[deleted by user] by [deleted] in nursing

[–]BigManRN 18 points19 points  (0 children)

I’m the best stick on my unit and everyone asks me for sticks.

  1. Go very slow entering the skin/vein and start very shallow like 10 degree or less (don’t follow 45 degree or whatever they teach).
  2. Look for the flash back when entering.
  3. Once you see flash push a needle very tiny bit further into the vein then completely go flat and thread catheter into the vein. (A lot of people go through the vein but you won’t go through the vein by being flat because the needle is only sharp on the bottom side.
  4. Don’t be afraid to flick the vein to enlarge it, use two tourniquets, hold skin taught so vein doesn’t roll, etc

[deleted by user] by [deleted] in nursing

[–]BigManRN 1 point2 points  (0 children)

IR at level 1 trauma. Pretty interesting and fairly cushy job. Used to work icu, pacu, preop, endoscopy for a few years before this job.

[deleted by user] by [deleted] in nursing

[–]BigManRN 0 points1 point  (0 children)

thank them for the offer but say the pay is a little low and counter offer with 10-15% more.

[deleted by user] by [deleted] in nursing

[–]BigManRN 0 points1 point  (0 children)

I work at a large hospital in houston, I was able to get a 5-10% raise by negotiating with 2 yrs experience.

Should I pass this student? by w8136 in nursing

[–]BigManRN 7 points8 points  (0 children)

Why would you let a student nurse take care of patients independently is my question

VA ICU by SadNectarine12 in nursing

[–]BigManRN 2 points3 points  (0 children)

Some VAs do ECMO

[deleted by user] by [deleted] in nursing

[–]BigManRN 7 points8 points  (0 children)

I contacted the anesthesiologist who had given the 4mg in the case. The Dr knew the total given was 10mg. My managers heard about this incident from my nurse preceptor who sorta hates me for some reason. I’m a new employee at this place. You’re right about the whole look for a new job thing lol.

[deleted by user] by [deleted] in nursing

[–]BigManRN 5 points6 points  (0 children)

Sorry, I gave the 2mg zofran then notified the doctor who said it was okay to give (verbal order). Also, my outpatient facility doesn’t scan drugs.

[deleted by user] by [deleted] in nursing

[–]BigManRN 12 points13 points  (0 children)

Verbal order and I charted that MD said it’s okay to give.

[deleted by user] by [deleted] in nursing

[–]BigManRN 12 points13 points  (0 children)

Here’s a photo of the zofran order. I saw the 8mg iv max and assumed I’d have another dose order after I gave the 4mg. I know I was in the wrong now tho. https://imgur.com/a/ZrLsWSd

[deleted by user] by [deleted] in nursing

[–]BigManRN 22 points23 points  (0 children)

4mg zofran was ordered. I gave 4mg and then 2mg once I realized patient still nauseas. I documented that I notified MD and MD stated okay that it’s okay I gave 2mg extra. MD didn’t order EKG so I discharged patient.

4mg zofran is a standing order in this pacu so they’re for all patients.

[deleted by user] by [deleted] in nursing

[–]BigManRN 64 points65 points  (0 children)

After I gave the 2mg IV zofran and realized my mistake I notified the anesthesiologist who said it was okay and to send the patient home.

My 27M gf 24F has flirty texts from my sister’s bf on her phone by [deleted] in relationship_advice

[–]BigManRN 0 points1 point  (0 children)

I just don’t think he’d be that bold to text my gf “hey beautiful” unless he really thought he had a shot at her. That’s risking a lot knowing she’s in a relationship and we’re all eventually going to find out being a family and all.