2ndCareerRN

2ndCareerRN

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  1. Congrats... When I started my FNP progam I got a PDA and loaded it with ICD9 codes, differential diagnosis, and lab value programs. It helped with the reams of paperwork that was required. Then I...
  2. 16G or 18G for IV access?

    In our ER, all traumas get the biggest available, usually 16's. If fluid depleted they get the biggest their vein can handle. There are some LOL's that we are lucky to get a peripherial 22g into....
  3. Stripping Membranes

    first, go here then here >>>> http://www.google.com and enter stripping membranes. which will lead you to something like this >>>...
  4. In the ER, where I will stay till I quit. Have done; MS Rehab Women's Health PostPartum Level 2 Nursery ICU
  5. Injections- still pull back?

    ITA. That happened to me with an IM injection of Toradol. It drew back very easy.
  6. 107.1 Tympanic in an adult seizure patient who seized for 20+ minutes in the ER, who knows how long at home. Took forever to get a line into her, she was clamped down everywhere. Finally stuck an EJ...
  7. toenail fungus..

    A method I have heard of is using the liquid from the inside of a Vit E capsule. Puncturing the cap and squeezing it on daily for a long time. Whatever method is used, the key is doing it...
  8. TB is not limited to the lungs. There are several types of extrapulmonary TB. http://www.merck.com/mrkshared/mmanual/section13/chapter157/157g.jsp TB of the joints is often overlooked because it is...
  9. Required to wear girly scrubs

    When I worked nursery, we were provided scrubs by the hospital. We wore street clothes to and from work. I really didn't care what color they were, the job transcended any concerns I had about the...
  10. Advice for New ER Nurse

    Study and pass NCLEX. That is your first and most important priority. Without it, all advice is moot. Also, try here. Some good advice was given in this thread....
  11. So, let me see. This guy tried to cost your husband and son their jobs, and livelyhood, and you are wondering what to do? I would suggest a baseball bat, but that is to much trouble. Get a lawyer...
  12. Moving to MT tomorrow!

    A lot depends on where you are headed. Where I am we are getting snow right now. We will get about 2 inches before it is over. But it will melt by tomorrow or the next day. Are you doing a travel...
  13. C-5 hairline fracture question

    It is nice of you to worry about your friend, even though he doesn't want to. He really needs to folow up with his PCP, or find someone to followup with. You can always use scare tactics. Show him a...
  14. PERIHILAR PROMINENCE....Do you know what this is????

    Here is a pic of the lungs. What the radiologist is saying is (I think), While the area shows up on film more than it should, there is no sign of disease (such as pneumonia). I don't think there is...
  15. HIPPA help

    How would this person know, unless they are friends with someone else in the hospital. Either the unit where the viewing took place, or someone in IT. I would go looking for the leak. I would tell...
  16. Bush Administration Proposes Cut in Veteran Benefits

    I totally agree with Kevin. I am also a service connected disbled vet. If I choose to go to the VA, they will take care of all of my service connected disabilities free of charge. If I go for a...
  17. Best specialty for traveling

    A good guide it to go to one of the travel company sites and download their skill checklist for the different specialities. You may be surprised at what you are expected to be competent in. Often you...
  18. Venting in progess, unjust termination

    Well, at least we know there are no personal feelings involved here!!
  19. tridil and heparin together?

    We will do 2 sites for AMI without tPA, one for the NS/Tridil and one spare. The only time we do 3 IV's is if we are going to tPA the patient. Some hospitals I have sent AMI's with tPA going request...
  20. Venting in progess, unjust termination

    Well, that doesn't make it right, does it? That defense is pretty poor. Change is hard on everyone. The workers who hate to see change, and the new supervisor wants to make changes she thinks is...
  21. holding a baby in after being fully dilated??

    Way to many friends, she said, etc. My reply: read the previous posts, that pretty much sums it up.
  22. If there was one piece of advice...

    Never, and I mean NEVER, stand in front of someone you have just given charcoal down a gavage tube to. Stand to the side, and a little behind if you can! Some day you will remember this advice,...
  23. If there was one piece of advice...

    Don't sweat the petty stuff, and don't pet the sweaty stuff.
  24. what does this stand for

    I'll take a stab. I believe it stands for Out Of Bed (ad lib/freely) at the desires of the pt. I work ER so we don't have this as an order.
  25. The crud you ER nurses put up with

    Sounds like this young man needs a visit from the local police. Seems as though he didn't care whether he hit you or not. I would not hesitate to call the police, and then make sure management bars...