all4schwa

all4schwa

Neuro ICU, Neuro/Trauma stepdown

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All Content by all4schwa

  1. c-diff, contagious?

    i did a search, and i still have some questions....the way our instructor explained it was...clostridium difficle is natural in the bowel and overgrows in the presence of anti-biotic therapy, chronic illness, ect. so, is it really contagious? as in, ...
  2. Spinal Cord Injuries and Turning Q2

    Rigid collar until bony cleared with films/ct, then soft collar till soft tissue clear. If they can't speak or follow commands, they'll need a flex ex film for them to clear. HOB flat and log roll only until surgical fixation and or braced, they sti...
  3. MRI vs CT

    can anyone explain to me the indications for the two? what i mean is, why is sometimes an MRI ordered and sometimes a CT?
  4. ATI NCLEX predictor

    Today we were supposed to report to the school to take the med-surg and pharm ATI assessments. It turns out we had to take those and the comprehensive NCLEX predictor ATI (180 questions), all back to back. We weren't told we would be taking the compr...
  5. Does anyone else find themselves doing this...

    i was eating dinner at the bar and a LOL stumbled behind me. Instantly I was on my feet and so was she. I remember thinking that it was nurse mode, 24/7. and, I am a little compulsive about checking out peoples veins.
  6. Who makes your assignments?

    We use a system that is NISS, nursing intervention scoring system which is essentially another piece of paper work. it's a long list of nursing interventions such as foley, monitor up to vent weaning yadda yadda yadda. But mostly people just poo p...
  7. EPIC Computer Program

    I love it! I havent used any other computer charting systems, so I'm really just comparing it to paper charting. I love being able to access any patients chart from anywhere at anytime and by multiple people at the same time. For instance, I can...
  8. Am I the only one?

    That's funny! I work 7p-7a and try to make the day I go back to work a good one. Clean, cook, do things to make the next few days smooth
  9. Riddle me this

    What I find funny is how much paperwork there is for a paperless system!
  10. Riddle me this

    :yeahthat:
  11. Riddle me this

    I work 7p-7a, and there are times that I dont get to touch that astronomical amount of charting untill 0200! And I wonder, how did I get so behind? I've been chasing my tail and am still behind, where did the last 5 hours go!!! Lucky for me, I have...
  12. My name is Tweety and I'm an Alcoholic

    Thank you Tweety. I had no idea, you continue to amaze me. Your wisdom, is invaluable and your strength considerable to be the first to step forward.
  13. Nurses pushing a PCA pump for a patient?

    I was thinking something along these lines. If the pt's cognition is not enough to use a PCA, then that would be documented in your assessment. It would just take 'putting 2 and 2 together' to figure out that the pt wasnt hitting the button. The onl...
  14. 12 hour shifts for students AND Med. school

    you cant just jump into a shift 2-3 hrs into it, thats not how it works in nursing. your clinicals are to prepare you for nursing in the real world, from the beginning to the end of the shift. it wouldnt be safe or smart to start your day without g...
  15. 12 hour shifts for students AND Med. school

    You are just going to have to start taking your meds when you get up, regardless of what time of day it is. Take your betablocker and then chill out before you get ready and you'll be fine. The time of the day is not what's important, apparently yo...
  16. Told to pee in her depends

    we had a large lady that slept in an electric recliner. She would lean forward on a sturdy walker while the chair lifted, then we could ease her back down with the bedpan in place. it worked very well as there was no pivoting involved and she had the...
  17. Told to pee in her depends

    'able to lift' to assist with transfers and the situation described here are two different matters. this person needs to be assistedto the bsc with mechanical lift, and the reason that there isnt one at the facility is because it's an assisted living...
  18. All floor nurses... please help me!

    When I make the assignments for the day shift nurses before I leave in the morning, I have a pretty good idea of who is expected to be discharged that day. I take into acct that if you discharge too many, you'll get back to back admits. However, on...
  19. What nursing "invention" would make you famous?

    These are both perfect, in fact, I believe we will be seeing the former in our career. You're not serious, right? crush the pills, a spoon full of applesauce makes the medicine go down. My invention? Winch at the top of the bed to crank them puppi...
  20. Those Pesky IV Alarms

    a pager would just be another thing to carry in addition to our phones and cardiac monitor pagers, the team leader pager, ect. a cord that went to the call light would just be another cord to unhook and untangle. our vents hook to the call lights th...
  21. Last Shift Outstays their Welcome!

    ...and then laugh like it was a joke! ...followed by a 'no, but really...'
  22. So, how many of you have had MRSA

    I had two abcesses on my arm. There was not a break in the skin, or anything, just looked like two spider bites. They obviously were not however, because they grew by leaps and bounds. They were tripling in size daily. I got into a doc on a monda...
  23. Good old Flo was a smart cookie

  24. What do you write on your pt's bulletin board?

    Nurse: my name and phone ext Pct: their name pain meds available: date:
  25. What??? No CNA's???

    you need alot of extra hands with stepdown trauma pts, turns and baths and transfers...these people are broken to pieces and cant help you....i couldnt do it without my kick butt pct's (we carry 4-5 each).