Birdy2

Birdy2

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  1. I had a patient with a HISTORY of TB, or so the person who gave report told me. I didn't actually see it anywhere, but anyways. I just put a mask on in case, but someone said it's not contagious now....
  2. Thanks guys. I actually thought I knew the policy until I saw one person wear a mask and another not. One time I had a similar patient and got yelled at for not wearing one. I'm starting to see that...
  3. Do nurses eat their young?

    I was terrified of this very thing when I first started working. Mainly because that's what I experienced in clinicals. That's how I decided to work where I do. Not because of the type of floor or...
  4. What is a Nurses Calling?

    I chose nursing to begin with because I needed a secure career where I would be able to advance and have lots of options. I had a child to provide for. I made the decision based on these things....
  5. Question about new vascath

    So I really feel like I didnt learn very much at all about the placement of any type of access, but especially central lines and those used for dialysis. Every time I have a patient with a newly...
  6. Giving meds early/late

    I'm learning more and more how to make my own decisions based on what I know and have been taught. In most hospitals if you were to give something up to an hour or two before/after its due you would...
  7. So I've been wondering how to decide what to give my patients who are prescribed a million things for pain. I had one that got dilaudid and morphine q2 prn, Percocet q4 pen, Ativan q8, and morphine po...
  8. PICC LINES

    I had a patient come from ICU today with a 2 port PICC and one of them split. He had TPN in one port and protonix and dilaudid in the other that split. I always though TPN had to be in a PICC WITH...
  9. Hey guys! My friend said she had a pt who had an umbillical hernia with bloody stools and I'm trying to understand how that would happen. I know why hiatal would cause that, but can someone explain...
  10. Umbillical hernia and GI bleed?

    She didn't say if it had
  11. Umbillical hernia and GI bleed?

    I think the dr had told her that the patient wouldn't get a transfusion (due to her low h/h) because it was just a chronic problem from then hernia. She said that the patient had the hernia for a...
  12. When to piggyback This

    Ok so Ive noticed a lot of nurses to this differently and I'm just trying to figure out a rule to go by. I never know when I should piggyback something with iv fluids or y it in under the pump to run...
  13. I had a patient who was needing surgery to scrape the lungs because he had empyema that wouldn't resolve with other treatments. He also needed stents and CABG. the doctors were trying to decide if it...
  14. Heart attack after anesthesia

    Thank
  15. When to piggyback This

    Well I told them about signs of hypocalcemia and also that it could cause bone pain, nausea, and fatigue. These are the things that I found to be the most common side effects when I looked it up. Is...
  16. When to piggyback This

    Wow. Of course I didn't run it with anything else just to be safe, but it definitely said that it was compatible with the other med when I looked it up. That's pretty crazy. I'm glad the pump had that...
  17. When to piggyback This

    Ok. I will think about this next time two antibiotics are due at once. Also, can someone tell me what they see zoledronic acid used for usually? I had to give a 15 min infusion of this followed by 15...
  18. When to piggyback This

    Well thank you karou. That does help. I was wondering why some nurses do that. I also thought that If I needed to keep the pts fluiss running and give an antibiotic that I was supposed to y it in...
  19. When to piggyback This

    Thanks everyone! I thjnk i understand better now how it works. I'm still going to ask someone to confirm I've been doing things
  20. I have read about it but just trying to get a simple explanation for how it works and why it's used.
  21. Can someone explain BIPAP to me?

    Ok thanks. I see a lot of patients on BIPAP where j work on a general med-surg floor. A lot of doctors will order them to be on it and they are usually patients who came in with respiratory problems...
  22. When to piggyback This

    Thanks. I know that's how it works but someone else on a different post said that if something were y'd in below the pump to a ns line then it would all flush in at the rate the saline was set to....
  23. Well thanks for saying that :) I feel like I suck at this right now and like I know nothing. So that definitely helps. I have more to learn than I ever imagined, but I'm doing it :) thanks
  24. Vancomycin rate question

    Well I definitely asked before I did it, but j just got different answers.
  25. Vancomycin rate question

    Ok. This was a peripheral and my coworkers say the same. The vein is too delicate, chf, vesicant. So that confirms what j know about the rate. And I think I understand how it can be y'd in now too....