suanna

suanna

Post Anesthesia

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All Content by suanna

  1. Rough day

    I'm thinking this is why they have "code simulations". It takes some time to get over the deer-in-the- headlights response when a patient crashes. Is the problem persists- ask if you can "shadow"...
  2. Zombie Apocalypse: WWND?

    I think in the event of a ZA- I'd try to surround myself with members of the Joint Commission, of possibly members of the clinical faculty of some of the nursing programs in my area. Since the zombies...
  3. When I went to NS-many,many years ago, the problem with changing majors after Nursing credits, was that most or the science content in the pre-reqs weren't hard science courses, rather they were...
  4. Recliner Entrapment!

    How would we go about doing this? I've seen about a dozen different recliners in my practice, all have similar safety issues (thus the use of trashcans). I guess I could hire a team of engineers and a...
  5. Recliner Entrapment!

    "damaged recliners"? Nope- they were almost new. They were like that from day 1. A lot of equipment has design trade-offs. These were fairly easy to sanitize, and small enough to accomodate the other...
  6. New grad 6 weeks orientation?

    6 weeks is pretty generous for a med/surg floor in this area. Critical care gets 6-8 weeks. Most new hires (new grad or not) are expected to be able to solo in 4weeks as long as there are more...
  7. Student Nurse with a poop problem

    At least I've got one thing to thank my 40pk/yr smoking history for- I can tolerate an amazing amount of bad smell. Thanks for the idea of vicks/oils on the mask, not on my nose/face. Most of these...
  8. Recliner Entrapment!

    We used the same "trashcan" technique for most of our patients in recliners. The two most common dangers we had without the trashcan were, 1) Patients catapulting forward when they were making minor...
  9. giving D50 for hyperkalemia

    D50 has always made me nervous. I had an experience of pushing it about 30 years ago, and the patient ended up hemolyzing in the vein, resulting in a compartment syndrome-faciotomy-leach trerapy-...
  10. Proper Documentation

    It's funny-but this has caused much confusion between my family and friends and myself. I look at a patient and his boo-boo is on his right arm (the one nearest to my left.) I do call that his right...
  11. Overwhelmed and lost

    I didn't mean to get you defensive. I just feel most new grads have the skills to do the job- only they just spent 5 years being slapped down while training at every opportunity, so it's hard to step...
  12. Overwhelmed and lost

    You are a nurse, not a student. You have been educated and trained to provide the care needed by the patients assigned to you. Your preceptor should be there to assist you with unfamiliar protocols...
  13. Tips for better time management?

    I don't know if your problem is time managemente or priority setting. I forund when I was very green, it helps to think in terms of "what is my priority for the next 15min?" Then I would move on to...
  14. 14 year old boy wants to become a nurse(my story)

    I never consciously wanted to be a Nurse. I found my "Ohio Aptitude Test" a screening tool used in the 5th grade in the 70's (in Ohio). It was supposed to direct students to the pathway that they have...
  15. "Just" a CNA?!

    I hesitate to side on the opposite side of most of the comments, but I'd just as soon not have CNAs of Techs in my department. Most of the ones I've worked with have had the "I'm the real care giver...
  16. Starting an IV with Lidocaine or Not?

    I've had them started with Lido-I can tell you the experience is a lot more pleasant. I've only used it a couple of times myself and think it takes as much skill to use the lido effectively as it does...
  17. Depends on your price range. I "veinlite" would be a marvelous gift for the new grad- but it is pricy $200-$600. They don't teach IV skills now-a-days as well as they did 30 years ago when I was in...
  18. Pressors

    All the pressors you mentioned as well as other cardioactive meds have different effect on SVR, HR, myocardial contractillity. If you are off orientation you should know the effect of the most common...
  19. Some people are too smart for nursing

    This used to be the case where I work, but as the years have gone by, the Nursing department has lost more and more ground in having a say in how things are done. At this point a staff nurse only...
  20. Staying late, not getting paid.

    All these "don't ever stay off the clock to finish your work" postings are fine, but what is the alternative- progressive discipline for being unable to complete your assigned tasks in the allotted...
  21. Bipap & NPO

    BiPap rarely causes gastric distention- The exhalation phase being lower pressure. The problem isn't "BiPap" but rather full face mask positive pressure breathing assist devices. I have had 2 patients...
  22. Bedpan? Why not a Poise pad?

    Inserting a catheter- what planet are you practicing on. Most of the docs I work with will not order a foley to save thier souls. No cost reimbursment if the 90y/o contracted debilitated patient ends...
  23. Tylenol ordered for pain.

    Part of the problem is the federal govt deciding that "Tylenol 325mg 1 or 2 PRN" wasn't clear enough. Doctors have to give specific reasons for every PRN when in reality they would rather just say "...
  24. I can't do this anymore . . .

    I agree with your frustration. As Anonymous865 pointed out, many other fields suffer the same, erroneous, sometimes bizzarre depictions of thier profession. The problem is that almost everyone is...
  25. Some people are too smart for nursing

    I can see this as being accurate in todays market. Nurses are discouraged from having inddependent problem solving. Just do what the doctor orders and what you are told by your suporvisory staff; keep...