LisaRn21

LisaRn21

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All Content by LisaRn21

  1. Anyone not use a Broselow?

    LisaRn21 replied to stayseerrn's topic in Emergency

    We always use them in my er. As far as liability goes, if your facility has them available to you then use them. If not then it is a liability issue. If your policy states you don't use them then...

  2. trach care???

    LisaRn21 posted a topic in General Nursing

    Hey guys quick question! I have a patient that has an extra long trach, and when doing trach care the brush gets stuck inside the trach..almost as if the brush is too big for the inner cannula.......

  3. trach care???

    LisaRn21 replied to LisaRn21's topic in General Nursing

    Its a plastic shiley.. it doesn't matter if its soaked or not.. once you get the brush in (with some resistance) it is really really hard to get out

  4. PI/Evidence based practice

    LisaRn21 posted a topic in General Nursing

    Going for magnet status...must do PI/evidence based practice study..any suggestions? We have already done handwashing, pain, IV checks/infiltrates, need for 4am VS, cont nebs vs. q2 hr. Running out...

  5. lovenox..and coumadin

    LisaRn21 posted a topic in General Nursing

    My mother had a huge PE .. they are sending her home on both lovenox and coumadin...I don't understand why both.. when my mother asked they said that her daughter (me ) could explain it better but I...

  6. lovenox..and coumadin

    LisaRn21 replied to LisaRn21's topic in General Nursing

    Thanks guys! I get it now that would make total sense......and yes it is unacceptable so is a ton of stuff that has happened in the past 2 weeks....ie the room not being cleaned before she was placed...

  7. vented patients

    LisaRn21 posted a topic in General Nursing

    Hey guys I need your help. My dad was placed on a vent yesterday and his last words prior to being intubated was help... I want to help him so bad but I just don't know how. i've never worked with...

  8. vented patients

    LisaRn21 replied to LisaRn21's topic in General Nursing

    Thanks for all your help guys... now they are gonna place the trach tomorrow... the doctor didn't seem hopeful in being able to do it .. Seeing as my dad has a huge fat short neck...he's 348lbs and...

  9. Bipap

    LisaRn21 replied to MM2007's topic in General Nursing

    Ahhh! I didn't know there was a temperature gauge.. my dad was fraeking out cause it was numbing his nose.. they could have warmed it up for him!! I didn' tknow he said the pressure is awful but the...

  10. vented patients

    LisaRn21 replied to LisaRn21's topic in General Nursing

    ok! So I have some new questions!! I am just not understanding and you guys have helped out so much! So last night my dad coded his left lung collapsed from a pneumo they inserted a chest tube and it...

  11. Inventions for Nurses

    LisaRn21 replied to ryanfocker's topic in General Nursing

    IV pumps that don't beep in the room ..just at the nurses station so that when it does go off patients and their families don't yell at you for not getting there for 3 minutes! They will never know...

  12. vented patients

    LisaRn21 replied to LisaRn21's topic in General Nursing

    Thanks guys for all your help. They are doing mouth care.. and they are backing down on the sedation acctually the nurse backed him down and before she could tell us what she did I had asked a...

  13. vented patients

    LisaRn21 replied to LisaRn21's topic in General Nursing

    no they are well they were doing it when he had the cpap on..but they placed the tube last night and shortley after we left... so I am not sure if they are or aren't I would imagine they are.. I'm in...

  14. vented patients

    LisaRn21 replied to LisaRn21's topic in General Nursing

    how do you do mouth care? I was doing it when he was on the cpap cause his mouth was exposed but now the tube and the ties and all that are in the way... do you just go around

  15. Cry or scream.. venting thread

    LisaRn21 replied to Nascar nurse's topic in Geriatric, LTC

    Can I rant too? If I hear one more time already this season, "You don't have kids why can't you work xmas" I am gonna shoot myself! Really! Like Idon't have a family and then for the nurse to say...

  16. Who can witness a waste?

    LisaRn21 replied to MQ Edna's topic in General Nursing

    In my facility it states that either LPN or RN can give narcs and anyone with a professional license can cosign the narc and the waste. I have always used another nurse (RN or LPN_) but I have used...

  17. would you finish work from previoius shift?

    LisaRn21 replied to Ms.RN's topic in Geriatric, LTC

    So what would you do if you followed a nurse who only worked 4 hours with the patients and they didn't chart anything no assessment some I and O's and only signed out some of their meds....would you...

  18. Ugh! This was NO fun!!!

    LisaRn21 replied to TazziRN's topic in General Nursing

    I work in a pediatric facility and we give everyone a flu shot at discharge...doesn't matter the age .. we have already started giving them this year.. I am intrested to hear about the mercury thing I...

  19. Cutdown????

    LisaRn21 posted a topic in General Nursing

    Can someone please explain to me what a cut down is? I was pulled to the ccu and my pt lost their IV and they did a cut down to place one and I still don't understand what it

  20. Cutdown????

    LisaRn21 replied to LisaRn21's topic in General Nursing

    that makes sense!!! Pt had a femoral line and it was pulled due to infection...at tthe time they thought he was septic so hmm I don't know why not another central line.. the doc kept saying no more...

  21. PICC's

    LisaRn21 replied to amanda0019's topic in General Nursing

    Yes!! Never draw blood from anything less then a 4... we have a lot of 2s (babys) and the pressure can break it apart and then it can get caught in the heart or any other part of the patient (fyi...

  22. PICC's

    LisaRn21 replied to amanda0019's topic in General Nursing

    From my experience... you can use either.... as long as a med isn't infusing through them... and you always want to waste 2-3 cc of blood prior to drawing the sample. If I had to choose I would choose...

  23. New nurse here and I need a little help

    LisaRn21 replied to crb613's topic in General Nursing

    I work in peds so it may be a little different... well i think the saftey of all should have the same standards no matter what age .... but we Have premixed K solution bags available 24/7 we never mix...

  24. Floating to NICU... how to be helpful?

    LisaRn21 replied to perfectbluebuildings's topic in NICU, Neonatal

    We get pulled all over the hospital too. I have been arguing this for over a year now. I"m not a icu/ccu/nicu nurse .. I am a general floor nurse! I was acctually pulled to the ccu one time and the...

  25. Have an insulin needle question

    LisaRn21 posted a topic in General Nursing

    Has anyone ever heard of a diabetic using the same needle twice? Once for their morning 70/30 and once for the pm dose? A nurse advised a family member of mine to do this because insurance does not...