nservice

nservice has 10 years experience and specializes in Tele, Renal, ICU, CIU, ER, Home Health..

Latest Activity

1. Infuriating Responses To Questions

   nservice replied to ADPIE10's topic in General Students

   I'm confused. Are you guys saying you don't want to use critical thinking skills to try and come to an answer? Critical thinking is so very important as a nurse and a hard skill to master. I deal with orientees almost daily and use this same appro...

2. Getting off subject in nursing school...

   nservice replied to LMRN10's topic in General Students

   As an educator, I can't stand the story tellers either. I welcome questions / comments, but it's simply not necessary to have a story about every topic I cover. I always announce before each class that I've reserved the room for an extra 30 minutes...

3. Medication Errors-Why?

   nservice replied to ERGirl83's topic in General Nursing

   I think the majority of med errors happen because someone failed to follow policy and procedure. Sure, you didn't follow P&P because you were busy, over-worked, sleepy, stressed...etc. But the bottom line is, someone took a short-cut and made a...

4. I think I was a morning snack

   nservice replied to RiverNurse's topic in New Nurse

   It is probably in your hospital P&P to fill out an incident report for medications missed and notify the MD. I would fill out an incident report describing exactly what happened. The day shift nurse is at fault. Medications should only be char...

5. The "bully" nurse

   nservice replied to MikeyBSN's topic in Relations

   I've only had one person attempt to bully me. I was a traveler at the time and had been at this facility for a few months. This nurse was in charge and always gave me the sickest patients...usualy DNR's circling the drain. I was on a first name ba...

6. in shock my daughters life on the line need your help!!!

   nservice replied to cathleenrmermaid7's topic in General Nursing

   I'm sorry your daughter is having to go through this...you too. The whole area probably had deep tissue damage that you just couldn't see until everything opened up. The good news is now that it's open, it can be treated. Make sure you ask for hom...

7. Failed clinical because...

   nservice replied to Rebel_Kitty's topic in General Students

   WOW!! I'm sorry your friend is having a hard time. Yes nursing school and clinical are learning experiences, but some things have to be common sense. If a student is lacking in at least common sense, they have to be failed for the safety of the pat...

8. Nurses Defibrillating???

   nservice replied to rgroyer1RNBSN's topic in MICU

   Speaking of defibing babies... I got a request from the newborn nursery a few weeks ago requesting an inservice on how to work the defibrilator. It seems they had to cardiovert and had quite a time figuring things out. Since my own child will be de...

9. MedMath answer a med error?

   nservice replied to jackson145's topic in General Nursing

   I would also take that order to mean 1000ml should be infused over 125 cc/hr. If it were continuous, it would have just said NS @ 125 cc/hr. Maybe it is a regional thing. Better be careful with travelers, because they are going to read the order as...

10. Organization and Time Management

    nservice replied to byswe0525's topic in General Nursing

    I use the CURE approach when teaching time management / prioritization. C = Critical U = Urgent R = Routine E = Extras Of course the key is to constantly re-evaluate. Often times, new graduates are very task oriented and their stress level rises whe...

11. What is your day like?

    nservice replied to FuturoEnfermera's topic in Emergency

    The thing about menial tasks is, they do require tons of critical thinking. You're not just cleaning poop. This patient has been hospitalized. Do they have diarrhea. Did they contract C - diff in the hospital. Are they constipated? Could they be...

12. Can I put my hands in your hair?

    nservice replied to catlynLPN's topic in General Nursing

    OK, so I'm the only wierdo. I don't play with people's hair, but I'd let (almost) anyone play with mine. I love it! If I could only get them to rub my feet!!

13. Insulin...When/ When not to give

    nservice replied to yurnurse's topic in General Nursing

    This is a great learning experience! It's also a great opportunity for patient teaching. Many diabetics do not understand sick day management for their diabetes. If they are sick and not eating, they hold their diabetic meds. The stress/illness c...

14. fluid overload ,sepsis, Pneumonia what?!?

    nservice replied to lilacscrubs's topic in New Nurse

    What a hard position to be in. My instinct is to hold fluids and give lasix. Patient probably needed pressors instead of more fluid. Could the increased intrathoraxic pressure be causing the low b/p or was the sepsis causing the low b/p. It's har...

15. Wound Care - Unna Boot

    nservice replied to nuttin2do78's topic in Wound

    I thought the purpose of the una boot was to decrease edema in order for the wounds to heal. If it is wrapped on two separate portions of the leg, the edema will be trapped between the wrapped areas. I have used dressings directly to the wound site...