven't in awhile...I'm going to do my darndest...
  8. elthia

    What do you think of chiropractors?

    My dear stepdaughter was having GI upset, I believed it was due to stress and an unhealthy diet. Her mother, upon whom I shall try very hard not to pass judgment, but is the custodial parent stated I...
  9. elthia

    What You Do Best

    I am good at time management, good at IV's, and sometimes good at reading the subtle s/s that happen before a major crisis. Education. I explain things to pt's, and make them and their family as if...
  10. If they have a pacemaker, and they need defibrillated then shock them. some pacemakers will try to 'burst pace' a patient out of a fast rhythm, but a pacemaker does not have enough joules to...
  11. Normally 5- 6 pts, drips no titration, sometimes PCA's epidurals, CABG, thoracotomies, AAA's, fempops, carotids, PTCA/PCI's, Class III/IV CHF on inotropes, LVADs, heart transplant, pacemaker,...
  12. To revive an old thread. I was recently fired by a pt. Her complaint. I multitask while in her room. I talk to her while feeling her legs for edema, asking about bowel movements. I ask her about...
  13. elthia

    Fictional vital sign charting

    When I work with a certain CNA, I take all my own VS. I have caught her blatantly charting fictional VS too many times when the pt's VS were outside the norms. Why...because that means more work,...
  14. When the the ICU is full, the step down ICU is full, and you start recieving admits with orders that start out Admit to ICU Admit to tele...and half these pt's are on drips that need to be titrated,...
  15. Thanks Canoehead and Squeakykitty! That pic sums up how I felt about last week. I mean who really thinks it's ok for their 5 year old to spend the night in the hospital with them, while they are...
  16. http://cheezburger.com/view.aspx?ciid=4242876 I've had a bad week. I'd post the pic, but I'm not good at
  17. Our Alaris pumps were subject to a recall...so now we are stuck with some old Plum and some other old pumps that were drug out of storage, I swear they are 25 years old, but they
  18. elthia

    What is your biggest nursing pet peeve?

    Nurses who don't do care plans on their admits! It was decided that all ICU transfers need updated care plans, and if any admit did not have a care plan then night shift was to provide the care plan...
  19. elthia

    How to tell you've worked too many shifts in a row

    You wake up hearing a baby cry, and your first thought is "someone got lost on the way to the Peds unit again", then "wait, I'm in bed, I don't have a baby, why is a baby crying in my house?"... then...
  20. elthia

    Swing shift hours, day shift spouse

    If she cared about your life and safety, she would guard your sleep zealously. Seriously, waking you up every morning for a goodbye kiss...it might really be goodbye forever if you fall asleep on...
  21. elthia

    Tone of voice and Loudness

    At my previous place of employment I was disciplined verbally several times, and had been written up due to pt and coworker complaints r/t my voice, I "sounded snippity", I "clipped my words", or I...
  22. Virgo Please just let the situation I posted go...you weren't there, and you don't know the entire scenario, nor my hospital's policies/procedures, nor what is allowed on my floor. I posted on a vent...
  23. I take it you have never had a pt with VT that had a pulse then... From the AHA http://www.americanheart.org/presenter.jhtml?identifier=64 I was concerned with treating the pt promptly before he...
  24. actually he still had some decent veins...he was in his early 40's, good physique...he was just one of those guys who would scream and whimper if you pulled the tape of his hairless
  25. To the person complaining that her father said I shut a door in his face. Heck yeah I did, and I would do it again. He was looking in other pt's room's, and I was administering some OTHER PT her...