suanna

suanna

Post Anesthesia

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All Content by suanna

  1. help!

    My experience with my first job was very much like what you describe. After 6 weeks orientation and 8 weeks on the job I was told I was going back on orientation since I wasn't picking up the job as...
  2. Milking a JP drain?

    Although we rarely use JPs we use Blake drains which are similar. If we didn't milk them they would clot off making them ineffective. As far as I am concerned it is a nursing judgement as to when and...
  3. I feel terrible

    Unfortunately the patient can no longer kick himself or anyone else- I hope he looks into an educational law suit for the dotors enlightenment. When a patient has a new complaint and it is significant...
  4. stitches

    I'm pretty sure it is hospital dependant. In other states the BON may have specific rules for this but in Ohio I am unaware of any prohibition of permission in the NPA. In one of our local hospitals...
  5. Nurse Bashing

    "Bashing" is central to our profession. When you think about it it begins in Nursing School where every intervention is scrutinized and picked apart with an eye for perfection. The whole culture of...
  6. my pt was burned in the OR

    I don't know the area of the blistering but my suspicion is it was either a "bovi-burn" from the grounding pad not being as secured as it could have been or tape burns from fluid and rewarming under...
  7. Skirts in the OR

    Ewww! How often does stuff "fall out " of your peineal area? If you have enough stuff falling out of you perineal area to be an issue you have a bigger problem than scrub pants can cure! Our hospital...
  8. What's is so "inappropriate" about your instructor expressing concern about how your class load may impact your chances for success? You yourself brought up the concern that your time will be at a...
  9. First needlestick :( :(

    If you work around patients long enough, even with good precautions, odds are you are going to get an occasional needle/sharps stick. The only thing I can offer is that the incidence of picking up a...
  10. I know you had your heart set on ICU but Tele isn't such a bad place to start. Learning your rhythms and cardiology treatment protocals without mixing in vents, pressors, traumas is a good way to...
  11. Caught stealing drugs

    Diverting Ativan-I've heard of it, as well as Valium, Diprovan, Librium... I just can't imaging taking benzos for the fun of it. If I want to get sleepy all I have to do is offer to pick up an extra...
  12. shaving cream for peri care???

    I have heard this for many years but I have just one thing to say: OW OW OW!!! That stinky skin is pretty close to some mighty tender tissue. Good rinsing may not be enough. Has anyone tried it...
  13. Stege 4 Pressure Ulcers

    A nurse I know who works at one of the local LTC facillities says she hates to sent her patients into acute care because the come back with pressure ulcers. Could it have been from a lack of...
  14. Male nurses

    Where does the "male" part of the question come in? As far as I have seen the hospital I work for treats men in nursing just as badly as their female peers. As for $, we don't hire ADNs without...
  15. New and Drowning

    I was thinking of PICU as "Progressive Intensive Care Unit" (ICU stepdown). Of course you are right, PALS is the best option if it can be taken soon. I still think, in a pinch ACLS isn't a bad...
  16. Is it safe to sterilize medical tools this way???

    Double eew! Were does she leave the bucket of gooey "bits and bobs" to
  17. is this appropriate for a student?(Long Post)

    This reminds me of one of my chief complaints about the college of nursing. In every other department the questions were well thought out, researched, and the multiple choice answers followed a...
  18. Why isn't there's a Men's Health NP specialty

    Supply/Demand. Guys don't get sick or need preventative care do they? So why would you need a mens' health practitioner. The only time you will get a guy to see a doctor is when his male member is...
  19. Terms we will not admit to using

    I can't believe no one has posted JMD=as in the patient has a bad case of Japanese Monster Disease. A patient on deaths' door that has become so fluid overloaded that their sclera edema is so...
  20. Terms we will not admit to using

    We usually ad a "B"- DBOV= dead body on
  21. Terms we will not admit to using

    We (and I assume other hospitals) have an official "Code Brown". It is a missing patient. It's posible that no nurse was consulted when these color codes were assigned but maybe- I can imagine the...
  22. New and Drowning

    Books are of very limited help in your situation. You need a preceptor that can offer you guidance and support whle you develop basic skills in this type of unit. The skill set you are using as an RN...
  23. I could teach you everything you need to know about BASIC care for a patient on a vent in about 10min. Most of it you should have gotten in school with a refresher in critical care orientation. Vented...
  24. How do you address your patients?

    I've heard many of the same nick names used when addressing our adult patients- And we wonder why our patient sat. scores are so
  25. Bizarre Admitting Diagnosises

    At my first job we always had 1 or 2 "adrenal iinsufficiency" admits on the floor at any one time. We didn't have a psyc department or even a psychiatrist on staff so if a patient came in with major...