Birdy2

Birdy2

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All Content by Birdy2

  1. Vancomycin rate question

    Birdy2 posted a topic in Patient Safety Issues

    At he hospital I work at the pharmacy prepares out vanc and its always like 2.75 or 3 grams per 500ml and says to run 250/hr. But everyone always says run it slower so I set it at 125-150/hr. My...

  2. Giving medications when there’s a mild allergic reaction

    Birdy2 posted a topic in General Nursing

    I have been instructed to give medications, in several situations, that a patient was having a mild reaction to. Every time the doctor will order Benadryl to be given with the Med (mostly antibiotics)...

  3. Giving medications when there’s a mild allergic reaction

    Birdy2 replied to Birdy2's topic in General Nursing

    Well, the patient I most recently had did have a slight pink discoloration to chest and neck and itching there. This was with Zosyn. He also had that reaction to vanc when given

  4. Breastfeeding on night shift

    Birdy2 posted a topic in General Nursing

    I would like to know how other moms are managing breastfeeding while working 7p-7a. I have to work three 12's per week and my son is 4 months old. He typically eats every 2-3 hours. I've been pumping...

  5. Giving meds early/late

    Birdy2 posted a topic in Patient Safety Issues

    I know the general rule is 30 min-1 hr, but When I was passing meds the other night a very experienced nurse told me to give 6 o'clock meds at 4. One was a BP med and the other was Nitropase. She said...

  6. Help with baby spitting up medicine

    Birdy2 posted a topic in NICU, Neonatal

    What do you do if a baby spits up within minutes of getting medication? I have a baby on phenobarb and every single time he's given his dose he spits up after and I'm afraid he's losing it all. His...

  7. Help with baby spitting up medicine

    Birdy2 replied to Birdy2's topic in NICU, Neonatal

    Yes he does. I think it has something to do with him having a rough start so less tone, plus the pediatrician we saw said he had a third degree tongue tie. Unsure if she's right about that causing...

  8. Help with baby spitting up medicine

    Birdy2 replied to Birdy2's topic in NICU, Neonatal

    No clinics are open on Sunday and urgent care clinic had no advice to offer other than what I have already concluded myself. Yes it's my child and yes I'm a general Med-surg nurse...not a nicu nurse...

  9. Help with baby spitting up medicine

    Birdy2 replied to Birdy2's topic in NICU, Neonatal

    I will definitely call his doctor Monday and the pharmacist in the

  10. Help with baby spitting up medicine

    Birdy2 replied to Birdy2's topic in NICU, Neonatal

    Good idea with the nipple alone instead of in a bottle but still he loses a lot while sucking on one so not sure if that would work. That's why I squirt it on the back of his tongue and squeeze his...

  11. Help with baby spitting up medicine

    Birdy2 replied to Birdy2's topic in NICU, Neonatal

    This is seriously worrying me. I mentioned it to his doctor and she kind of blew me off and acted like I should have no problem giving it. I feel like if it were her child she may be more concerned....

  12. Heparin injection sites

    Birdy2 posted a topic in General Nursing

    So I usually give heparin in the abdomen, but sometimes have given in the patients arm depending on if they were severely emaciated. I figure if they have no subcutaneous tissue on their abdomen and...

  13. How can we track when bed alarms are activated??

    Birdy2 posted a topic in General Nursing

    I ask this because the other night my 91 year old man fell and broke a hip at shift change. I had gotten there at 8, got report, looked up info that was necessary, and headed to pull meds before 8. I...

  14. How can we track when bed alarms are activated??

    Birdy2 replied to Birdy2's topic in General Nursing

    I informed my boss that nobody on our shift had even been in that room, but she said I was still the blame for it. She said she knew it wasn't right, but that's just how it is. Also, when I first...

  15. 16 Ice creams

    Birdy2 posted a topic in General Nursing

    I haven't been on here in a while, but today I just have to share the experience I have had as a nurse this week. I work on a med-surg floor at a small hospital with 29 patients on the floor. We...

  16. 16 Ice creams

    Birdy2 replied to Birdy2's topic in General Nursing

    Seriously! 90%???? Yikes! I have never taken care of anyone like this patient before or since she was discharged lol similar, but nothing to that extreme or that manipulative. I'm sorry í

  17. 16 Ice creams

    Birdy2 replied to Birdy2's topic in General Nursing

    It seems that a lot of things are not being handled correctly at the facility I work at. Sorry if I gave everyone a headache trying to read this. I really didn't expect that many people to even make...

  18. 16 Ice creams

    Birdy2 replied to Birdy2's topic in General Nursing

    Ok. I spoke with my boss and literally every option I mentioned is not allowed. When it comes to limiting calls she says that we can just not answer all the calls, but eventually it will lead to the...

  19. 16 Ice creams

    Birdy2 replied to Birdy2's topic in General Nursing

    @jadelpn no the patient had no family and I do believe she had

  20. 16 Ice creams

    Birdy2 replied to Birdy2's topic in General Nursing

    Well I am prepared to deal with this kind of situation now. I'll be talking to my boss about this behavioral contract to see if that's a thing we could

  21. 16 Ice creams

    Birdy2 replied to Birdy2's topic in General Nursing

    I had no idea we were allowed to limit number of calls haha that's brilliant. And I think I forgot to mention the patient was found to be recording many of the nurses in and out of the room, so it's...

  22. 16 Ice creams

    Birdy2 replied to Birdy2's topic in General Nursing

    Lol I had a headache writing the post and tears in my eyes that were much needed after al long 3 nights at work. I wasn't exactly trying to make it pretty, just trying to get it all out before I lost...

  23. I made a big mistake

    Birdy2 posted a topic in Patient Safety Issues

    Last night I had a patient who was in for pneumonia and cxr showed a small pneumo on the left. The patient was in no distress, 02 sat 96-98%, reparations 18. It was an 83 year old man, but he looked...

  24. Phenytoin and albumin

    Birdy2 posted a topic in General Nursing

    Can someone explain to me why we check albumin levels when a patient is on phenytoin long term? I know I must've learned this at some point but I have forgotten and can't find anything with a clear...

  25. Bruise vs hematoma

    Birdy2 posted a topic in General Nursing

    I know that a hematoma is a collection of old blood that can get infected, but how do you tell if it's actually that and not just a bruise? One of the nurses I work with said she was worried a patient...