So true. It's often those subtleties that could be the alert that can prevent shock. Sometimes we become so reliant on numbers period instead of the trends...
5400
Cindi Sarasota
cjrn2004
Mar 19, 2011 3:08 pm
I was just wondering how many of you out there are being given 3 patients in critical care areas...have one local hospital forcing 3:1 ratio. We occasionally...
5401
Robin
kenrob1957
Mar 20, 2011 12:34 am
I am working with a travel company right now and the hospital that I am working at is working with dangerous understaffing levels. I have had three patients...
5402
Patricia French
patriciafrenchrn@...
Mar 20, 2011 12:35 am
I have on occasion taken three patients if two were tele and one was not a critical ICU. I just read an article yesterday that talked about an ICU staffing...
5403
Patricia French
patriciafrenchrn@...
Mar 20, 2011 12:38 am
That is why I seriously had to reconsider travel assignments. It is unsafe and not in the patients best interest. There is a staffing ratio for a reason, the...
5404
yvonneladonna@...
yvonneladonna
Mar 20, 2011 12:45 pm
I work in a level one CVICU and we get tripled from tie to time. Whst is scary is that in addition to getting tripled, the charge nurse could have patients,...
5405
Bill Small
smallw_3811
Mar 20, 2011 12:45 pm
where are you located in Florida, because in Florida is custom practice to have 3:1, that is not safe nursing practice. If you start that practice it would...
5406
Patricia French
patriciafrenchrn@...
Mar 20, 2011 2:29 pm
I can understand having a triple in an emergent situation. Rather than leaving a patient holding in the ED. On a regular basis, there needs to be a back up...
5407
Robin
kenrob1957
Mar 20, 2011 9:11 pm
I’m sorry, mandatory overtime is not an option. This is why I am trying to get out of nursing. Why can’t enough people be hired and ratio’s be...
5408
A. J. Zenthoefer
ajzent
Mar 20, 2011 9:52 pm
Hi List, Although I do not post much I have had 20+ years of critical care experience and have over the years heard many times of what is a “dangerous...
5409
Patricia French
patriciafrenchrn@...
Mar 21, 2011 12:52 am
My response was not related to mandatory overtime. There is a shortage of nurses, it has been going on for many many years. Most RN's do not stay in the...
5410
Robin
kenrob1957
Mar 21, 2011 12:34 pm
I am looking for a part-time jobs, but any jobs I apply for they want you to put down the extra days you can work and make you feel like a slacker and like you...
5411
Patricia French
patriciafrenchrn@...
Mar 22, 2011 1:18 am
Myself, I worked for a guy and the more I gave the more he expected. I set limits and did what I could do "comfortably". I wanted to help, but I was not the...
5412
Nurse Alysha
sssfeme2liv4
Mar 30, 2011 10:49 pm
I need HELP ASAP....can someone please tell me what medications are used for 1 week post MI typically?? Is digoxin used as a regular post MI medication...
5413
LaPointerobyn@...
Mar 31, 2011 2:51 am
Digoxin does not stick out in my mind. It is usually plavix and zocor and aspirin that I see frequently. It probably all depends on what type of MI the...
5414
Patricia French
patriciafrenchrn@...
Mar 31, 2011 3:01 am
just an FYI note, in the ED I work in.....we are seeing alot of STEMI's that come back within 5 days for another STEMI due to non compliance of Plavix.. We had...
5415
alysha jackson
sssfeme2liv4
Mar 31, 2011 2:28 pm
I'm in school...its for a sample Nclex question, please assist if you are familiar, or you have had patients who where prescribed Digoxin for the first time...
5418
Patricia French
patriciafrenchrn@...
Apr 1, 2011 1:49 pm
according to core measures, it is not part of the prescribed d/c medications. It is a cardiac glycoside, used primarily in the treatment of a-fib, a-flutter...
5419
wraybonn2@...
Apr 4, 2011 4:42 pm
I am a little concerned if Dig is still being taught this way as that is a few years old. Sent on the Sprint® Now Network from my BlackBerry® ... From:...
5420
alysha jackson
sssfeme2liv4
Apr 4, 2011 4:42 pm
thank you very much...that's what i thought all along but i had an instructor tell me otherwise.... Alysha Jackson... ... From: Patricia French...
5421
Robin
kenrob1957
Apr 4, 2011 4:43 pm
This is my 25th year of nursing and I am facing a terrible problem, I am having severe back and hip problems from the pt care for all those years, Does...
5423
sssfeme2liv4@...
sssfeme2liv4
Apr 4, 2011 9:08 pm
Well I just questioned on my opinion, instructor said it is standard for post MI, even if no CHF Sent on the Sprint® Now Network from my BlackBerry® ... ...
5424
Patricia French
patriciafrenchrn@...
Apr 5, 2011 3:28 pm
you will find many practices are not always Evidence based. Much depends on the physician group at the hospital, thier comfort level and level of skil, ...
5425
Patricia French
patriciafrenchrn@...
Apr 5, 2011 3:39 pm
you can try case management, home care, learn to do coding, billing, insurance company, utilization management. If you have your BSN, then you can do...
5426
lourance al hadid
lourans71
Apr 6, 2011 8:54 am
Often Digoxin is not the drug of choice for patients post MI. Yet, indications for Dogoxin are still among those exhibited by some patients post MI. So, care ...
5427
RN1851@...
Apr 7, 2011 3:52 am
Yes, it is mandatory that you correct low Mag BEFORE correcting low K because magnesium drives the Na-K pump. If you have a low K, you can chase it all day...
5428
sssfeme2liv4@...
sssfeme2liv4
Apr 10, 2011 1:32 am
Yes, Thank U Sent on the Sprint® Now Network from my BlackBerry® ... From: lourance al hadid <lourans71@...> Sender: nursebob@yahoogroups.com Date:...
5430
KirstenKruse
kirstenkruse@...
Apr 10, 2011 1:34 am
My instructor wants us to research how to determine bowel sounds. It has to be time bound and measurable. I thought I knew how to assess bowel sounds and what...
5431
Laura
lbattaglia09@...
Apr 10, 2011 1:35 am
Bob, I am an ED/Critical Nurse since 1989, now an Educator. Your site is exellent. When I question something I always go to Bobs site! Your very knowledgeable...
5432
LaPointerobyn@...
Apr 10, 2011 8:19 pm
Look at the abdomen in quadrants Right upper,, Left upper, Right lower, Left lower and listen in each quadrant. I think the new thing is never say the bowel...
