jdub6

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All Content by jdub6

  1. jdub6

    How things change

    jdub6 posted a topic in Patient, Colleague Relations

    Was browsing AN and came across this in a post by Stargazer Feb 2001: "This reminds me of an article on another nursing website (sorry, don't remember which one)about a year ago on how one ER had...
  2. jdub6

    New ICU nurse wants some kind words

    jdub6 replied to LiveFit99's topic in MICU, SICU

    For me personally, i can attend teaching sessions, read policies and manuals and talk through use of equipment and certain procedures, but the only way i actually get comfortable is to actually do it...
  3. jdub6

    Feeling guilty ALL the time

    jdub6 replied to detrelibre's topic in Emergency

    You cannot do everything all at once. You did what you could. WRT to septic patient, you noticed the AMS and reported it to all concerned parties. The patient was sick, that's why they were...
  4. jdub6

    Verbal order-Denied by resident

    jdub6 replied to Traumamama02's topic in Emergency

    This may be petty but propofol is not a "narc." It is not on a DEA schedule. It is a legend drug. I have never worked in a facility where "every drop must be accounted for" i.e. I've never had to...
  5. jdub6

    Forcibly removing piercings in psych patients

    jdub6 replied to KathyDay's topic in Emergency

    I agree that the danger of a physical conflict may be worse than some jewelry. But, then don't make the rule at all. Patient A's earrings are very sentimental to her, but she understands and...
  6. jdub6

    Forcibly removing piercings in psych patients

    jdub6 replied to KathyDay's topic in Emergency

    If a stud there is a sharp-ish end, a hoop could be broken to create one, and either could be used to cut oneself or if swallowed has potential to cause damage much like a swallowed soda can tab....
  7. jdub6

    Do you have an ED "greeter"?

    jdub6 replied to ItsThatJenGirl's topic in Emergency

    You probably already know that spitting into the eye or mouth areas is also a body fluid exposure and should be reported immediately. And at the same time security should be called. Perhaps they can...
  8. jdub6

    Children in ED when parent is patient

    jdub6 replied to jdub6's topic in Emergency

    Thats what it is-frustrating. Recently had a parent come in with dizziness and feeling confused (normal Neuro exam) freely admitted having been on a 3 day crack and MDMA binge. 4yo daughter in tow....
  9. jdub6

    Children in ED when parent is patient

    jdub6 posted a topic in Emergency

    What do you guys do with kids brought by EMS because the parent is the patient and the child can't be left alone? What if the parent is unable to speak/arrange care? if the parent is intoxicated or...
  10. jdub6

    Children in ED when parent is patient

    jdub6 replied to jdub6's topic in Emergency

    First off thanks to all who replied. I know the med surg floor had a problem like this one-elderly patients spouse brought the dog to spend the night. The patient was being made comfort measures and...
  11. jdub6

    Horrible day! Need reassuring!

    jdub6 replied to scuba nurse's topic in School

    Glad things worked out for you. I'm sure you know this already but even if you HAD given Tylenol, liked everyone else said it wouldn't have prevented the seizure most likely. While it might have...
  12. jdub6

    Suicide

    jdub6 replied to jdub6's topic in Psychiatric

    A similar question with that would be the personality disordered individuals who come neck time and again with either non-lethal attempts or those who have many moderately lethal attempts? When all...
  13. jdub6

    Suicide

    jdub6 posted a topic in Psychiatric

    I'm not a psych nurse. I currently work ED and have great respect for you guys. I am wondering if you'd share your thoughts on something that's been troubling me. Paramedic. 40. Divorced (10 years)....
  14. jdub6

    Suicide

    jdub6 replied to jdub6's topic in Psychiatric

    I guess that's part of my issue-that guy was honest with us, i think because he felt he had nothing to lose or didn't care. But if he had summoned the energy to try to get out i feel he would have...
  15. jdub6

    Nursing Director removed my pts restraints

    jdub6 replied to remotefuse's topic in General Nursing

    In my state death in restraints is reportable with the exception of ICU patients who die in 2 point soft wrist restraints. (There may be an exception for comfort measures also but I'm not sure.)...
  16. jdub6

    New Grad RN wanting to leave after 3 months

    jdub6 replied to RNAnony's topic in MICU, SICU

    16 weeks is shorter than some new grad ICU programs but the thing is youre 14 weeks in. Finding another job if you leave now will be tough and you may not be given new grad orientation at this point....
  17. jdub6

    Big Trouble

    jdub6 replied to Bentlysnurse's topic in MICU, SICU

    Actually this is starting to sound more plausible now. Some EMRs have different defaults for different meds which could explain why its just this med. Honestly I kind of want to believe OP even...
  18. jdub6

    Can you titrate these drips?

    jdub6 replied to MeganC012's topic in MICU, SICU

    With specific protocols yes for Narcan (the protocol gives dose change per a scale assessment as well as criteria for consulting MD and frequency of vitals/re-assessment.) Phenobarb in my unit really...
  19. jdub6

    Should ED put in lines before sending up arrest patients?

    jdub6 replied to Paris01's topic in MICU, SICU

    2 IVs is the standard. Central lines placed in ED are supposedly more likely to be "dirty" (meaning both placed in groin and/or to develop line infections) because of the environment. Most pressors...
  20. jdub6

    Typical ICU shift

    jdub6 replied to RN416's topic in MICU, SICU

    To OP: in my experience ICU is different in that report is much more detailed (expect to know exert detail of the patient and any device and med and lab result). Nursing rounds with the docs-this is...
  21. jdub6

    Typical ICU shift

    jdub6 replied to RN416's topic in MICU, SICU

    Some days are like that in ANY specialty (especially appreciate #24-this happens in ED and on the floors as well! You forgot 24.5 though "step away from drawing specimen #5 to answer call from...
  22. jdub6

    Albumin and DKA

    jdub6 replied to JVerne07's topic in MICU, SICU

    This is a great answer and probably what your school wants. Note though that if the patient is older and/or chronically ill that it is not uncommon for many people to have chronically low...
  23. jdub6

    My First Mammogram - A Comedy

    jdub6 replied to Sarah Matacale's topic in General Nursing

    Hahaha! That last line was a gem. I very much identify with the rest of your post though i haven't (yet) had to have a mammogram or biopsy. I am also a bad follow-upper and could see this happening...
  24. jdub6

    Accidental Pill Pusher

    jdub6 replied to jeastridge's topic in General Nursing

    This is the thing...we ignore the bad effects of opiates (and there is evidence to support them) in favor of the thought that opiates are powerful and therefore must work. We don't have good evidence...
  25. jdub6

    Accidental Pill Pusher

    jdub6 replied to jeastridge's topic in General Nursing

    Some of the "old-ish- articles and studies and texts (including what some of us were given in school) were funded and influenced by the manufacturers of opiate drugs. Sadly the public and The Joint...