Tag Archives: on the job

How to know your patient need intubation: Podcast Episode 18

intubation

In this podcast, we talk about the very important skill of understanding when your patient is in respiratory distress and how to know if intubation is needed.

  • Normal respiratory parameters and assessment findings
  • Abnormal findings and what to do about them
  • The nurse’s role in the intubation process
  • Taking care of your patient post intubation

You can also read about this process here.

And something we don’t cover in the podcast, but that’s super helpful to understand is the P/F ratio, which you can check out here!

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Being a nurse with a chronic illness

chronic illness

Just a few months after starting my first nursing job in the ICU, I was diagnosed with a chronic form of blood cancer. To say I was stressed is putting it mildly. On top of that, in 2013 I began having issues with my joints. They were swollen, painful and made it impossible for me to do my job. I went out on medical leave numerous times, cut my hours and even quit nursing for about a year while I pondered what my future options were.

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The most common types of difficult patients and families…and how to deal

difficult patients

Are you heading into your 4th semester preceptorship, or perhaps you’re a new grad getting ready to start out on your own. By now you’ve seen a glimpse of some of the types of difficult patients/families that the RNs have had to deal with. Sometimes the challenge is subtle and easily handled…like the patient with 10 family members who all call for separate updates (that one’s easy…designate ONE spokespserson), or it could be more overt with hostile, aggressive behavior that makes you question the continuity of your own personal safety.

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Blood thinners – what you need to know

blood thinners

Blood clots are a serious business. They can restrict or even completely block blood flow to organs and extremities, causing things like pulmonary embolism, heart attack, stroke, ischemic bowel and even loss of limbs. So, it makes perfect sense that we want to prevent blood clots AND treat them when they occur. How do we do this?

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Liver Failure Basics: Podcast Episode 11

liver failure

In this episode, we go through the basics of liver failure using my ingenious, wonderful, amazing LATTE method, which breaks down any patient condition into the “need to know” info.

  • L = How will the patient LOOK?
  • A = How will you ASSESS the patient?
  • T = What TESTS will be ordered?
  • T = What TREATMENTS will be provided?
  • E = How do you EDUCATE the patient/family?

Amazing, right? For more resources, visit www.straightanursingstudent.com. For LATTE resource sheets, look under “resources” in the top nav bar. Enjoy!

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Clinical calculations

clinical calculations

As an RN, you’ll find that you need these four basic calculations almost every single shift you work. In this post we’ll cover what they are and why they matter.

Anion Gap

The anion gap will usually come into play when you are taking care of a patient in diabetic ketoacidosis. However, to be totally accurate, it is actually used to alert us that the patient is in ANY kind of metabolic acidosis and can even help us differentiate what caused it.

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Podcast Episode 7: Giving End-of-Shift Report

end of shift report

In this podcast we talk about giving a succinct, flawless and informative end-of-shift report. Sounds simple enough, right? It should be, but you’d be surprised how often a bad shift report can leave you with more questions than answers. But, if you follow these guidelines, you’ll be someone that all the other nurses LOVE getting report from…and yes, you will be giving report as students, too!

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Podcast Episode 5: ICP Management

ICP MANAGEMENT

Managing ICP (intracranial pressure) is a complex balancing act. In this podcast you’ll learn the basics of ICP monitoring and management, what to watch for, when to intervene and HOW to intervene.

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Day shift vs night shift…which is for you?

night shift

As someone who’s about to finish up on night shift and start back on day shift , I thought it might be fun to compare the pros and cons of each shift. Each definitely has its merits, so if you’re not sure which shift is for you…read on! I’ve worked both days and nights, and I can definitely say each shift has its advantages AND disadvantages. The difference is….well…night and day!

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Podcast: Diabetes

DKA

Hands-down, diabetes is probably THE most common comorbidity you’ll see in the hospital setting. Understanding the two “big daddy” diabetes complications should help you take care of these very sick patients. DKA (diabetic ketoacidosis) and HHS (hyperglycemic hyperosmolar syndrome) are deadly serious conditions that require a diligent RN and a solid grasp of the pathophysiology and treatment plans.

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