patwil73

patwil73

ICU/CCU, Home Health/Hospice, Cath Lab,

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All Content by patwil73

  1. Ethics of Nurse/Patient Relationships

    patwil73 posted a topic in Patient, Colleague Relations

    I just finished reading the thread about dating a former patient. 11+ pages of strong opinion regarding the ethics of starting a relationship with someone you are caring for. I am not trying to...

  2. 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...

  3. 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...

  4. 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...

  5. 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...

  6. 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...

  7. 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...

  8. 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.

  9. 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...

  10. 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...

  11. 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...

  12. 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...

  13. 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...

  14. 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...

  15. 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...

  16. 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...

  17. Bolus IVP followed by IV infusion

    patwil73 replied to moredug1's topic in Patient Medications

    Diltiazem - usually 10mg bolus then IV rate 5-15mg/hr. Amiodarone - 300mg over 1 hr then 20mg/kg for 24hrs (although in life-saving measures you can push the 300) Narcan - 0.1mg - 0.4mg push, then...

  18. IV saline/hep lock

    patwil73 replied to ChiSmile6's topic in Patient Medications

    Actually this is not always true - many times you can not aspirate. Most peripheral lines should not be drawn from after the first insertion, almost all the rest should not be drawn from after 24...

  19. So... needlestick injuries

    patwil73 replied to michelle_d's topic in General Nursing

    As part of my job I get to consent people for HIV testing after a body fluid exposure (until this sept when they finally made it part of the hospital consent - woo hoo). So I got to interact with a...

  20. assignment due to acuity with points??

    patwil73 replied to ChristinaNcRN's topic in General Nursing

    My hospital originally used an acuity model called Quadromed to assign patient acuities. That created a number of staff to cover those patients - the higher the floor acuity the more staff you...

  21. Weekend make-up shifts?

    patwil73 replied to FarmgrrlRN's topic in General Nursing

    If I understand your post correctly - at your facility if you call in sick anytime between Fri days and Mon nights you have to make up those days, but you don't make them up on the same "day" you...

  22. MRSA and patients who smoke

    patwil73 replied to tferdaise's topic in General Nursing

    We recently had this issue come up too. As the supervisor they call me and say the patient wants to go outside and smoke and is MRSA+. What do we do? Our policy states MRSA is a contact isolation...

  23. Muslim Nurses Administering Haram Medications

    patwil73 replied to CaribMuslimah, RN's topic in General Nursing

    i know you have asked for muslim nurse response and i am not, but i hope you will take it in the spirit which it is offered. as a supervisor i have worked with a few muslims, on every floor of the...

  24. help from other night nurse mama's of young ones!

    patwil73 replied to erin01's topic in General Nursing

    We have two young boys (and a girl on the way - yea!) and both work nights. On our work days it goes: Sleep from 10:30 until 17:30. Up and make dinner, play, homework, kids to bed by 2030. Me - watch...

  25. PICC Removal

    patwil73 replied to nursern07's topic in Infusion, Intravenous

    The picc's we use here have measurement numbers on them - so you look at the end and if it says 45 and the insertion record says 45, then you are good. The numbers go all the way along the picc from...