Birdy2

Birdy2

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All Content by Birdy2

  1. Vancomycin rate question

    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 question is is that an acceptable rate and also should ...
  2. 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) and there is only itching and/or a mild rash. Is ...
  3. 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 earlier.
  4. 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 at 10,1, and 4 at work. I feed him at 6 before I l...
  5. Giving meds early/late

    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 just get it done that way I don't have to go back...
  6. Help with baby spitting up medicine

    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 level was low last check. Also, the only way to get ...
  7. Help with baby spitting up medicine

    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 issuwa because he nurses well, but he does seem to ha...
  8. Help with baby spitting up medicine

    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 or pediatric. My son was discharged Wednesday from ...
  9. Help with baby spitting up medicine

    I will definitely call his doctor Monday and the pharmacist in the morning
  10. Help with baby spitting up medicine

    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 cheeks, so he can't spit any out or it can't fall ou...
  11. Help with baby spitting up medicine

    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. It's not a drug to mess around with and isn't somet...
  12. Heparin injection sites

    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 it's supposed to be injected into fat then choose t...
  13. ER dropping the ball?

    Well, once again I've been sent a patient that is just a complete mess and I have no idea what is going on with him. This seems to happen more than a lot lately. This patient came in because his wife found him on the floor and when he came to he was...
  14. 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 pulled one persons and got a call that my patient ...
  15. 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 started this job a year or so ago i made the goal to ...
  16. ER dropping the ball?

    I would absolutely love it if I could do this where I work! Matter of fact, I always attempt to look at everything before they call to give me report for that exact reason...so I can know more, know what to ask, help them out on not having to tell me...
  17. 16 Ice creams

    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 usually have 5-6 nurses, but often have had 4 and even ...
  18. 16 Ice creams

    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 ½í¸Ÿ
  19. ER dropping the ball?

    im not saying that med-surg is harder than ER , but it is very true that when we get sent 6 admissions in one hour and they're just calling them and shipping them up in a matter of 5 minutes, that makes it very scary! I realize they're doing so becau...
  20. ER dropping the ball?

    I want to say thank you to all of you who have had positive responses and tried to help me understand how they roll in the ED. I have a better understanding for some things now. As for those who have been quick to freaking bombard this post with nega...
  21. ER dropping the ball?

    The ER did. This is what I was told by nurses who have worked there longer than me .
  22. ER dropping the ball?

    Where I work I was told that all patient information was made inaccessible by anyone except for the ER. Supposedly it used to be available to the floor nurse, so they could look all that up and not have to ask so many questions, but they got mad beca...
  23. ER dropping the ball?

    I guess we each would have to work with each other to fully understand. The med-surg floor I work on has just as many codes as the ER called every week. I'm not exaggerating. Mostly because we're taking patients that belong in ICU. Not blaming that ...
  24. ER dropping the ball?

    Sounds like the real problem is not enough staff. I do feel bad for placing blame when there is only so much a nurse can do. We're all frustrated because there are tons of things needing to be done and not getting done. We just can't do it all. I'm n...
  25. ER dropping the ball?

    Where I work I have been told by my manager that it is the ER nurses job to go over home meds and present them to the doctor. It may be different where u work and I wish it were where I work. That would make sense. The doctor should be doing that.