maporcrn1

maporcrn1

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About maporcrn1

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  1. Help! Asked to Write On Call Policy

    Patient safety is the key issue. Sleep deprivation has been has been studied. Reaction times and the judgment of sleep deprived persons have been documented. Pilots can't fly, truck drivers can't drive, but Nurses and other OR staff can work? Hopeful...
  2. bad popup! but hoping...

    I will never forget the fear and stress I experienced when taking my nursing exam! I studied and worked hard in clinical rotations while in nursing school. I took the test, two 8 hour days, sitting at a table, answering all the questions. Tests are s...
  3. Violence in Nursing

    Nurses need to feel safe in the work environment. Deescalating training and Security support is essential, especially in the Emergency Departments. Defense training may not be a bad idea as well.
  4. As nurses, we have seen many things. We try to ease the patient's anxiety about non urgent matters. Cudos to you for recognizing her true sense of "impending doom"! I always hated if my patient said "I am going to die" or "I don't think I feel so goo...
  5. Never rely on one reading. Take it again, on the same machine, while telling the patient to keep the arm still. I look at the patient and get several readings before I call the MD. Good luck finding the "one" sphygmomanometer. Plus or minus 20% of t...
  6. Question for nurses that are male...

    A nurse is a person who worked very hard to learn how to become a nurse, regardless of gender. We all passed the tests. Granted, the Nursing Profession, has been and still is, predominately a female profession. Nurses remain to be the most trusted pr...
  7. Math requirement for RNs?

    What is 1/2 of 1/3? Mg/kg/min is different than mg/min. Nurses must recognize the difference, math is essential. Cardiac output vs Cardiac Index? Body weight vs BMI? 1 ml of a drug is different than 1 mg, depending on the vial. Correct dosage is the ...
  8. Tell on yourself, if you dare...

    As a student,I was raising the electrical bed to waist height, so that I could change the bed sheets. The telescopic IV pole was in the low position, not in use for that patient. The IV pole sheared the O2 flow meter off the wall! Lots of noise and c...
  9. I work in a similar environment. I need/want someone (support staff) to do a specific task at a specific time. I do not hesitate to interrupt 'social conversations' to ask the support person to perform the necessary task. Usually, the support person ...
  10. Network or Die!

    Staying at home, taking care of your husband can be stressful in itself and is a fulltime job. Look for opportunites that may exist within your knowledge base and expertise that will not require you to be away from home. "On call" nursing advice, wor...
  11. Lidocaine infusion for pain

    In the past, (25 yrs ago) I worked with a Pain Management specialist who ordered lidocaine infusions for pain management for patients with chronic pain. I am not sure if this worked for the patients or not. A patient recieving a lidocaine infusion ...
  12. Hourly charting

    Is hourly rounding is a requirement? If so, charting should be simplified. Previous assesment unchanged is an option.