suanna

suanna

Post Anesthesia

Member

  • Content

    1,549

  • Visitors

    17,114

  • Followers

    1

  • Likes

    27

All Content by suanna

  1. Fired from my med/surg job after almost 3 years

    suanna replied to gettingbsn2msn's topic in General Nursing

    You got no warning about your charting deficiency? Hourly outputs, Q2hr VS with hemodynamic calculation is the policy where I work. If a nurse skips this charting it is dangerous for our hospitals...

  2. Has anyone ever seen this done before?

    suanna replied to NCRN2010's topic in General Nursing

    Are we assuming this patient dosen't take a bath/shower with the same water that was used to dampen the swab? Any bug in the water supply would be present on his skin and presumably in the wound....

  3. Would you give Lantus without BG check?

    suanna replied to Prettybrowngirl's topic in General Nursing

    Checking a lab value- any lab value- requires that if it is a certain number, you will do such-and-such. Since all the endo docs I work with say NEVER hold Lantus- no matter what the blood sugar- It...

  4. Mouth to mouth without barrier?

    suanna replied to Southern Magnolia's topic in General Students

    I'm not so concerned about a valid defence in court, but a valid defence in my own self-judgement if a person died and I wasn't sure I did everything in my power to prevent that loss. I can see not...

  5. LPN or RN help!!

    suanna replied to eab12191's topic in General Students

    I think you would be nuts to turn down a position in an RN program. People wait years getting into an RN program. The employment picture in most of the country is bad for all new grads- but hopeless...

  6. How powerful are hospital unions?

    suanna replied to 2011nursetobe's topic in Collective Bargaining, Union

    As a rule hospital/nursing unions ensure equal treatment- not good treatment. I work in one of the strongest nursing unions in the eastern USA and we have never been able to negotiate hard ratio...

  7. Lost very important paperwork. Am I in trouble?

    suanna replied to chiuli's topic in General Nursing

    It will probably turn up somewhere- stuck in the wrong chart, in the "out box" for interoffice mail- somewhere. In the mean time tell your unit manager you were unable to locate the blood form to...

  8. Mouth to mouth without barrier?

    suanna replied to Southern Magnolia's topic in General Students

    Our atmosphere is around 21% oxygen. Exhaled breath is around 17% oxygen- more than enough to oxygenate a person in need of ventillation. The question still remains- is there a significant risk to the...

  9. off duty nursing?

    suanna replied to JSlovex2's topic in General Nursing

    Yep, I've done CPR on an motorcycle accident - and got a pulsless, breathless person back (with a lot of his blood and teeth in my mouth). Anywhere I am, I try to stay open to helping someone in...

  10. How do you induce passing gas post-op?

    suanna replied to bjaeram's topic in General Nursing

    X-Ray shows active ileus?! No nursing intervention is going to do much at this stage. I would be very cautious of anything PO- even sipps&chips. I've had patients with an ileus rapidly distend...

  11. Giving Beta Blockers to ICU patients who are on inotropes and/or paced

    suanna replied to OphirRN's topic in General Nursing

    I work cardiac surgical ICU- I see it all the time. One of the most frequent complications post-open heard is A fib. Nationaly it occurs in about 20% of the post-op population. Metropolol has been...

  12. Did this ever happen to you?

    suanna replied to stram87's topic in Critical Care

    Welcome to critical care nursing. It's is your primary job description to take the blame for Fellows that don't follow thier patients, consults that don't consult with anyone. You will have...

  13. How do you "bond" with your patients?

    suanna replied to winter_green's topic in Ob/Gyn

    "bond" is kind of a charged term. I try to make a personal connection with my patients, I try to acknowledge them as a individual, not a diagnosis. I have a head start-thier intake form and data...

  14. I failed college algebra! so down need advice:(

    suanna replied to foxycats's topic in Pre-Nursing Students

    I don't see a choice. An "F" drags your GPA down so badly, if you are not already accepted into the CON, I can see this one class closing that door. If you do get in, with an "F" on your transcript-...

  15. I have lost all hope and passion.

    suanna replied to Strudent4Compassion's topic in Medical Assistant, CNA/MA

    I see a lot of "don't give up s"... Maybe this experience is a blessing. I know more than a few nurses that discovered after they spent $$$ to get a nursing degree only to find the job is nothing they...

  16. Nursing Student with a Drug Addiction

    suanna replied to VanessaLee13's topic in Nurses Recovery

    Tough situation- but in most states I know of, as a licenced professional you have a legal obligation to report a suspected drug problem to the supervising body- in this case the school. It's part of...

  17. Demerol 75 mg was given IV instead of IM. Fired!!!

    suanna replied to mirtesen's topic in General Nursing

    I'm at work and couldn't read all the responses but - WOW- this is supposed to be a supportive forum. There is a lot we don't know about the circumstances- Is demerol normaly given IV on her unit and...

  18. GUM! Can you chew it on shift?

    suanna replied to SummitRN's topic in Nursing Professionalism

    "cheap"??!!! There was a time- not too long ago when respectable women(and of course never men) couldn't become nurses. Nuns could staff a hospital as part of thier service to care for the sick, but...

  19. GUM! Can you chew it on shift?

    suanna replied to SummitRN's topic in Nursing Professionalism

    I am amazed at how many responses to this post are seeing it as a moral issue. I never thought of gum chewing as "immoral". It can be a bit gross and makes it difficult to articulate sounds clearly...

  20. Accidentally gave an IM intradermally

    suanna replied to natashrn11's topic in General Nursing

    Yep -your first mistake is wrong injection site. B hurts as an IM, I can't imagine what it would feel like intradermally, but picking the right muscle-one big enought to take the shot is your...

  21. My patient suddenly begings c/o pain in the right side, around the rib cage.

    suanna replied to emmanuil's topic in General Nursing

    I'm betting it is a stab wound by Colonel Mustard in the Library with a

  22. Sinus tachycarida?

    suanna replied to EricaSAFJAF's topic in Nursing Student Assistance

    I was taught that sinus tachycardia is never a problem, it is a response to a problem. You don't treat the sinus tachycardia- you treat what is causing it. It was not ectopic, so digoxin isn't the...

  23. Planning a better experience for nursing students in the OR

    suanna replied to canesdukegirl's topic in Operating Room

    Sounds like you gave a realistic view of what it can be like in an OR some days. Students are never going to get "educated" to OR proceedures in the 1 or 2 cases they get to observe. At the hospital I...

  24. Overheard "You're there to make money, not to talk," in clinical

    suanna replied to JustaNrsgStudent's topic in General Students

    Me- I'd vote for the best roof, and tastiest meal. I am neither a charity nor a volunteer. I provide a valuable service to my patients and expect to be compensated fairly well for my skills. Yes, when...

  25. I'm not taking those staples out

    suanna replied to Darkfield's topic in MICU, SICU

    You can't remove staples in a Critical Care area?- WOW- I'd imagine pulling chest tubes, D/Cing swans and the like would be forign territory as well. You could do your patients and your docs a great...