patwil73

patwil73

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

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All Content by patwil73

  1. What to expect during a sleep study?

    patwil73 replied to mondkmondk's topic in General Nursing

    The sleep studies at my hospital involve you being hooked up to a lot of monitors - attached to head and face and chest. This monitors and records the brain waves, hr and respirations during sleep....

  2. Morphine doses while dying?

    patwil73 replied to Medsurg Mama's topic in General Nursing

    Many posters have expressed some concern over the wording of the order - keep giving until respirations stop. I am wondering if perhaps the doctor didn't mean it a bit differently. I have been given...

  3. I am working on a case study and I need to know what a "FAST" test is!

    patwil73 replied to clmsngrl82's topic in General Nursing

    My guess would be that he was: 2 -- opens eyes to pain 2 -- incomprehensible words (screaming a lot) 4 -- withdrawel from pain Essentially he is in a lot of pain from the burns, bleeding leads to...

  4. Legal/Ethical issues in nursing

    patwil73 replied to Tigger100S's topic in Patient Safety Issues

    I actually find that people are much more educated about their illness and often ask very good questions. Where I think we tend to fail is when our language is not the patient's primary language....

  5. Legal/Ethical issues in nursing

    patwil73 replied to Tigger100S's topic in Patient Safety Issues

    I will do my best! When a patient is admitted to or hospital one of the questions we ask is whether they want to be a confidential patient or not. If they elect to be a confidential patient we give...

  6. Having trouble with changing iv bags

    patwil73 replied to student200977's topic in General Nursing

    Unfortunately your answer really depends on if you are using a pump to infuse the IV or not. 1) Changing with a pump. If the IV is bone dry it will often be easier simply to change the tubing along...

  7. Ethics of Nurse/Patient Relationships

    patwil73 replied to patwil73's topic in Patient, Colleague Relations

    As the size of the thread grows often the original point can be lost. For those reading through we are attempting to discuss the ethics of dating a "former" patient, not someone who is currently a...

  8. Ethics of Nurse/Patient Relationships

    patwil73 replied to patwil73's topic in Patient, Colleague Relations

    Thanks for the reply. You begin by mentioning power as the crux, but then speak soley about intimacy. Do you believe that all relationships are inherently equal or that the inbalance of power is not...

  9. Ethics of Nurse/Patient Relationships

    patwil73 replied to patwil73's topic in Patient, Colleague Relations

    Thanks for your response. I see a lot of answers that involve "boundary violations" as a reason that a relationship between nurse and patient might be unethical. I get the feeling though, that it is...

  10. Ethics of Nurse/Patient Relationships

    patwil73 replied to patwil73's topic in Patient, Colleague Relations

    Thanks again for the reply. I must say I am enjoying this discussion. I might be misunderstanding you, but it seems you are arguing that since bad things can happen when you have private...

  11. Ethics of Nurse/Patient Relationships

    patwil73 replied to patwil73's topic in Patient, Colleague Relations

    Thank you for the response. I hope that you understand that I am not actually advocating a nurse patient relationship, but merely exploring why we consider one unethical. Sometimes when people...

  12. Ethics of Nurse/Patient Relationships

    patwil73 replied to patwil73's topic in Patient, Colleague Relations

    I am wondering if even on this board we could come to an agreement on when exactly the nurse/patient relationship is over?

  13. Ethics of Nurse/Patient Relationships

    patwil73 replied to patwil73's topic in Patient, Colleague Relations

    Thanks for the reply. I think you might be right here. Although I don't believe expression of interest (a simple I like you would you be willing to go out on a date) does not rise to the level of...

  14. Ethics of Nurse/Patient Relationships

    patwil73 replied to patwil73's topic in Patient, Colleague Relations

    Thank you very much for your response. Please understand that all disagreement/argument is merely an attempt to understand or delve into why we believe that something is wrong or right. Does the...

  15. Presenting to freshmen students-healthcare majors

    patwil73 replied to presenting...Soon!'s topic in General Nursing

    One thing I notice when talking to the nurses during rounds (and I was often guilty of when I first started) is that they are very good at knowing what is going on with the patient right then, but not...

  16. Ethics of Nurse/Patient Relationships

    patwil73 replied to patwil73's topic in Patient, Colleague Relations

    Thanks for the response. Here is a twist - what if you are a nurse but not the patient's nurse. Would an ethical problem exist beginning a relationship even if that patient had not yet been...

  17. Ethics of Nurse/Patient Relationships

    patwil73 replied to patwil73's topic in Patient, Colleague Relations

    I too remember being "taught" that it was not ok to do. However, the why was frequently skimped over. Or my instructors mentioned something about inequality of power and vulnerability but didn't...

  18. Is the drug Halcion or its generic still available in the U.S.?

    patwil73 replied to mondkmondk's topic in Patient Medications

    Just had it 2 weeks ago for a root canal. 3 tabs 30 minutes prior to my appt. It definately relaxed me although I can still remember the whole thing. I had to use nitrus too (did I mention I hate...

  19. Cardiac Cath Lab

    patwil73 replied to BookwormRN's topic in General Nursing

    I did a an assignment in Cath lab for 18 weeks. My duties included, preparing the medications needed, hooking the patient up to monitors and IV's, and conscious sedation. I never scrubbed in for the...

  20. What To Do??!!

    patwil73 replied to chanel-0's topic in General Nursing

    There are some schools that 1/2 way through classes you can sit for the LPN boards and if pass work as an LPN but continue to go to school for your RN. My college was like this: 7 quarters to RN, but...

  21. RNs...how did you handle your first death ?

    patwil73 replied to KdnRN2B's topic in General Nursing

    I have been the nursing leader on our code team for the last 2.5 years. Before that I have worked ICU and hospice, so I have seen my fair share of deaths. They have run the gamut from babies to the...

  22. whats wrong with clamping the PICC??

    patwil73 replied to Ms.RN's topic in General Nursing

    If my memory serves correctly there are a few piccs (groshong among them) that usitlize a pressure valve - you push fluid it opens to allow fluid out, you pull back it opens the valve another way to...

  23. Colostomy Care

    patwil73 replied to bulldoggurlie's topic in General Nursing

    If you have the snap off kind you can simply unsnap the bag, dump in toilet, then rinse in a sink until clean. Although most that I have seen lately don't have the snap kind - otherwise go with the...

  24. Help Help Sos With The Change Of Day To Night

    patwil73 replied to PACIFICWHALES's topic in First Year After Licensure

    Do you have time? Time to slowly change T R A N S I T I O N from day to night sleep a bit longer on...

  25. Scared of vomit

    patwil73 replied to FutureUndecided's topic in First Year After Licensure

    Try increasing your party life or attend some more college parties - a few of those and you'll be over vomit pretty quickly Seriously though - try figuring out specifically what about vomit you...