Sunshine716

Sunshine716

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  1. Pediatric PACU Recovery Scale

    Hi everyone, I want to find out what recovery scoring system or sedation scale you use in your PACU as well as for discharge to home for Pediatrics? Aldrete, PADSS, etc. Thank you! ?
  2. Is this nursing burnout?

    I would recommend trying agency PACU work in your local area. I did that after feeling burned out in the ICU for the past 10 years and loved it. I would still be doing it if it weren't for the benefits that I needed. The health insurance requirements...
  3. Floating

    I'm actually a float pool nurse right now. However, if I'm put in a situation where I have no experience or don't have the knowledge necessary to care for a patient I let management know and they are responsible for either training me or changing my ...
  4. Manager wants me to alter documentation on expired patient

    It has always been my understanding that after 24 hours has passed you cannot add an addendum to the patient's chart or make any changes without any exceptions. Am I wrong in thinking this? If so, what she is asking you to do is not legal for a nurse...
  5. First Year Horror

    I think this is a great place to come vent and express your frustrations with people who get it. So first, I want to validate so many of the feelings that you have that often nursing can be a horribly difficult job that is unappreciated and even at t...
  6. Saddle Pulmonary Embolism

    Yes, to clarify, I wasn't asking for medical advice, but nursing experiences possibly in larger hospitals with more capabilities. The doctors (in this small hospital) have a wait and see mentality, but I just wanted to hear from those that have possi...
  7. Saddle Pulmonary Embolism

    Hey nurse friends, I have a question. How do you usually see Saddle PE's managed? I know it varies depending on a ton of factors unique to the patient, but how common is an embolectomy, etc? Is that done by an interventional radiologist? Heparin gtt ...
  8. TPN PICC Line Occlusion

    Thanks for the comments everyone! Great, great input! The line ended up being cleared with TPA and works fine now. I just don't have a lot of experience with PICCs and TPN together. My main concern was that over 24 hrs after the TPN was dc'd it still...
  9. Facing the disappointment

    Faith, I'm so sorry to hear that you've been so disappointed as a nurse. A couple questions, how long have you been nursing and is this the only area you've worked in? I only say that because if I had stayed in the same area that I had started in I w...
  10. TPN PICC Line Occlusion

    Hey fellow nurses, I know that TPA is used for PICC line occlusions when there is clot that is blocking the lumen, but what about if it was caused by TPN? I was thinking the PICC line should be pulled as to not risk infection (TPN was dc'd over 24 hr...
  11. Multi-dose insulin vials

    Thank you everyone! That was really helpful! I knew I wasn't going crazy, but started to doubt myself. Lol.
  12. Multi-dose insulin vials

    So, I'm working at this new facility and I've been a nurse for 12 years agency, ICU, PACU, etc. The new charge nurse I'm working with today looked at me like I was crazy when I asked her if we pull the regular insulin out of a shared vial in the phar...