elephantlover

elephantlover BSN, RN

ICU

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All Content by elephantlover

  1. Moderate sedation/ pharmacology question

    elephantlover posted a topic in General Specialties

    The Radonda Vaught trial has me wondering about my hospital’s policy on versed administration. Nurses are not allowed to administer versed unless the the patient has an airway and is on a ventilator...

  2. ED experience in addition to ICU?

    elephantlover posted a topic in Student Registered Nurse Anesthetist

    I am currently a RN in a med-surg adult ICU with two years of experience. I get a nice mix of medical, neuro, trauma, and other various surgical specialties on my unit. My five-year plan involves...

  3. Lazy patient

    elephantlover replied to Katie622's topic in General Nursing

    It is a rare exception when things escalate to pulling lines. With education on risks, people are more often than not willing to comply with CLABSI bundles. To my knowledge, my organization was free...

  4. Lazy patient

    elephantlover replied to Katie622's topic in General Nursing

    Sometimes I am successful in encouraging reluctant patients to wash up just by saying: "you will probably feel better... you will look nice and fresh for your visitor today...." *hands patient...

  5. Save your back, do powerlifting

    elephantlover replied to JackdLPN's topic in General Nursing

    I think OP has a good point and did not intend to undermine the need for safe patient handling practices and equipment in the workplace. Of course, not all nurses need to be nor can be powerlifters....

  6. Residency or not?

    elephantlover replied to BreH's topic in General Nursing

    I graduated in May as well. I started right away at a large urban teaching hospital with magnet status that enrolled new grads into a mandatory "residency program." The program had watered-down...

  7. Feeling incompetent as a student nurse...

    elephantlover replied to Nathalie Im's topic in General Students

    I am a nursing student and I feel the same way as you. I excel in my theory classes and I do well enough in clinical. But I have moments where I forget things or stumble on my words when giving...

  8. Late to clinical

    elephantlover replied to JePierreB's topic in General Students

    It is a good lesson. I am sure you will not make it again. Nursing schools have to prepare you for a real job where there would be disciplinary action. If you mind your ps and qs you should be fine. I...

  9. Is it just me or is nursing school not as difficult as everyone makes it sound?

    elephantlover replied to Nicolecn's topic in General Students

    I am in my last semester of an accelerated BSN program. I think the hardest thing about nursing school has been balancing my priorities: work, clinical, school, staying healthy, etc. I had MANY times...

  10. Phlebitis management. Was this handled correctly?

    elephantlover posted a topic in General Students

    Hello, I am a senior nursing student. I am working to develop my clinical decision-making skills by observing the nurses I work with as a CNA. I have some questions regarding a situation I witnessed...

  11. Med school drop out, now a CRNA. Ask me anything...

    elephantlover replied to MDdropouttoCRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    My understanding is that CAA school is the anesthesia equivalent of PA school. So with the proper prereqs you could get in with any bachelor's degree. Mier Kat is probably correct in that CNRAs are...

  12. Phlebitis management. Was this handled correctly?

    elephantlover replied to elephantlover's topic in General Students

    I appreciate your input everyone! I love learning from experienced nurses. In my opinion, the rise of ligation in healthcare has contributed to this protocolization of tasks as you describe JKL33....

  13. Phlebitis management. Was this handled correctly?

    elephantlover replied to elephantlover's topic in General Students

    I appreciate your input. You sound like a good preceptor. I am trying to learn as much as I can about clinical decision making before I am on my own this summer. I agree there aren't excuses for...

  14. Phlebitis management. Was this handled correctly?

    elephantlover replied to elephantlover's topic in General Students

    Thanks for your feedback. I do not want to rip on this nurse. She is a new nurse figuring things out. I just wonder why the policy at my hospital is so vague about phlebitis. Perhaps a certain degree...

  15. Med school drop out, now a CRNA. Ask me anything...

    elephantlover replied to MDdropouttoCRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    You can get your masters in anesthesia and become a certified anesthesia assistant. Different from CRNA school. CNRA programs build off of the student's critical care experience as RNs. Not absurd....

  16. Placed on oncology for first term in hospital! Advice please!

    elephantlover replied to Nicolecn's topic in General Students

    Hi there! I think your first clinical in the acute care setting is a big step regardless of the unit you are on. Some nerves are to be expected. General advice to calm your nerves before clinical: do...

  17. Phlebitis management. Was this handled correctly?

    elephantlover replied to elephantlover's topic in General Students

    Interesting. I hear what you're saying! I have more limited experience with venipuncture. I will keep this in mind. The RNs on my unit do not draw labs and they rarely start IVs. I just don't think...

  18. Phlebitis management. Was this handled correctly?

    elephantlover replied to elephantlover's topic in General Students

    The patient was of normal weight. Middle-aged. Visible veins. We have IV resource nurses at the hospital I work at. I just was trying to understand why this particular nurse decided not to start a new...

  19. Phlebitis management. Was this handled correctly?

    elephantlover replied to elephantlover's topic in General Students

    THANK YOU! This seems so straightforward in my mind. This patient's vein was being irritated by the catheter and the abx. Solution. STOP and remove. Further complications could develop. I just could...

  20. Favorite Lunches

    elephantlover replied to babysplash's topic in General Students

    I love Ezekiel bread! Always have a loaf in the freezer. I am going to have to try your tuna salad sandwich with jalapenos and pickles. Sounds tasty. I agree rotisserie chicken is a big time saver....

  21. What is up with these Sickle Cell Patients?!

    elephantlover replied to BrandNewbieNurse's topic in Patient, Colleague Relations

    Love this story. Thank you for sharing your personal experience. Vulnerability and kindness are brave and beautiful. Nursing has really challenged me to withhold judgment- it is an ongoing

  22. What is up with these Sickle Cell Patients?!

    elephantlover replied to BrandNewbieNurse's topic in Patient, Colleague Relations

    I have really enjoyed your posts in this discussion. Excellent food for thought. Thank you. I hope I never stop honoring patients as you describe. What do you do when you are running out of options to...

  23. Favorite Lunches

    elephantlover replied to babysplash's topic in General Students

    Currently living the lunchbox life. On a typical day, I pack or eat 2-3 of my meals on the go. Sometimes it can be a real struggle. I have always told myself I was going to learn how to meal prep for...

  24. Clinical in Nursing Home--experiences?

    elephantlover replied to galactose's topic in General Students

    For my fundamentals clinical we were in an LTC facility as well. Yes, the main focus was on basic nursing skills and ADLs. Minor soap-box moment: these skills are so important! Yes, RNs do delegate to...

  25. Phlebitis management. Was this handled correctly?

    elephantlover replied to elephantlover's topic in General Students

    I see what you're saying. This nurse did not intend to start a new IV. I work on a medical unit and our policy is that every patient needs IV access. I just don't understand why she wouldn't start a...