melrina75

Could someone please tell how how to dilute Epinephrine 1:100 1mg/mL into Epinephrine 1:10,000 for SQ injection. Thank you!

We had a young CHI patient, who was a Rancho III with no hopes of improvement, on our floor and his family asked us to put him on the transplant list. We needed clarification as for what the transplant was for. They were very enraged, because how dare we not consider him for the brain transplant list they saw on tv last week!! NO KIDDING!! They were VERY upset when we told them that was not medically possible and said they were going to go the press and accuse us of not giving it to him because he didn't have insurance!!:roll Some people just have no sense!!!

The company shw works for does not have safety insulin needles. She did not recap. She gave her 2 injections, placed the 2 needles in the plastic sheath. When she placed the 2nd needle is when she stuck herself. The company she works for do not have sharp containers in the patients rooms, only on the medcarts. She would have to walk out of the room to the med cart to dispose of them properly.

I have a friend who recently was administering insulin with an insulin syringe and stuck her thumb. She followed protocol, reported it and went for labs four hours after stick. Her Hep panel was negative, but the patient is positive for Hep C. Should she ask for prophylatic treatment? How often should she go for labs? What about genotypes? ANY information would be greatly appreciated!! Thank you.

:santa5: merry christmas!! i am working tonight - kids w/grandma! gonna be a real slow night though! to all my nurse's who are working hard and spending this holiday with our "other" family - merry christmas!! we all are in it together! keep smiling - happy holidays!! :reindeer:

:rotfl: We got a hospital cafeteria turkey dinner with stuffing and greenbeans. Sodas we had to pay for!!!

Work in Corpus Christi, only 2 hospital systems; I work in larger system; acute rehab 6-8:1 no CNA/unit clerk, medsurg 4-6:1/CNA 17:1, unit clerk, icu 2-3:1; starting LVNs $10, exp LVNs $16; start RNs $16, experience RNs $26;attempting Magnet status - would rather leave floors short than fill in w/LVN because matrix calls for so many RNs NOT LVNs!

my husband and i are both med-surg lvns. we are exhausted with the treatment we are receiving at our current "employer" and contemplating moving to another city or state anywhere in continental us. just wondering if anyone can throw out some city or state names where there are treated with respect and decent work ratios, and if they are compact states with texas. if there is already another thread w/this sorry, just give me the link. thanks in advance!

i like my daughters names: molly elene (i-leen) and jocelyn gabrielle. my son i went kind of different roel (row-elle) his middle name is a family name secundino. molly and roel are in high and middle school and love the fact that no one has their names!

This is my first time doing a presentation on "What is the Nurse's Role in Rehab-Regarding TBI Patients". I have been looking for nursing articles on the subject, but come up short. (Manager wants articles quoted) We will be presenting to 3 hospitals - PLEASE HELP!!! Any ideas would help!!! Thank you all SOOOOO much for any help you offer!!

"god has a sense of humor. if you don't believe me, tomorrow go to wal-mart and just look at people." carlos mencia :roll

thank you all for your suggestions -i plan to bring up to interdisciplinary team on monday - i really hope they'll help!! everyone's just on the edge and can't stand it anymore!!

need nursing advice!! we have a 60-something yr/old pt newly diagnosed w/guillen barre on our phymedrehab unit. pt loss most of the use of all extremities. active, independent, then this - life altering syndrome. i understand their frustration and need to feel in control of something! pt significant other hasn't left pt side - for over a month. but their frustration and need to be in control has gotten out of control, ridiculous, and rude!! pt gets upset because everytime a new aide or nurse goes in to assist w/turning/repositioning they don't know exactly how to move pt.:angryfire so then we are accused of torturing pt! if we take more than 3 minutes to give pain med or to walk into room we get accused of not being compassionate w/pt. significant other came to nurse's station and called unit clerk b**** for calling nurse over intercom @1600. number of aides and nurses "fired" from care;pt 2 person assist, becuz of "firings" it takes time for another person who isn't "fired" to come and assist primary nurse. situation been explained to them and they don't understand why it takes a little longer to go and turn pt every 45 minutes!! nite shift 6 staff and 3 fired!! day shift even worse! just about everyone fired there! has anyone dealt with something like this? i know prognosis is poor, but we (pt/ot/st/nursing/cna/housekeeping)have done just about everything we can do to make them happy, just ain't working!! help!!! :lol_hitti we are all going nutz!!

For some reasons, some staff has NO common sense about sleeping hours!! I work night shift and if someone calls in before 2300, believe me, I am on that phone (won't call later than 2200 though)! If someone calls in later than that, we will start calling at 0500 - NO EARLIER!! Day shift needs to see our clock the same as theirs!! 1500 is 0300 for us!! Or how about it is your 2nd day off in a row, back to semi-rest-of-the-world-sleeping schedule and they call you at 1800 to come in for a 12* night shift! CRAZY!!!! Common sense and courtesy just seems to escape some floor staff!!

yes you can lose your license becasue that is patient abandonment!

had a young ob pt who wondered if her baby was going to come out of her "butt in the front":rolleyes: :roll, since that is where her boyfriend had put his "winkie"!! i had to step out of the room to avoid laughing in front of her!!

i have been in physicalrehab unit for less than a yr, but my floor has a horrible turn around with staff!! we have have through 2 managers and a number of nurses, cnas, leave after 1-2 months! our matrix is beyond obscene, management uses agency due to lack of nurses but complain about the budget so we have to work under matrix!! patient falls increase, pressganey scores well below average, unit morale is at an all time low! quick example of our hell - night shift/16 combo cranies,cva, traumatic brain injuries- all with bed alarms and incontinent, 4 total kness, and 4 hips/3 license, 4 tube feedings, 3 trachs, 9 on iv antibiotics, 1 aide, no unit clerk/we're supposed to get 18 pts dressed before 0700, of course don't forget bowel/bladder retraining, mar and chart checks, scheduled meds!!! i am going nuts!! just venting....................wondering if other rehab nurses experience the same on their units? is this a normal rehab experience?! i've run my orifice off before on an acute ms tele floor - i know how a nite gonna go crazybad - iv meds every other hr, codes, admits, icu transfers, etc, but i have never had an experience like i have on this floor!! i fear for my pt safety and care. 2 bed alarms going off while i'm in the middle of assisting pt to bsc! please enlighten me and tell me if his sounds like s=every other rehab floor out there.........thank you sorry my post got sooo long!!:uhoh21:

have one tonite that keeps calling me because he can't find his member, he has a peg and keeps insisting his member fell inside his stomach and he needs to keep pulling on the peg so his member will come out!!:lol_hitti

M.O.M.=milk of magnesia, it's a laxative

lvn in south texas for 6 yrs - largest hospital in this area make $32,000-35,000, with night and weekend differentials, only work f-s-s

The only difference is what part of the country you are from. Up north the are referred to as licensed practical nurses. South=licensed vocational nurses

hello and welcome to south texas!! i work with alot of filipino nurse's in corpus christi. i used to live in san antonio - it is a great city to live and play in!! good luck and god bless!!!:)

at the company i work for, we have a mandatory precept class before anyone can become a precept. they then qualify for a couple extra dimes/hr/precept puch in. i know you cannot personally change that kinda policy, but i once worked on a floor where we were precept 1 new employee for 6-wk or 1 new nurse for 12wk. we volunteered to be precept (no volunteers then yes assigned orientees to most exp w/least complaints)orientee and precept has same schedule for that time period. if we were 'noted' as not precept "effectively" by any staff we would be slightly reprimanded because precept had become part of our job description. good luck - i know this can be a fuzzy situation!!

I know of some company's that offer the assistance to foreign educated nurses. I guess it depends where you are coming from. E me if u have any ?s.....good luck!!!!

THANK YOU!!! My husband and I are both LVNs. We work our butts off, just like everyone else on the floor!! A great nurse can be over shadowed by anyone on the floor staff. A great nurse is one who appreciates and respects all staff - licensed and non licensed-, and their pt's. Give a pt a little respect and see how different they will treat you. A great nurse doesn't treat pt's like annoyances in their shift. In some way shape or form, that pt is a paying customer.