NurseNature

NurseNature

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About NurseNature

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  1. Starting IV's in Med Surg?

    Plus, a lot of the time the ER or EMT's put their IV's in the AC or wrist so they are not in good spots for inpatients. The machines will beep at you nonstop until you change sites or splint the extremity.
  2. Pagopica and anemia

    I just learned that word, pagopica, which describes the craving for chewing ice. I have recently, within the last three months or so, become a pagopicic.?. I love word play. Anyhow, I was wondering if anyone has heard of this or had experiences wi...
  3. Need serious help dealing w/manipulative patients

    They usually start to fall asleep about the time I am giving report to the day nurse. And, on my floor, the pt's are usually sick enough that there is not much change from day to night shift and sleep patterns are not patterns at all. I really wan...
  4. Need serious help dealing w/manipulative patients

    Thanks for the tips. It is a hospital setting. MD's are all fed up with the situation as well, and since I work nights, it's usually a resident that I am calling every hour for some issue with this pt and they don't even want to bother with it anym...
  5. Need serious help dealing w/manipulative patients

    Pt agreed to have DPOA make all decisions no matter what, verbally, to me. But, then, they argue about decisions, every single decision, including such small things as stool softener refusal, and if I follow the pt's wishes the family member gets rag...
  6. I don't feel like going into detail about the patient and family member right now, but I know I need some helpful advice on how in the world to handle these two insanely manipulative people. This pt is very sick and whilst he/she and the family memb...
  7. "NEVER Events"

    Christopher Reeves died of a pressure ulcer and he had the best care money could buy. So... if we fall at work, as nurses, or get hurt in any way for that matter, our insurance shouldn't pay for it because it was most likely preventable. Same with e...
  8. "NEVER Events"

    Yeah... I just don't understand how they can categorize some of these complications as "never ever should happen if proper care is administered" type of events. Falls, whatever, not possible. Infections??? Come on now, really? Are you going to te...
  9. What is the diff. btwn DKA and HHNS??

    I've come up with two questions while reading the posts. One, does the hyperosmolarity of the blood put these patients at an increased risk for CVA's? It seems as though it would. And, two, Why would insulin ever work for type two diabetics if it ...
  10. Dealing w/rude feedback

    You sound just like me! Exactly. I end up second guessing myself just like you did and then I get upset for not speaking up for myself and then I go back and forth and back and forth. I am just out of orientation and this has actually been one of ...
  11. Need Advice About Hca Hospitals In Florida

    Not in FL, but HCA is many places, and they are no good from what I"ve heard and seen. They are for profit. I know where I live the majority of the hospitals are HCA; but nobody wants to work for them, or get care from them, unless they have no other...
  12. new grad vs 1 yr exp. orientation to ICU

    I think I made the right decision starting on a med-surg floor b/c I still feel pretty overwhelmed just trying to learn about the hospital's P and P's, let alone all the other obvious stuff a new grad has to become familiar with. As you can see, I a...
  13. Select Specialty Hospital in Kansas

    All I know is that I would be scared to let any loved ones recieve care there simply b/c we get several pt's from them who have been neglected. One pt had a stage four ulcer the circumference of a grapefruit and apparantly select services had not ev...
  14. I just don't know. I had a pt for three shifts in a row and on the third night he had a pretty significant change in LOC. The pt's son was at the bedside and thought his father had a small seizure just prior to the change, as he had seen this before ...
  15. The Human Touch

    I love this article! Thanks for submiting it. I gave it 5 stars but it only showed it as 4, just so you know.