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Helping you become a better nurse. | Issue 548: Nov 13, 2013 |
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Septic shock and reaction to Rocephin/CeftriaxoneWe had a code blue on our nursing floor. A peds pt was just admitted from the ED with fever and emesis. MD ordered IV Rocephin/Ceftriaxone. Pt was alert, oriented, playing but as soon as the Cef was done infusing she dropped back in her bed, non responsive, pale pale pale, diaphoretic, fever... Read More [Toon] What do you know about Obamacare?.How do you feel about the long-term effectiveness that Obamacare will have on our health? On costs? Do you think it will increase jobs in the nursing field? If you are not happy with Obamacare, what do you think will be better alternative? Read More Thank you to the amazing preceptorsI've seen so many posts about the "preceptor from hell", but I wanted to make sure that the amazing preceptors get their credit as well. I just wanted to thank all the nurses who put forth a lot of effort and time to help the new and clueless nurses like myself get to a place of being able to provide competent nursing care. I graduated this past May and began working in July with an excellent nurse who was very reluctant to precept me....she didn't like "bossing people around", but I desperately needed and was glad for all the direction she gave me. Read More A feeling of impending doomDisaster is on the horizon. We have new grads orienting, once they finish their orientation they are being given an orientee to train. They took away preceptor pay and with our floor being so short staffed, there simply is not anyone willing to train anyone. I love new grads. I love them, they are positive and full of hope and knowledge. But they don't know what they don't know and should be learning not teaching. Read More JCAHO RequirementThe Joint Commission is visiting us this week. Seems they are telling us we now have to provide a pill splitter for every patient. I guess I understand the reasoning behind it but this seems a little excessive. Why not put the effort into education about cleaning it between uses. How does your facility handle this? Read More Top 10 Reasons We Get Fired!
How to not feel embarrassed or dumb when you dont know a skill?I am starting to understand from other posts that you learn on the job as you go. The nurse manager that hired me is extremely warm and friendly, encouraging me not to be nervous but I can't help it. When I get nervous I get red-faced and feel like an idiot when I have to say "I Don't know" or "I have never done that". Any advice? How do you make that feeling go away? Read More Have a Sense of Humor!Some words to live by if you are a nurse! Many people wouldn't laugh at/agree with some of the things we talk about but it is what keeps us going through the day. Sometimes in nursing one HAS to laugh to keep from crying. What are your thoughts about the statement in the picture? Share comments below! Read More
About Certified Registered Nurse Anesthetist (CRNA)Certified Registered Nurse Anesthetist (CRNA) is an advanced practice nurse (APN) who has at least a masters degree and more frequently nowadays, a doctorate. As with other APNs, the CRNA has passed a certification test in order to use the title CRNA. The CRNA provides anesthesia to a wide variety of patients; from neonates to the geriatric population. Read More Generic name for vitals machine?Does anyone know of a simple generic name for the vitals machines that roll around? We've been talking about different terms like the "COW" and I was curious if this device had a nickname like "computer on wheels"? Read More Therapeutic rationale for saline bag stapled to pt's leg?!?A few weeks ago I had a young patient admitted for an infected upper thigh wound which occurred after the patient had jumped over a fence and cut himself. The injury was quite serious and required a skin graft that was placed at an outside hospital. After the graft was placed, the physician cut up a saline bag and stapled it to the patients leg! Any thoughts fellow nurses? Read More
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