traumamomtx

traumamomtx

trauma/ m.s.

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All Content by traumamomtx

  1. You know your pt is a jerk if: 1. they demand the catheter out so they can have sex with their girlfriend. 2. they cuss you and everyone in the room out regardless of the situation. 3. they are a no...
  2. blood glucose levels

    I need a little help. I had a pt all the time ask me why they have to have their blood sugar continually checked when they are not diabetic at all. I know the answer of sickness, maintaining a good...
  3. how about spend the other 23:55 minutes with their patients they don't do. Unless the doctors would start doing total, holistic patient care for that 24 hr period of
  4. Not that mine relates to a personal experience really, but I have a very difficult time taking care of teenagers. I have 2 of my own and the thought of anything going wrong really concerns me and I...
  5. I dread working on Med/Surg

    I started out in Med/Surg and figured as most "I would pay my 1 year dues". Now I'm in trauma/med/surg and have been for 9 yrs. I see everything, I can do just about anything you throw at me, and my...
  6. THUMBS UP to hospitals banning smoking!!

    We went non-smoking in Jan. of this year and it is a joke. People both employees, pt's, and visitors are still smoking, they are just finding better places to hide. I work on a very crazy trauma floor...
  7. I'm lecturing high school kids on the field of nurisng this coming monday. I need some help from my fellow nurses: 1. any recent graphs and statistics I can run copies of and print for hand-outs....
  8. What doctors do that bugs you...

    doc's who come to you about family complaints that are ridiculous. Ok, first the doc knows the family is a PITA because they have been trying to get them discharged since day one. Ok, so don't come...
  9. What doctors do that bugs you...

    doc's that have 20 patients on the floor so they pull every chart stick it on a rolling rack and when the nurse tries to take it for a moment to write something they yell "don't take my charts"....ok,...
  10. House - Is this what nurses do?

    Don't worry you will still at times be treated like an idiot by many, many doctors. They will walk out of a room and tell you "that patient needs their IV to be stopped, Take away their PCA" . Ok,...
  11. Night Shift and family issues

    I've been on nights for 8 years and the one thing I learned is don't stress over the dishes, laundry, and so forth. It will get done eventually wether I do it or my husband helps because he doesn't...
  12. I feel really, really stupid

    You got it already....this stuff is memorizable but if you can understand it and apply it you will be 3 steps ahead of the game. Nursing isn't about memorizing it's about understanding and applying...
  13. Appreciated in different ways...

    One time we got $5 to spend at Target as our xmas gift; that was special. Another time we got binoculars, like the kind you give a 2yr old, that was just weird. We are always getting t-shirts and...
  14. Am I the only one who finds this disrespectful?

    get over yourself.....if we didn't laugh at some of these things behind pt's and their families backs we might just cry in front of them; or worse really tell them like it is. We all have to have a...
  15. How do you run K+??

    put the k+ on the pump and piggy back the main iv fluids on dial-a-flow below the pump it's self so they run at the same time and decrease pain. Run K+ over and hour and only 10meq for peripheral and...
  16. #%@&$ Flu Shot!

    I don't see how they can make it mandatory. If it ever comes up again say you are allergic to eggs. My daughter is and can never have a flu shot...but i don't think they can make that sort of thing...
  17. Admin Tyl and Vicodin w/ in 4 hr

    Since they are prn doses then maybe you can stagger them and just wait on the pt to ask for them. Other wise the other nurse is right. Tylenol cannot exceed 4000mg/day. maybe they can order a dose...
  18. Question about Whipple Procedure

    I deal with this all the time and it is a procedure that is done mostly on people as a last resort who have pacreatic cancer. They remove a portion of the pancrease and I believe it's the head. It...
  19. Magnet and Teaching Hospitals

    I work at a Magnet/ Teaching hospital/ trauma I on the trauma/medsurg floor and it is just as crazy as anywhere else. We carry 6-7 pts a piece and run all night. We do have floors that are much...
  20. Much needed help with communication?

    Well I think you found your answer from the nurses. I work in a Trauma I big city hospital on the trauma/medsurg floor. Needless, to say you know what kind of pts we get: GSW, MVC, MCC, Stabs, plus...
  21. Your top three coping strategies

    1. Remember, it is a 24 hr job and there are nurses around the clock. So if you don't get something done that wasn't STAT then someone else will be able to pick up the slack. 2. We can't save the...
  22. DVT to PE...

    she already had the pe and was doing fine so far. no need to keep her from doing simple and non exerting adl's. I agree sitting in the bed constantly would of only worsened the situation. Yes, you...
  23. Start 12 hour Night shift tonight

    You will do fine. I've been doing nights since 1998. The two things that keep me going are staying busy and the staff I work with. If the staff is friendly, talkative, and busy it help sssooooo...
  24. ways to improve in-patient satisfaction

    We have the exact same thing at our hospital. We are always low on our satisfaction results mainly: pain management and patients feeling like we care. I think if the management was a little more...
  25. meds--are we supposed to know EVERYTHING??

    it's very difficult to monitor vicodon over a 24/hr basis to determine if every nurse was giving it q4 or q6 hrs for 24 hrs. it is even more difficult to tell a pt they can't have it every 4 hrs if...