suanna

suanna

Post Anesthesia

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All Content by suanna

  1. What would you do?

    Silly- the shoe phone dosen't come in "Nursing White"- just black
  2. What would you do?

    Yep, it's a HIPPA violation. Would I call to report it- no. What's the point- just to stir trouble? As a rule most nurses I know have always tried to be discreet when giving report- esp with sensitive...
  3. Alteplase...

    The nurse shouldn't have been "snippy" with you but I bet you will always remember how to declot a line in the future. Whenever we ask a patient the nursie question "how do you learn best.. written,...
  4. I wish I had an answer to your dilemma- I don't. I just wish all the managers, directors, and and preceptors out there would realize that not everyone is cut out for orienting new staff. A bazillion...
  5. Perfectionist? Nervous Nilly? Worrier?

    I don't want to post a negative reply-but- If you were that stressed out over a NA position functioning as a RN in likely to put you in a straight jacket. I'M NOT SAYING YOU SHOULD DROP OUT OF...
  6. CVC's and # of Lumens

    I've had the same question. At my hospital the TLCs are approved for 10 days of placement but the double lumen lines are only good for 72hrs by policy. Average LOS post CABG is 5-6 days so if a...
  7. Questions about Missing Narcs

    We used to use the system you describe. If count was off at end of shift the first step was to panic, then we searched the MARs franticly for the source of the missing med. Finaly we notified the...
  8. Welcome aboard! I've been a CVSICU nurse for over 20years. It is very different from other ICUs. I HATE MICU, SICU is only a little better , but CVSICU is my home. 1) Look at your patient and say...
  9. I Hate Dialysis

    The job sounds almost appealing. Boredom is one of my favorite feelings in a job. It beats "overwhelmed" or even "hectic". If I want excitement I'll go on
  10. Need an opinion...

    I think you were well within your rights to follow the course you did, but I can see the point of your new nurse. You were being discharged- obviously stable and in no acute life threatining state of...
  11. Chest tube to suction?

    We just hook the chest tube suction line directly to the wall suction. The pleurevac serves as the canister. You set the "20cm" of suction by the pleurevac
  12. To code or not to code, that is the question

    Since you had a doc at the bedside- at least you are in the clear. I DO believe they acted appropriately for the circumstances but they are still taking an awful chance with an understanding family by...
  13. To code or not to code, that is the question

    I can't tell you the number of times I have been in exactly your situation. The only thing you can do is get clear and specific instructions from the attending. As a rule I call a code whenever SBP...
  14. Male Doctors working with Male Nurses

    I'm looked down on and treated like dirt under thier feet by a few of the doctors in an equal amount as my female peers. Being male or female dosen't seem to have much of an impact one way or another...
  15. Is it okay to give an IM through clothing?

    Only if you are stationed aboard the Starship Enterprise. In the real world you have to see where you are injecting and clean it properly. Oh, by the way, how would you think you would avoid...
  16. Honestly- I'm paid about 1/3 to 1/2 again more than I would think I'm worth- But I'm not giving it back- I've got grandchildren to
  17. Really bad 4 hour shift. help :(

    For some nurses providing patient care is a terrible imposition on thier personal time. No, you didn't do anything wrong- the nurse that followed you did when she acted like it was an imposition on...
  18. I just want to be clear- I'm not faulting the students as to thier lack of skills. I just think as a profession we need to re-evaluate the way we teach clinical skills. The students deserve better...
  19. Both our clinical staff and our staff development department have had the same complaint. What are they teaching in nursing schools now-a-days. Most of the new grads we hire have almost NO I.V....
  20. How do I get into the ICU?

    By all means talk to your student advisor ASAP. Our hospital hires new grads for ICU only if they have the recomendation of thier student advisor and have precepted in critical care. The time to set...
  21. How should I respond?

    You are a highly educated health care professional. Most questions you are going to get are from laymen with little or no medical background. Most of the time there is a simple answer and a long...
  22. I really need your advice. PLEASE!

    It all depends on your circumstances. If you can afford to go to school full time and can consider not working FT (or at all) in your senior year then why waste time getting an LPN licence you aren't...
  23. Stupid mistakes!!!!

    I can't be sure from your posts how long you have been in practice but one thing for sure you have to learn to give yourself a break. Mistakes??- sure, you could have done things a little more...
  24. Crap, I should've paged the MD.

    I'm pretty sure my MD staff would be a bit "ticked" off if you paged them to tell them thier patient had a tick on them PTA. That type of information, unless vital to a change in the patients plan of...
  25. Speek for yourself! I thought Chem was one of the top two most difficult classes I took of my prereq's. If you are good at math and handle the abstract well Chem would be OK. For me it held so little...