suanna

suanna

Post Anesthesia

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All Content by suanna

  1. Sodium Bicarbonate IV Administration

    Bicarb, like any other drug, should only be given if you know why you are giving it, what should happen when it is given, and what could happen that you need to watch out for. Your "junior" nurse was...
  2. I am amazed at how many young, seemingly healthy 20somethings come in with medicare for insurance, since they have SSDI-completely disabled. From what I've seen with my friends and family, getting...
  3. possible angel of mercy?

    The social worker may feel she has fulfilled her "mandatory reporting" by telling you. I would share this conversation with your NM ASAP- It is for someone higher in the chain of command to decide...
  4. Even without lido the key to a comfortable insertion on men is lubrication. After you have adequate lube to fully coat the catheter, inject(slowly) 1-2cc directly into the meatus. Make sure the member...
  5. Voluntary Euthanasia

    Well- they didn't say
  6. It all comes back to professional respect. If you treat your professional staff like a bunch of teenage burger-flipping grill jockys, they are going to eventualy live down to that expectation. If you...
  7. I agree- not the most esthetically pleasing choice for performing that particular intervention, but how many nurses, doctors, lab staff, stick for blood with no glove on, or the index finger of the...
  8. Dizzy during circumcision

    My best guess is your woozieness didn't have anything to do with what you did or didn't eat. Odds are you are a caring, compassionate individual with a high degree of empathy for others and a desire...
  9. I've said for years, the only health care reform we need in this country(USA) is abolish The Joint Commission and focus on letting the health care professionals practice health care. I would love to...
  10. Placebo effect

    I'm not sure if it is "placebo effect" or not, but I think it is just best practice to get your patients to "buy into" how much relief they are going to get from medication XY or Z. My patients do...
  11. Made a mistake, need some advice...

    It's your medication, prescribed for you, by your doctor- quit stressing. Unless the Rx. said "take 1 or 2 tablets every 4 hours as needed for pain but only for the next 6 weeks then stop" then I...
  12. Voluntary Euthanasia

    As to the difference between "withdrawing care" and active "euthanizing"; 15 or more years ago it wasn't uncommon to actually euthanize a patient. It would be: diminished neurologic function(even due...
  13. Yearly Bonus Ripped Off?

    The fact that you are getting a -$500 refund(bill) instead of a -$700 refund(bill) means you are getting the bonus back. If they didn't tax it at an inflated rate you would just owe more at tax time....
  14. Yearly Bonus Ripped Off?

    You don't loose your bonus because they "taxed it too much". For that one check it would calculate out that your yearly income will be MUCH higher than it will actualy be. The amount they take out...
  15. Voluntary Euthanasia

    I agree. Who decides if the patients judgement is questionable, what qualifies as an acceptable quality of life? I work acute care, so my experience is insufficient to have an informed opinion, but in...
  16. Gosh- they still do that? I haven't set a IV rate by drop counting in 25years. Are they also teaching you where to find the best leaches to bleed your patients with, and which herbs to burn to chase...
  17. Stay off the computer for personal use! Turn off/put away your phone when on duty! Spend every minute you are not on break providing patient care, or assisting others in thier patient care. I don't...
  18. Confused with Aspergers

    I know it is the new trend, but this is a prime example of our overwhelming need to take every individual strength or weakness and turn it into a medical condition. I am not putting down your concern,...
  19. There may be some "glitch" in the way you are wasting your meds- Have your unit director or a senior nurse walk you through the steps both as the nurse wasting and as the witness. It may be something...
  20. CPAP on the unit

    Although I appreciate to info, I still cannot figure out the physics of why a hospital mask would be in any way a risk factor for OSA CPAP. The air flow increases to a certain pressure- all the...
  21. Nursing shortage: Constantly short staffed, endless new hires as people look for better opportunities, mandatory overtime, and providing only the most basic care possible, and every now-and-then...
  22. What's better surplus or shortage?

    to icuRNmaggie. No nursing shortage now, but in the late 80s in my area of the country nurses were being offered $2000-$4000 hiring bonus without a contract to stay past 6 mos. Nursing staff who got...
  23. Unhealthy Habits of Nurses

    I'm not a role model- I'm a nurse. I'm paid to perform a variety of specialized skills and to use my educated judgement to direct and coordinate care in the position for which I was hired. Ya want a...
  24. New Grad, First Job, Should I stay

    This is a "no-brainer". If you are wealthy enough to go 2 or 3 mos without a paycheck why the heck did you go into nursing to begin with? My advise, keep the job. Most orientations are 2-4 weeks. That...
  25. Float Pool Vent

    Can you come work for this hospital??!!! I don't think we have one "float nurse" that has stayed in the position for more than 6mos. Keep in mind you are definitely the exception to the norm. Most of...