patwil73

patwil73 specializes in ICU/CCU, Home Health/Hospice, Cath Lab,.

Latest Activity

1. Question about holding meds

   patwil73 replied to Sparrow23's topic in General Nursing

   We have a doctor communication sheet in front of the order section in our charts. Nurses can relay concerns or questions there. For a held med we would document a prog note and then write a...

2. Question about holding meds

   patwil73 replied to Sparrow23's topic in General Nursing

   Your judgement was exactly right and unfortunately the one who was supposed to be teaching you was wrong. The decision to hold a bp medication should be done based on pt condition and history and...

3. I made a injection error... Please help me....

   patwil73 replied to yatyu's topic in General Nursing

   A pharmacy that apparently makes injectable version: http://www.sgpharma.com/company/mainexplist.htm Also here: http://www.ncbi.nlm.nih.gov/pubmed/17720114 Which indicates it is used in England but...

4. Morphine Question

   patwil73 replied to jistravel's topic in General Nursing

   By chance did it read NaCl 0.9% 240ml + MgSO4 250mg? That would be magnesium added to the IV fluid solution which seems a lot more likely than her receiving 100mg of morphine an hour. Also a good...

5. TPN HELP!!! (please)

   patwil73 replied to peachpower's topic in General Nursing

   Could be a bigger filter. The 2nd source I quoted before said for TPN alone it is a 0.2 micron filter, whereas if you filter both it is a 1.2 micron filter.

6. Best Practices -- Working with Families

   patwil73 replied to ellakate's topic in General Nursing

   The long answer is you carefully assess your family to determine their skill level, knowledge level, comfort level, and willingness to engage in the practice necessary. You have to determine if they...

7. TPN HELP!!! (please)

   patwil73 replied to peachpower's topic in General Nursing

   My guess is your instructor did not know, and hence had you do the research. I know they used to hang seperately but now I almost always see them hung in 1 bag. However, in the past it might have...

8. Diurese at night?

   patwil73 replied to Vtachy1's topic in General Nursing

   Usually we want to diurese in the morning so the person is awake when they have to keep getting up and going to the bathroom. Doing it at night would keep them from getting any sleep. Of course...

9. Lower Columbia College, Campus Based

   patwil73 replied to Browneyes98's topic in Washington Nursing

   Congratulations - I graduated there in 2001, so I might not have the most up to date experiences from there. As I recall class size started at about 20 and we had 5 at the end. We did Long Term...

10. IV insertion area guidelines

    patwil73 replied to patwil73's topic in General Nursing

    This was in ICU where unfortunately we do not have a written policy on having central lines with specific drugs - even though we know we should. No one in the hospital other than ED and Anesthesia is...

11. IV insertion area guidelines

    patwil73 posted a topic in General Nursing

    Hello everyone - I posted this in the IV/Infusion group but it doesn't seem to get much traffic so I though I would repost here and see if I could get a few more views. Original Post Follows: I am...

12. IV insertion area guidelines

    patwil73 replied to patwil73's topic in Infusion, Intravenous

    Thank you so much for your reply. I found a copy of Core Curriculum for Infusion Nursing at my hospital which does outline the veins that should be used in IV therapy - which are essentially the ones...

13. IV insertion area guidelines

    patwil73 posted a topic in Infusion, Intravenous

    Hello everyone, I am looking for some guidelines on acceptable IV insertion spots and the dangers of using subprime areas - such as legs, shoulders, chest. Are their any places that are simply...

14. Autonomy and Informed Consents

    patwil73 replied to rncee's topic in General Nursing

    To answer your question, it is helpful to remember that autonomy is almost a fundamental principal of healthcare. People have the right to make their own decisions regarding what care they want and...

15. help question about factors affecting drug administration

    patwil73 replied to jadavis's topic in General Nursing

    In most good drug books you will find all this information. For instance is the patient allergic to sulfa drugs - well the drug book will tell you if the medication is in the sulfa class. The book...