patwil73

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 restart whether or not people believe that particular ...

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 communication note if we wanted a change or clarification....

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 "not" because it might make them fall out of normal r...

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 not North America - and comes in 75mg dosage. In m...

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 reason why we should not use abbreviations as MgSO4 ...

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 unacceptable to use and why? Finally if someone could p...

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 looking for some guidelines on acceptable IV insertio...

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. Pat

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 are in a place of enough comfort to be able to und...

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 been to either more accurately measure how much lipi...

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 sometimes we have to do both and if they have a foley i...

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 Care the first 2 quarters then on to St. John's for m...

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 trained in EJ's (although I have asked to be) so ...

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 you see used most often. However it doesn't even ...

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 don't want. However, when you lose the capacity to...

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 will also give you a list of contraindications - or i...

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 drip (sorry can't remember that dose off the top of m...

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 hours. (Of course there will be times you will break...

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 lot of people who had needlesticks. It can happen ...

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 received. The problem I noticed is that people rarely ...

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 missed. You don't miss fri nights and then have to wo...

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 and the patient should remain in their rooms. Our p...

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 hospital. i have not seen or heard of any having an...

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 mariners game, her read or nap. 23:00 - off to wo...

I love this thread. It should stay around forever - so 20 years from now we can look back and go "OMG! You didn't have that when you were working. However did you survive." For me I would invent: 1) A clipboard computer that can scan your patient...