suanna

suanna

Post Anesthesia

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All Content by suanna

  1. Hespan

    Hespan usd to be our primary colloidal volume expander. Unfortunately for the makers of hetastarch, it picked up a "black box" warning from the FDA a few years ago about coagulopathy with use over...
  2. MORAL DILEMA

    Putting O2 on a patient who has refused it could be paramount to assault. What right do we have to decide how and when a patient in the end stages of a terminal illness faces thier demise. COPD is...
  3. New RN, 2 med errors in 2 days!

    Hears hoping your streak of errors is a short one! EVERYONE makes med errors- this skill will improve just like all the others with time. You know you made the errors- you accept responsibility for...
  4. How true- when I'm feeling negative and hyper-critical about my job, nothing makes me feel more supported and able to see the positive than a nice long talk with management about whay a bad person I...
  5. I've been the same place- both as her and as you. A lot of times I find myself griping and putting down other staff because, I at times, don't feel valued or empowered by my peers or the management....
  6. ER and strange phenomena

    I Love "Gravity Bursts" . I don't work ER but I have often seen the same "cluster effect" you decsribe. For 25 years we seem to get a few post op bleeds in a row, then a run of IABP patients,...
  7. Sad. Not Doing Good on Orientation

    Working "really hard" counts for squat in most ICUs. Even if you are doing your best and working hard, if you don't have the critical thinking skills, and knowlage base to provide safe care and pull...
  8. Question about Workman's comp/light duty

    By offering light duty your employer is dodging having to face the consequences of BWC ordering full wages for no work (TTD). This a an WC insurance claim and it can result in higher premiums for them...
  9. Missing meds & I'm getting the blame

    As TraumaRU said- if there is going to be a report to the BON with your name on it It would be a No-Brainer to talk things over with a lawyer familiar with this area of practice. Your local BAR assoc...
  10. DOH showed today while I was out playing.

    Some people wil go to ANY lengths to avoid being on the "Hot
  11. Great Thread. I don't always mind the same threads over and over. I have re-read LOTR twice yearly for 30 years. It makes my wife bonkers, but re-reading a favorite old book, or posting on a favorite...
  12. I believe, like you, the word of choice is "orienting" but if you check "dictionary.com" "orientating" is valid- I just think it sounds
  13. BAD NURSING HABBITS

    I've never seen a difference. We alcohol swab before a fingerstick, but many times our patients are getting labs Q2 nor Q4 hrs so we take the glucometer sample off the chem tube. When I've done both,...
  14. Cried at work... in front of a doctor!

    When a demi-god smites you you cry- When the cashier at the store is nasty to you, you bark back and call the manager- the store headquarters... You just have to get out of the mind set that the...
  15. Not sure if Nursing is right for me

    No, I would not recomend nursing to someone I cared about right now. When I graduated almost 25 years ago there was a feeling that better days for nursing were right around the corner. Now, with the...
  16. Just a rant: Please- reset, adjust, silence, or WHATEVER your alarms on your monitored patient. If you don't care that your patients SBP
  17. I'm sorry you feel my response was immature- You accused me(an others) of endangering my patients and uncaring/unsafe practice because I didn't want to be inconvenienced by those pesky alarms. I did...
  18. how nice that you have the ability to restore a patient with chronic end stage illness to a healthy norm:rolleyes:. i have to contend with patients who live with an o2 sat in the upper 80s that if i...
  19. I amazed with how many "we aren't allowed" resopnses have come up. I guess it goes without saying, if your policy is nurses aren't able to make appropriate decisions about what constitutes an alarming...
  20. Should I stop to help?

    car on its side with smoke comming out of a few places- I'll stop- If they can walk, I will drive on ASAP. Hasteling with a drug addict who wants 1) a ride home/to a bar, 2) to borrow some $$$ cause...
  21. Some areas may not have the equipment or staff to do some patient care. How do you do a bath after a patient is incont. if your area dosen't stock full linen, bath basins, towels/washcloths.... On...
  22. how to quit my current job

    As Paul Simon says "There must be 50 ways to leave your employer (or something like that), but two weeks notice is standard. It wouldn't hurt to offer an apology for "not being able to continue after...
  23. St. Elizabeth and St. Joseph

    I cannot speak from professional experience, but my brother was in both (I guess they are related hospitals). I found the nurses at St. E.s to be angry, hostile, crabby, and generaly unintrested in...
  24. Stupidest comlaint of the night award...

    That would likely help dislodge that darn q-tip fluff. Sounds like a care plan to
  25. Asystole "observed" for 25 seconds?

    30 seconds dead is a long time in my book. If you ever saw that on my chart-let me know- I would want someone to be looking at pacemaker placement. I'm thinking half a minute dead would be a good...