RNPamP

Latest Activity

1. Computer Charting in PACU Question

   RNPamP replied to All4Seasons's topic in PACU

   I don't know how helpful this reply will be b/c we hate our computer charging system too! We have a GE program for our entire surgical services from pre-op thru PACU and would give it a big . The system is very labor intensive as far as including m...

2. Holding overnight (or even days at a time)

   RNPamP posted a topic in PACU

   Hey PACU nurses! I was just wondering how many PACUs out there have patients holding overnight routinely (or even for a couple of days). Our bed situation here seems to be out of control, to the point where we have anywhere from 2-5 patients holdin...

3. Should I report this CRNA?

   RNPamP replied to RNPamP's topic in PACU

   Thanks to all who responded; I appreciate the interest. I did end up writing this guy up. I was going back and forth on the issue, and while I do see the viewpoint of those who said to just accept his apology, I draw the line at physical contact. ...

4. 3 Qualities My Family Doc Must Have

   RNPamP replied to UM Review RN's topic in General Nursing

   1. My PCP must be a Nurse Practitioner! If I have any choice at all anymore, I always see an NP because... 2. They take the time to listen 3. They actually seem to care Of course, I know there are also great docs out there, NPs just seem to more ...

5. Incometent Doctor

   RNPamP replied to Happy-ER-RN's topic in Emergency

   Nene's probably right, "refuses" is kind of a loaded word. But when you are telling a doc over and over again that a patient is awake and c/o 10/10 pain and they say they won't order anything, technically that is a refusal. I've always been taught ...

6. Incometent Doctor

   RNPamP replied to Happy-ER-RN's topic in Emergency

   I just want to respectfully disagree that you should "not put anything in the patient's chart". Of course, don't include any personal commentary or opinion, but you should be documenting exactly what this doctor says and does. That's part of "CYA"....

7. Should I report this CRNA?

   RNPamP replied to RNPamP's topic in PACU

   Thanks to everyone for the advice. I have written up the incident and reported it to my acting nurse manager, her supervisor, and the CRNA's supervisor (figured I'd cover all my bases). I'm glad to hear that others would also report the incident; I...

8. Pt's Complaint? Warranted or not?

   RNPamP replied to RNforLongTime's topic in General Nursing

   Well, I would say that if the patient never complained to you about the door being open then their complaint is invalid. Patients often seem to think we are mind readers. This seems to happen quite often; a patient will seem content, not complainin...

9. Pain control for CEAs

   RNPamP posted a topic in MICU

   I am wondering what the general consensus is with regard to pain control for post op CEA patients. In the hospital I am currently at, CEA patients are only written for tylenol for pain, and very rarely will they ever give something stronger. Their ...

10. Should I report this CRNA?

    RNPamP posted a topic in PACU

    Hi everyone, sorry for the length of this post. I had a situation happen to me at work on Friday that I would like to get some feedback on. I am a PACU RN with 5 yrs of experience, and I consider myself to be extremely competent at what I do. Here...

11. Pain relief options during labor

    RNPamP posted a topic in Ob/Gyn

    Hi to all you L&D nurses, I have a question for you. I am an RN, I work in PACU, and my husband and I are thinking about starting a family relatively soon. My question is, what is the full range of pain relief options during labor? You hear so...

12. From ICU to PACU

    RNPamP replied to VAC's topic in PACU

    BTW, to add to my last post, ASPAN dictates a maximum of two Phase I pts per RN at one time. If your facility is not abiding by this very important rule, I would look for other employment. You are really putting yourself and your nursing license at...

13. From ICU to PACU

    RNPamP replied to VAC's topic in PACU

    I did the move from ICU to PACU 3 yrs ago, after 2 yrs in ICU. I haven't regretted it for a minute. You'll have to see for yourself, but I think of PACU as critical care without a lot of the harder parts (i.e. chronic pts, death and dying issues, c...

14. DISCHARGE from PACU? Who does this?

    RNPamP replied to BABRNBSN's topic in PACU

    Here is a direct copy of the ASPAN position on RN staffing in Phase I PACU; this info came from the website: Position It is, therefore, the position of ASPAN that two licensed nurses, one of whom is a Registered Nurse competent in postanesthesi...

15. Holiday gift for manager?

    RNPamP posted a topic in General Nursing

    Hi everyone! I just wanted to find out how many of you are planning on giving your boss(es) a holiday gift? If so, what?